Predicting risk of hospitalisation: a retrospective population-based analysis in a paediatric population in

Daniel Z Louis1, Clara A Callahan1, Mary Robeson1

  • 1Center for Medical Research in Medical Education and Health Care, Sidney Kimmel Medical College at Thomas Jefferson University, Philadelphia, Pennsylvania, USA.

BMJ Open
|May 7, 2018
PubMed

Insights

This study developed a predictive model to identify children at high risk of hospitalization. The model, using administrative data, successfully identified children needing targeted care interventions.

Area of Science:

  • Pediatric Health Services Research
  • Health Informatics
  • Epidemiology

Background:

  • Identifying at-risk pediatric populations is crucial for proactive healthcare management.
  • Administrative healthcare databases offer a valuable resource for population health analysis.

Purpose of the Study:

  • To develop and evaluate predictive models for identifying children at risk of hospitalization.
  • To provide actionable information for pediatricians and health authorities to improve patient care.

Main Methods:

  • Retrospective analysis of a longitudinal administrative database (2006-2014).
  • Multivariable logistic regression models used to predict risk of hospitalization or death in 2015.
  • Model performance evaluated using C-statistic, calibration, sensitivity, specificity, and positive predictive value.

Main Results:

  • A predictive model was developed for 527,458 children (aged 1-13) in the Emilia-Romagna region, Italy.
  • The model identified 9.4% of children as 'At Higher Risk,' with a hospitalization risk over four times higher than the general population.
  • The model demonstrated good performance with a C-statistic of 0.78 and was well-calibrated.

Conclusions:

  • Population-based predictive models for pediatric hospitalization risk are feasible using administrative data.
  • Providing risk profiles aids healthcare professionals in planning interventions to reduce preventable hospitalizations.
Abstract

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