Direct admission to hospitals among children in the United States

doi:10.1001/jamapediatrics.2014.3702

. 2015 May;169(5):500-2.

doi: 10.1001/jamapediatrics.2014.3702.

Direct admission to hospitals among children in the United States

JoAnna K Leyenaar¹, Meng-Shiou Shieh², Tara Lagu³, Penelope S Pekow⁴, Peter K Lindenauer³

Affiliations

¹ Division of Pediatric Hospital Medicine, Department of Pediatrics, Tufts Medical Center, Boston, Massachusetts.
² Center for Quality of Care Research, Baystate Medical Center, Springfield, Massachusetts.
³ Center for Quality of Care Research, Baystate Medical Center, Springfield, Massachusetts3Department of Medicine, Tufts Medical Center, Boston, Massachusetts4Division of General Medicine, Baystate Medical Center, Springfield, Massachusetts.
⁴ Center for Quality of Care Research, Baystate Medical Center, Springfield, Massachusetts5School of Public Health and Health Sciences, University of Massachusetts, Amherst.

PMID: 25774452
PMCID: PMC4659388
DOI: 10.1001/jamapediatrics.2014.3702

Direct admission to hospitals among children in the United States

JoAnna K Leyenaar et al. JAMA Pediatr. 2015 May.

. 2015 May;169(5):500-2.

doi: 10.1001/jamapediatrics.2014.3702.

Authors

JoAnna K Leyenaar¹, Meng-Shiou Shieh², Tara Lagu³, Penelope S Pekow⁴, Peter K Lindenauer³

Affiliations

¹ Division of Pediatric Hospital Medicine, Department of Pediatrics, Tufts Medical Center, Boston, Massachusetts.
² Center for Quality of Care Research, Baystate Medical Center, Springfield, Massachusetts.
³ Center for Quality of Care Research, Baystate Medical Center, Springfield, Massachusetts3Department of Medicine, Tufts Medical Center, Boston, Massachusetts4Division of General Medicine, Baystate Medical Center, Springfield, Massachusetts.
⁴ Center for Quality of Care Research, Baystate Medical Center, Springfield, Massachusetts5School of Public Health and Health Sciences, University of Massachusetts, Amherst.

PMID: 25774452
PMCID: PMC4659388
DOI: 10.1001/jamapediatrics.2014.3702

No abstract available

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Conflict of interest statement

Conflict of Interest Disclosures: None reported.

Figures

**Figure**
Variation in Direct Admission Rates Across Conditions and Hospitals and Associated Adjusted Costs of Direct Admission Relative to Admissions Originating in Emergency Departments (EDs).

See this image and copyright information in PMC

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Leyenaar JK, Hill V, Lam V, Stern R, Vaughan KW; COMMITTEE ON HOSPITAL CARE. Leyenaar JK, et al. Pediatrics. 2023 Mar 1;151(3):e2022060973. doi: 10.1542/peds.2022-060973. Pediatrics. 2023. PMID: 36843482 Free PMC article.
Comparative effectiveness of direct admission and admission through emergency departments for children: a randomized stepped wedge study protocol.
Leyenaar JK, McDaniel CE, Acquilano SC, Schaefer AP, Bruce ML, O'Malley AJ. Leyenaar JK, et al. Trials. 2020 Nov 30;21(1):988. doi: 10.1186/s13063-020-04889-9. Trials. 2020. PMID: 33256850 Free PMC article.
ED RAPID: A Novel Children's Hospital Direct Admission Process Utilizing the Emergency Department.
Louie JP, Furnival RA, Roback MG, Jacob AK, Marmet J, Nerheim D, Hendrickson MA. Louie JP, et al. Pediatr Qual Saf. 2020 Mar 10;5(2):e268. doi: 10.1097/pq9.0000000000000268. eCollection 2020 Mar-Apr. Pediatr Qual Saf. 2020. PMID: 32426634 Free PMC article.
Profiling Pediatric Potentially Avoidable Transfers Using Procedure and Diagnosis Codes.
Rosenthal JL, Lieng MK, Marcin JP, Romano PS. Rosenthal JL, et al. Pediatr Emerg Care. 2021 Nov 1;37(11):e750-e756. doi: 10.1097/PEC.0000000000001777. Pediatr Emerg Care. 2021. PMID: 30893226 Free PMC article.
Facilitators of interdepartmental quality improvement: a mixed-methods analysis of a collaborative to improve pediatric community-acquired pneumonia management.
Leyenaar JK, Andrews CB, Tyksinski ER, Biondi E, Parikh K, Ralston S. Leyenaar JK, et al. BMJ Qual Saf. 2019 Mar;28(3):215-222. doi: 10.1136/bmjqs-2018-008065. Epub 2018 Aug 12. BMJ Qual Saf. 2019. PMID: 30100566 Free PMC article.

