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Essential infection prevention measures are based on the knowledge of the infection chain, the modes of transmission in healthcare settings, and the use of the best practices in all healthcare settings. Compulsory public reporting of healthcare-associated infection rates is needed to allow individuals and the community to make informed choices regarding selecting a healthcare facility.
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Related Experiment Videos

Food insecurity and hospital resource utilization.

Adolfo L Molina1, Ariel Carpenter1, Mary Orr1

  • 1Department of Pediatrics, University of Alabama at Birmingham, Children's of Alabama Hospital, Birmingham, Alabama, USA.

Journal of Hospital Medicine
|June 10, 2026
PubMed
Summary
This summary is machine-generated.

Children who refused or missed food insecurity screening during hospitalization had longer stays. Documented food insecurity did not significantly impact length of stay or revisits.

Related Experiment Videos

Area of Science:

  • Pediatric hospital medicine
  • Social determinants of health
  • Healthcare utilization research

Background:

  • Food insecurity (FI) is a pediatric social risk factor linked to adverse health outcomes.
  • Limited data exists on FI's impact on hospitalized children and hospital reutilization.

Purpose of the Study:

  • To evaluate the effect of food insecurity (FI) on hospital utilization among pediatric patients.
  • To assess the association between FI screening status and length of stay (LOS), emergency department (ED) revisits, and readmissions.

Main Methods:

  • Retrospective cohort study of 31,553 pediatric hospitalizations (2020-2023).
  • FI assessed using the Hunger Vital Sign™; patients grouped as food secure, food insecure, or missed/refused screening.
  • Multivariable generalized estimating equations used to analyze hospital utilization, adjusting for covariates.

Main Results:

  • Patients who missed or refused screening had significantly longer hospital stays (aIRR: 1.73; p < .0001) compared to food-secure patients.
  • No significant association found between documented food insecurity and LOS, ED revisits, or 30-day readmissions after adjustments.
  • The missed/refused screening group represented a high-acuity cohort with increased resource utilization.

Conclusions:

  • Patients missed by or refusing food insecurity screening exhibit higher resource utilization.
  • Addressing social risks during hospitalization is crucial for connecting patients with resources.
  • Improving screening equity and clinical outreach for unscreened populations is essential.