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Demographics and Risk Factors of Pediatric Pulmonary Hypertension Readmissions

Mukul Sehgal1, Amod Amritphale2, Shashank Vadayla3

  • 1Pediatric Critical Care, University of South Alabama College of Medicine, Mobile, USA.

Cureus
|December 2, 2021
PubMed

Insights

Pediatric pulmonary hypertension (PH) patients have higher 30-day readmission rates. Invasive ventilation, higher illness severity, and female gender increase readmission risk in these children.

Area of Science:

  • Pediatric Cardiology
  • Critical Care Medicine
  • Health Services Research

Background:

  • Pediatric pulmonary hypertension (PH) is a serious condition associated with significant morbidity and mortality.
  • PH contributes to increased hospital readmission rates among pediatric patients.
  • Identifying risk factors for readmission is crucial for improving patient outcomes.

Purpose of the Study:

  • To evaluate risk factors and comorbidities associated with 30-day readmissions in pediatric PH patients.
  • To compare readmission rates in pediatric PH patients to other pediatric diagnoses.

Main Methods:

  • Utilized the National Readmission Database (NRD) for 2017.
  • Included pediatric patients (<18 years) diagnosed with PH (ICD-10 codes).
  • Performed statistical analysis using SPSS v25.0.

Main Results:

  • The 30-day readmission rate for pediatric PH was 14.43%, significantly higher than other pediatric diagnoses (OR 4.02).
  • Invasive mechanical ventilation (endotracheal tube or tracheostomy) and higher All Patients Refined Diagnosis Related Groups (APR-DRG) scores were linked to increased readmissions.
  • Sepsis and respiratory infections were associated with lower readmission rates.

Conclusions:

  • Pediatric PH is linked to elevated 30-day readmission rates.
  • Factors such as invasive mechanical ventilation, Medicaid insurance, higher illness severity, and female gender predict higher readmission likelihood.
  • The study identified key predictors for readmission, informing targeted interventions for high-risk pediatric PH patients.
Abstract

Keywords:
hospital readmission rateinvasive mechanical ventilationpediatric clinical cardiologypediatric critical care usapediatric intensive care unit (picu)pulmonary hypertensionreadmission rate 30 daysrisk factorssevere sepsis

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