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References

1. Schuur JD, Venkatesh AK. The growing role of emergency departments in hospital admissions. N Engl J Med. 2012;367(5):391–393. - PubMed
1. Leyenaar JK, Shieh MS, Lagu T, Pekow PS, Lindenauer PK. Variation and outcomes associated with direct hospital admission among children with pneumonia in the United States. JAMA Pediatr. 2014;168(9):829–836. - PMC - PubMed
1. 2009 HCUP Kids’ Inpatient Database (KID) Healthcare Cost and Utilization Project (HCUP) website. http://www.hcup-us.ahrq.gov/kidoverview.jsp. - PMC - PubMed
1. Averill RF, Goldfield N, Hughes JS, et al. All patient refined diagnosis related groups methodology overview. [Accessed October 20, 2014]; https://www.hcup-us.ahrq.gov/db/nation/nis/APR-DRGsV20MethodologyOvervie.... Published 2003.
1. Feudtner C, Christakis DA, Connell FA. Pediatric deaths attributable to complex chronic conditions: a population based study of Washington state. 1980–1997. Pediatrics. 2000;106:205–209. - PubMed

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[1] Schuur JD, Venkatesh AK. The growing role of emergency departments in hospital admissions. N Engl J Med. 2012;367(5):391–393. - PubMed

[2] Schuur JD, Venkatesh AK. The growing role of emergency departments in hospital admissions. N Engl J Med. 2012;367(5):391–393. - PubMed

[3] Leyenaar JK, Shieh MS, Lagu T, Pekow PS, Lindenauer PK. Variation and outcomes associated with direct hospital admission among children with pneumonia in the United States. JAMA Pediatr. 2014;168(9):829–836. - PMC - PubMed

[4] Leyenaar JK, Shieh MS, Lagu T, Pekow PS, Lindenauer PK. Variation and outcomes associated with direct hospital admission among children with pneumonia in the United States. JAMA Pediatr. 2014;168(9):829–836. - PMC - PubMed

[5] 2009 HCUP Kids’ Inpatient Database (KID) Healthcare Cost and Utilization Project (HCUP) website. http://www.hcup-us.ahrq.gov/kidoverview.jsp. - PMC - PubMed

[6] 2009 HCUP Kids’ Inpatient Database (KID) Healthcare Cost and Utilization Project (HCUP) website. http://www.hcup-us.ahrq.gov/kidoverview.jsp. - PMC - PubMed

[7] Averill RF, Goldfield N, Hughes JS, et al. All patient refined diagnosis related groups methodology overview. [Accessed October 20, 2014]; https://www.hcup-us.ahrq.gov/db/nation/nis/APR-DRGsV20MethodologyOvervie.... Published 2003.

[8] Averill RF, Goldfield N, Hughes JS, et al. All patient refined diagnosis related groups methodology overview. [Accessed October 20, 2014]; https://www.hcup-us.ahrq.gov/db/nation/nis/APR-DRGsV20MethodologyOvervie.... Published 2003.

[9] Feudtner C, Christakis DA, Connell FA. Pediatric deaths attributable to complex chronic conditions: a population based study of Washington state. 1980–1997. Pediatrics. 2000;106:205–209. - PubMed

[10] Feudtner C, Christakis DA, Connell FA. Pediatric deaths attributable to complex chronic conditions: a population based study of Washington state. 1980–1997. Pediatrics. 2000;106:205–209. - PubMed

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Direct admission to hospitals among children in the United States

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Direct admission to hospitals among children in the United States

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