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

At-risk characteristics for hospital admissions and ED visits.

Author information

1
Medical University of South Carolina, College of Nursing, Charleston, South Carolina, USA.

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

PMID:
24589213
PMCID:
PMC4020806
DOI:
10.1111/jspn.12068
[Indexed for MEDLINE]
Free PMC Article
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