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Admissions for Pediatric Somatic Symptom and Related Disorders: A National Database Study.
Nicole E Kelly1,2,3, Anjile An4, Katherine A Nash2
1NewYork-Presbyterian Hospital, New York, New York.
Hospital Pediatrics
|December 9, 2025
Summary
Annual hospitalizations for pediatric somatic symptom and related disorders (SSRDs) impact diverse youth. Factors like multiple diagnoses and insurance type influence healthcare utilization and costs.
Area of Science:
- Pediatric Health Services Research
- Child and Adolescent Psychiatry
- Healthcare Disparities
Background:
- Pediatric somatic symptom and related disorders (SSRDs) significantly affect young patients' well-being and can necessitate inpatient care.
- Limited national data exists on the prevalence and healthcare utilization patterns of pediatric SSRDs in inpatient settings within the U.S.
Purpose of the Study:
- To determine the prevalence and demographic characteristics of pediatric patients admitted for SSRDs.
- To analyze healthcare utilization, including length of stay and cost, for these admissions.
- To identify factors associated with high healthcare utilization among pediatric SSRD inpatients.
Main Methods:
- Utilized data from the Pediatric Health Information System (PHIS) for inpatient encounters between 2016 and 2023.
- Included patients aged 5 to 21 years with an admitting or primary SSRD diagnosis.
- Employed descriptive statistics and multivariable logistic regression to identify predictors of high utilization (e.g., readmission, prolonged length of stay, high cost).
Main Results:
- Analyzed 6,820 encounters across 48 hospitals, revealing a diverse patient population (predominantly 12-18 years old, female, non-Hispanic white).
- Identified associations between multiple diagnoses (≥7) and Northeast hospitalization with increased odds of prolonged LOS, high cost, and readmission.
- Hispanic patients showed higher odds of high-cost admissions, while commercial insurance and comorbid anxiety were linked to prolonged LOS.
Conclusions:
- Approximately 853 annual admissions for pediatric SSRDs occur across U.S. tertiary children's hospitals, affecting a sociodemographically varied group.
- Significant disparities in healthcare utilization exist, necessitating further research into their underlying drivers.
- Understanding these utilization patterns is crucial for optimizing care and addressing inequities in pediatric mental healthcare.
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