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Arch Pediatr Adolesc Med. 2011 Sep;165(9):831-6. doi: 10.1001/archpediatrics.2011.61. Epub 2011 May 2.

Effects of the limited English proficiency of parents on hospital length of stay and home health care referral for their home health care-eligible children with infections.

Author information

1
Division of Emergency Medical Services, Children's Mercy Hospital and Clinics, Kansas City, MO, USA. mnlevas@cmh.edu

Abstract

OBJECTIVE:

To examine the relationship of limited English proficiency of parents to hospital length of stay (LOS) and to home health care referral for their home health care eligible-children with infections.

DESIGN:

A retrospective cohort study.

SETTING:

Regional urban pediatric hospital.

PARTICIPANTS:

A total of 1257 children aged 0 to 18 years admitted for infection requiring prolonged antibiotic treatment during the period from January 1, 2000, to December 31, 2008.

MAIN EXPOSURES:

The cohort of patients were defined by primary caregivers who had to report on their English proficiency.

MAIN OUTCOME MEASURES:

Number of home health care referrals and LOS.

RESULTS:

The median LOS for the study group was 4.1 days (interquartile range, 2.6-7.2 days). Limited English proficiency was associated with longer LOS (adjusted relative LOS, 1.6 [95% confidence interval, 1.1-2.3]), indicating that patients who had caregivers with limited English proficiency stayed 60% longer, on average, than patients with English-proficient primary caregivers. Insurance status (Medicaid), absence of a primary care provider, home health care utilization, and presence of comorbidity were also associated with longer LOS. Limited English proficiency was associated with a significantly decreased number of home health care referrals (odds ratio, 0.2 [95% confidence interval, 0.04-0.8]). Patient insurance (Medicaid) and presence of any comorbidity were also significantly associated with decreased number of home health care referrals.

CONCLUSIONS:

Among pediatric inpatients with infections requiring long-term antibiotics, a primary caregiver with limited English proficiency was identified as an important independent risk factor for both increased LOS and decreased number of home health care referrals.

PMID:
21536949
DOI:
10.1001/archpediatrics.2011.61
[Indexed for MEDLINE]

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