Influence of Geographic Access on Surgical Center Readmissions After Index Congenital Heart Surgery.
作者： L. LuAnn Minich , Richard Nelson , James VanDerslice , Jacob Wilkes , Minkyoung Yoo
DOI: 10.1016/J.JPEDS.2021.03.026
关键词:
摘要: Objective To assess the impact of geographic access to surgical center on readmission risk and burden in children after congenital heart surgery Study design Children Results Among 59,696 eligible children, 19,355 (32%) had ≥1 unplanned readmission. The median LOS was 9 days (IQR 22) across entire cohort. In those readmitted, total costs were $31,559 $90,176). Distance from inversely related but rurality positively risk. increased distance associated with longer LOS, more complications, higher costs. Compared urban patients, highly rural patients likely have an fewer average days. Conclusions Geographic measures differentially affect center. Increased readmissions complications. most isolated highest Understanding contribution will aid developing strategies improve care delivery this population.
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