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Mental Health Conditions and Unplanned Hospital Readmissions in Children

Stephanie K Doupnik1,2, John Lawlor3, Bonnie T Zima4

  • 1Division of General Pediatrics, Center for Pediatric Clinical Effectiveness, and PolicyLab, The Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, USA. DoupnikS@chop.edu.

Journal of Hospital Medicine
|July 3, 2018
PubMed

Insights

Children with mental health conditions (MHCs) face higher hospital readmission rates. Addressing these conditions is crucial for improving care and reducing readmissions in pediatric patients.

Area of Science:

  • Pediatric hospitalizations
  • Healthcare outcomes research
  • Mental health services research

Background:

  • Mental health conditions (MHCs) are common in hospitalized children.
  • MHCs may impact the success of hospital discharge and subsequent readmissions.

Purpose of the Study:

  • To assess the relationship between MHCs and 30-day hospital readmissions in pediatric patients.
  • To identify specific MHCs associated with increased readmission risk.

Main Methods:

  • Retrospective, cross-sectional study using the 2013 Nationwide Readmissions Database.
  • Included 512,997 hospitalizations for children and adolescents (ages 3-21) across 20 high-readmission conditions.
  • Logistic regression models were used to analyze associations between MHCs and 30-day unplanned readmissions, adjusting for covariates.

Main Results:

  • MHCs were present in 17.5% of medical and 13.1% of procedure hospitalizations.
  • Hospitalizations with MHCs showed higher odds of 30-day readmission for both medical (AOR 1.23) and procedure (AOR 1.24) admissions.
  • Depression, substance abuse, and multiple MHCs were significantly associated with increased readmission odds for both medical and procedure cases.

Conclusions:

  • MHCs are linked to a greater likelihood of hospital readmission in pediatric patients.
  • Understanding the impact of MHCs is vital for developing strategies to reduce unplanned readmissions.
  • Integrated care approaches may improve outcomes for children with co-occurring physical and mental health needs.
Abstract

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