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Changes in children's hospital use.

C Connors1, W J Millar

  • 1Health Statistics Division, Statistics Canada, Ottawa. cathy.connors@statcan.ca

Health Reports
|January 5, 2000
PubMed
Summary
This summary is machine-generated.

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Childhood hospitalizations in Canada significantly decreased by nearly 50% between 1986/87 and 1996/97. This decline reflects fewer hospital separations and shorter stays for common pediatric conditions.

Area of Science:

  • Pediatric Health
  • Public Health Surveillance
  • Healthcare Utilization

Background:

  • Hospitalizations for children aged 1-14 represent a significant aspect of pediatric healthcare.
  • Understanding trends in childhood hospital separations is crucial for resource allocation and public health planning.
  • Specific conditions like asthma, tonsil/adenoid disease, fractures, and appendicitis are common reasons for pediatric hospital admissions.

Purpose of the Study:

  • To analyze trends in hospital separations for children aged 1 to 14 in Canada.
  • To examine changes in hospitalization rates for four common pediatric conditions between 1986/87 and 1996/97.
  • To assess shifts in the duration of hospital stays for pediatric patients.

Main Methods:

  • Utilized Canadian hospital separation data from the Hospital Morbidity File and the Canadian Institute for Health Information.

Related Experiment Videos

  • Employed International Classification of Diseases (Ninth Revision) for diagnoses and the Canadian Classification of Diagnostic, Therapeutic, and Surgical Procedures for surgical procedures.
  • Calculated hospital separation and surgical rates using population estimates for 1986 and 1996.

    • Main Results:

    • Total hospital separations for children aged 1-14 decreased from 355,000 in 1986/87 to over 206,000 in 1996/97.
    • The hospitalization rate per 1,000 children dropped from 69.7 to 37.0 over the decade.
    • Average length of hospital stay reduced from 4.5 to 3.8 days, with total annual hospital days declining substantially.

    Conclusions:

    • Canadian pediatric hospitalizations experienced a significant decline between the late 1980s and late 1990s.
    • Reduced separation rates and shorter lengths of stay indicate potential improvements in pediatric care or changes in admission practices.
    • Further research is warranted to explore the specific factors contributing to these observed trends in childhood hospitalizations.