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Readmissions related to short bowel syndrome: a study from a national database

Kwabena Oware Adu-Gyamfi1, Chaitanya Pant2, Abhishek Deshpande3

  • 1Internal Medicine, HSHS Saint Mary's Hospital Medical Center, Green Bay, Wisconsin, USA.

Journal of Investigative Medicine : the Official Publication of the American Federation for Clinical Research
|August 21, 2019
PubMed

Insights

Hospital readmissions are common for children with short bowel syndrome (SBS), often due to infections and IV catheter issues. Improving central line care and home support can help prevent these readmissions.

Area of Science:

  • Pediatric Gastroenterology
  • Intestinal Failure Research
  • Healthcare Readmission Analysis

Background:

  • Short bowel syndrome (SBS) is a primary cause of intestinal failure in pediatric populations.
  • Objective data on hospital readmissions for pediatric SBS patients are limited.
  • Understanding readmission patterns is crucial for improving patient outcomes.

Purpose of the Study:

  • To investigate the incidence and causes of hospital readmissions in young children diagnosed with short bowel syndrome (SBS).
  • To identify key factors contributing to readmission in this vulnerable pediatric group.

Main Methods:

  • Utilized the 2013 Nationwide Readmissions Database (NRD) for data extraction.
  • Analyzed 1898 hospitalizations in children aged 1-4 years with SBS.
  • Identified index cases and subsequent rehospitalizations to determine readmission rates.

Main Results:

  • A significant proportion of children (47.2%) experienced rehospitalizations.
  • The most common reasons for readmission included infections and procedures related to intravenous (IV) catheter placement.
  • This study represents the first national data analysis of SBS readmissions in US children.

Conclusions:

  • Pediatric SBS readmissions are frequently linked to infections and central line complications.
  • Enhanced central line care protocols and robust home healthcare support at discharge may reduce SBS-related readmissions.
  • Further research and interventions focusing on infection prevention and home care are warranted.

Keywords:
digestive systemgastrointestinal contentshospital chargesrisksyndrome

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