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The Effect of Limited English Proficiency on Pediatric Hospital Readmissions

Mindy Ju1, Nathan Luna2, K T Park3

  • 1Divisions of Pediatric Critical Care Medicine and mju@stanford.edu.

Hospital Pediatrics
|December 8, 2016
PubMed

Insights

Limited English proficiency (LEP) in children does not increase hospital readmission risk. This study found no significant difference in 7- or 30-day readmission rates between LEP and English-proficient (EP) pediatric patients.

Area of Science:

  • Pediatric Health Outcomes
  • Health Disparities Research
  • Hospital Readmission Analysis

Background:

  • Limited English proficiency (LEP) is linked to poorer pediatric health outcomes.
  • Understanding the impact of LEP on hospital readmissions is crucial for equitable care.

Purpose of the Study:

  • To investigate the association between LEP status and pediatric hospital readmissions.
  • To determine if LEP independently affects readmission rates in children.

Main Methods:

  • Retrospective cohort analysis of over 67,000 pediatric encounters (2008-2014).
  • Examined LEP status against 7- and 30-day readmission rates.
  • Controlled for factors including age, ethnicity, insurance, socioeconomic status, and illness severity.

Main Results:

  • Overall 7-day readmission was 3.9% and 30-day was 8.2%.
  • LEP patients were younger, poorer, and more likely to have government insurance.
  • After adjustment, LEP status was not associated with increased 7- or 30-day readmission risk (aOR 1.00 and 0.97).
  • Hispanic ethnicity, higher severity of illness, and complex chronic conditions were associated with higher readmission odds.

Conclusions:

  • This study indicates no increased risk of hospital readmission for pediatric patients with LEP compared to English-proficient (EP) patients.
  • Factors like ethnicity, illness severity, and chronic conditions are stronger predictors of readmission.
  • Further research may explore nuanced interactions and interventions for vulnerable pediatric populations.
Abstract

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