At-risk characteristics for hospital admissions and ED visits

J Spec Pediatr Nurs. 2014 Apr;19(2):183-93. doi: 10.1111/jspn.12068. Epub 2014 Mar 3.

Abstract

Purpose: The purpose of this study was to explore the factors associated with hospital utilization among infants and young children with complex chronic conditions (CCC).

Design and methods: A descriptive, retrospective study was conducted with 216 medical records of children with CCC.

Results: Greater complexity, younger age, living with siblings, use of public insurance or self-pay, use of more than one type of insurance, and presence of conditions affecting certain body systems were associated with increased hospital and emergency department (ED) utilization.

Practice implications: Nurses must have a heightened awareness of these at-risk characteristics to prevent avoidable hospital admissions and ED visits.

Keywords: Chronic disease; emergency health service; hospitalization; infant; preschool child.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Age Factors
  • Child, Preschool
  • Chronic Disease / nursing*
  • Emergency Service, Hospital / statistics & numerical data*
  • Female
  • Hospitalization / statistics & numerical data*
  • Hospitals, Community / statistics & numerical data
  • Humans
  • Infant
  • Male
  • Patient Admission / statistics & numerical data*
  • Retrospective Studies
  • Risk Factors
  • Rural Population
  • Socioeconomic Factors
  • South Carolina
  • Trauma Centers / statistics & numerical data
  • Urban Population