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Published on: November 9, 2016
Quality care for children: inpatient medication use in a mid-Atlantic hospital system 2000-2003
Tamar Lasky1, Stephen T Lawless, Jay Greenspan
1College of Pharmacy, University of Rhode Island, Kingston, RI 02881, USA. tlasky@mail.uri.edu
Insights
This study analyzed pediatric inpatient medication use in over 32,000 hospitalizations from 2000-2003. Findings reveal medication probabilities vary by patient demographics, highlighting the need for further research in pediatric health services.
Area of Science:
- Pediatric pharmacology
- Health services research
- Comparative effectiveness research
Background:
- Electronic databases offer valuable insights into pediatric inpatient medication use.
- Understanding medication patterns in children is crucial for optimizing healthcare delivery.
- Previous analyses may not have encompassed the full pediatric age range (0-18 years).
Purpose of the Study:
- To conduct a preliminary analysis of pediatric inpatient medication use.
- To identify common medications administered to children across a defined geographic region.
- To explore demographic variations in medication administration probabilities.
Main Methods:
- Analysis of an electronic database comprising over 32,000 pediatric hospitalizations (2000-2003).
- Inclusion of data from a specific catchment area serving Delaware, Maryland, New Jersey, and Pennsylvania.
- Calculation of drug administration percentages for individual patients and identification of frequently used medications.
Main Results:
- Over 700 different drugs were administered to the pediatric study population.
- Nine drugs were received by at least 10% of all patients.
- Medication probabilities demonstrated variation based on patient age, sex, and race.
Conclusions:
- The analyzed database is a valuable resource for pediatric health services and comparative effectiveness research.
- Preliminary findings indicate demographic factors influence pediatric medication use.
- Further research is necessary to fully quantify and understand these variations in medication probabilities.
Abstract:
The authors report on a preliminary analysis of an electronic database that includes more than 32 000 pediatric hospitalizations during 2000-2003. They analyzed pediatric inpatient medication use in a defined geographic area, the catchment area for the Alfred I. duPont Hospital for Children, serving Delaware, Maryland, New Jersey, and Pennsylvania. The study population included 18 108 female and 14 375 male children. The authors calculated the percentages of children receiving at least 1 administration of each drug. More than 700 drugs were received by children in the study population; 9 were received by at least 10% of all patients. The probability of receiving specific medications varied with patient age, sex, and race, but much further work is needed to quantify the variations. The database has the potential to inform pediatric health services research and pediatric comparative effectiveness research, and it may be the first analysis of hospitalizations for a pediatric population comprising all ages from 0 to 18.
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