Hospital readmissions and repeat emergency department visits among children with medical complexity: an integrative review

J Pediatr Nurs. Jul-Aug 2013;28(4):316-39. doi: 10.1016/j.pedn.2012.08.009. Epub 2012 Oct 4.

Abstract

Children with medical complexity (CMC) have chronic conditions, intense healthcare needs, and high healthcare utilization. Proposed changes in the healthcare environment initiated by the Affordable Care Act have led to efforts toward preventing hospital readmissions. The purpose of this integrative review is to explore the current empirical literature and examine how hospital readmissions and repeat emergency department visits have been studied among CMC. A computer database search and ancestry search were conducted, resulting in a sample of 26 studies. The results of the integrative review are presented along with gaps in the literature and implications for nursing practice and research.

Publication types

  • Review

MeSH terms

  • Cardiovascular Diseases / diagnosis
  • Cardiovascular Diseases / epidemiology
  • Cardiovascular Diseases / therapy
  • Case-Control Studies
  • Child
  • Child, Preschool
  • Chronic Disease / economics
  • Chronic Disease / epidemiology
  • Chronic Disease / therapy*
  • Congenital Abnormalities / diagnosis
  • Congenital Abnormalities / epidemiology
  • Congenital Abnormalities / therapy
  • Databases, Factual
  • Disabled Children*
  • Emergency Service, Hospital / statistics & numerical data*
  • Female
  • Health Care Costs
  • Humans
  • Incidence
  • Infant
  • Long-Term Care / economics
  • Long-Term Care / statistics & numerical data
  • Lung Diseases / diagnosis
  • Lung Diseases / epidemiology
  • Lung Diseases / therapy
  • Male
  • Neuromuscular Diseases / diagnosis
  • Neuromuscular Diseases / epidemiology
  • Neuromuscular Diseases / therapy
  • Outcome Assessment, Health Care*
  • Patient Protection and Affordable Care Act
  • Patient Readmission / statistics & numerical data*
  • Risk Assessment
  • United States
  • Vulnerable Populations