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Demographic factors associated with bronchiolitis readmission
Jeffrey Riese1, Russell J McCulloh, Kristin L Koehn
1Department of Pediatrics, Rhode Island Hospital/Hasbro Children's Hospital, Providence, Rhode Island; and.
Hospital Pediatrics
|May 3, 2014
Summary
Younger children and those from lower socioeconomic backgrounds face higher readmission rates after bronchiolitis hospitalization. Inpatient medical care did not appear to influence these readmission risks.
Area of Science:
- Pediatrics
- Respiratory Medicine
- Health Services Research
Background:
- Bronchiolitis is a common pediatric respiratory infection requiring hospitalization.
- Understanding readmission factors is crucial for improving care and reducing healthcare costs.
Purpose of the Study:
- To investigate patient characteristics and medical management associated with hospital readmission in children diagnosed with bronchiolitis.
Main Methods:
- Retrospective chart review of 1229 children admitted with bronchiolitis across two children's hospitals.
- Data collected included demographics, treatments, length of stay, and outcomes.
- Univariate analyses identified risk factors for 4-week readmission.
Main Results:
- Younger children (mean age 4.5 months) had higher readmission rates than older children (mean age 5.7 months).
- Patients from lower income zip codes and those living closer to the hospital (within 20 miles) showed increased readmission likelihood.
- No specific inpatient medical intervention or length of stay was associated with readmission risk.
Conclusions:
- Bronchiolitis readmission rates were 6.4% overall.
- No modifiable inpatient medical management factors were identified as significantly associated with readmission.
- Socioeconomic factors and patient age appear to be key determinants of bronchiolitis readmission.
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