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Issues Identified by Postdischarge Contact after Pediatric Hospitalization: A Multisite Study.

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Hospital follow-up contact identified frequent postdischarge issues (PDI) in children, primarily related to appointments. Older children had a higher likelihood of experiencing these issues, informing hospital discharge planning.

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Area of Science:

  • Pediatric Healthcare
  • Health Services Research
  • Patient Outcomes

Background:

  • Hospitals increasingly consider post-discharge follow-up contact to address patient issues.
  • Postdischarge issues (PDI) can arise after hospitalization, impacting patient recovery.
  • Proactive outreach aims to mitigate challenges faced by patients after leaving the hospital.

Purpose of the Study:

  • To determine the prevalence of postdischarge issues (PDI) identified through hospital contact.
  • To identify patient characteristics associated with a higher likelihood of experiencing PDIs.
  • To inform hospital strategies for effective post-discharge patient support.

Main Methods:

  • Retrospective analysis of 12,986 children discharged from 4 US children's hospitals (2012-2015).
  • Hospital staff initiated contact within 14 days via phone, text, or email.
  • Logistic regression analyzed patient characteristics and PDI likelihood.

Main Results:

  • 25% of hospitalized children reported a PDI; prevalence varied by hospital (16.0%-62.8%).
  • Most PDIs (76.3%) concerned follow-up appointments; medication issues accounted for 20.8%.
  • Older children (10-18 years) showed a significantly higher likelihood of PDIs in 3 of 4 hospitals.

Conclusions:

  • Hospital-initiated follow-up contact effectively identifies postdischarge issues (PDI).
  • Appointment-related issues are the most common PDIs encountered.
  • Findings offer insights for hospitals to optimize post-discharge contact processes for pediatric patients.