30-Day readmission rates, diagnoses, and risk factors following pediatric airway surgery

摘要: Abstract Background In the last few decades, increased survival of premature infants and critically ill children have led to frequency complexity pediatric airway procedures. Minimizing readmission rates following these procedures is important maximize health outcomes cost effectiveness. This study examines incidence, reasons, risk factors for hospital readmissions surgeries in a large, nationally representative sample. Methods Pediatric performed across 22 states 2014 were identified using data from Nationwide Readmissions Database (NRD). Airway categorized International Classification Diseases, Ninth Revision, Clinical Modification (ICD-9-CM) codes into categories: tracheostomy, repair larynx, trachea, laryngeal excision, tracheal bronchoscopy, laryngoscopy, laryngotracheal diagnostic procedures, other operations on trachea. Univariate multivariate analyses used identify significantly correlated with readmissions. Results 10,289 over 7120 visits identified. 954 an overall rate 13.4%. 613 related initial procedure, yielding relevant 8.6%. On univariate analysis, that varied included number diagnoses record (OR 1.06), chronic conditions 1.18), 1.07), public insurance status 1.39), bottom quartile median household income patient zip code 1.29), teaching 1.60), perinatal respiratory disease 1.45). significant predictors 1.02), 1.13), 1.20). The most common categories distress (36%), infection (24%), pneumonia (14%). top individual reasons stenosis larynx (7.3%) (5.9%). Conclusions relatively high readmission. Strategies reduce should involve addressing disparities employing multidisciplinary approach improve care medically complex patients.