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J Pediatr Health Care. 2017 Nov - Dec;31(6):654-662. doi: 10.1016/j.pedhc.2017.04.021. Epub 2017 Jun 16.

Predicting Health Care Utilization for Children With Respiratory Insufficiency Using Parent-Proxy Ratings of Children's Health-Related Quality of Life.

Abstract

INTRODUCTION:

Children with chronic respiratory insufficiency and mechanical ventilation often experience acute illnesses requiring unscheduled hospitalizations. Health-related quality of life (HRQL) may predict future health care utilization.

METHODS:

Participants were 30 days to 22 years old with chronic respiratory insufficiency (N = 120). Parent-proxies completed global HRQL and general health measures. Outcomes were total health care (emergency department, outpatient, inpatient) and inpatient days over 6 months. Adjusted negative binomial regression estimated the effects of global HRQL and general health on utilization.

RESULTS:

Three quarters of children had any utilization; 32% had hospitalizations. Children with poor/fair global HRQL had 3.7 times more health care days than those with very good/excellent global HRQL. Children with poor/fair global HRQL had 6.3 times more inpatient days than those with very good/excellent global HRQL. Similar relationships existed between general health and utilization.

DISCUSSION:

HRQL was associated with health care and inpatient days. Clinical teams can use HRQL as a marker for utilization risk, enabling potentially earlier intervention, better outcomes, and lower costs.

KEYWORDS:

Chronic respiratory insufficiency; health care utilization; health-related quality of life; pediatrics

PMID:
28629924
PMCID:
PMC5653401
DOI:
10.1016/j.pedhc.2017.04.021
[Indexed for MEDLINE]
Free PMC Article

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