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Please use this identifier to cite or link to this item: http://repository.iitr.ac.in/handle/123456789/11554
Title: Factors Associated with Readmission of Pediatric Patients in a Developing Nation
Authors: Kumar D.
Swarnim S.
Sikka G.
Aggarwal S.
Singh A.
Jaiswal P.
Saini N.
Published in: Indian Journal of Pediatrics
Abstract: Objectives: To determine the incidence of readmission in pediatric patients in a tertiary care hospital in a developing nation and to ascertain factors precipitating readmissions. Methods: A prospective study was conducted from February 2016 through January 2017 at a tertiary care hospital. Children between 1 mo to 15 y of age were included if they were readmitted within 60 d of discharge. The risk factors for readmission were determined on the basis of medical record review and a structured questionnaire and the ascribed cause of readmission was grouped into three categories: Patient specific factors, Hospital specific factors and Unrelated/ New illness. Results: The readmission rate was 3%, out of which 80.66% were found to be causally related to the index admission. Several sociodemographic characteristics i.e. lack of health information like television, lower socioeconomic status, absence of adequate breastfeeding, lower age, migrants were found to be significantly associated with readmission along with other patient specific factors like presence of cardiac disease, presence of comorbid conditions like anemia, malnutrition, and global developmental delay. The most important cause for readmission was determined as patient specific (48.66%) followed by hospital specific (38%) and unknown/unrelated factors (13.33%). Conclusions: The progression of the primary illness and social determinants of pediatric readmissions are important contributing risk factors for readmission in developing countries in pediatric patients. Multicentric studies are needed from this region of the world to include different hospital readmissions rate and to address the issue of potential preventability of pediatric readmissions. © 2018, Dr. K C Chaudhuri Foundation.
Citation: Indian Journal of Pediatrics (2019), 86(3): 267-275
URI: https://doi.org/10.1007/s12098-018-2767-0
http://repository.iitr.ac.in/handle/123456789/11554
Issue Date: 2019
Publisher: Springer
Keywords: Child health research
Children’s hospital
Hospital readmissions
Pediatrics
ISSN: 195456
Author Scopus IDs: 57202478211
57194902466
55063028900
57203918538
57200827250
56567747600
57203918442
Author Affiliations: Kumar, D., Division of Pediatric Cardiology, Post Graduate Institute of Medical Education & Research and Dr Ram Manohar Lohia Hospital, New Delhi, India
Swarnim, S., Division of Pediatric Cardiology, Post Graduate Institute of Medical Education & Research and Dr Ram Manohar Lohia Hospital, New Delhi, India
Sikka, G., Department of Pediatrics, Post Graduate Institute of Medical Education & Research and Dr Ram Manohar Lohia Hospital, New Delhi, India
Aggarwal, S., Department of Pediatrics, Post Graduate Institute of Medical Education & Research and Dr Ram Manohar Lohia Hospital, New Delhi, India
Singh, A., Department of Pediatrics, Post Graduate Institute of Medical Education & Research and Dr Ram Manohar Lohia Hospital, New Delhi, India
Jaiswal, P., Department of Pediatrics, Post Graduate Institute of Medical Education & Research and Dr Ram Manohar Lohia Hospital, New Delhi, India
Saini, N., Department of Pediatrics, Post Graduate Institute of Medical Education & Research and Dr Ram Manohar Lohia Hospital, New Delhi, India
Corresponding Author: Kumar, D.; Division of Pediatric Cardiology, Post Graduate Institute of Medical Education & Research and Dr Ram Manohar Lohia HospitalIndia; email: dineshkumar169@yahoo.co.in
Appears in Collections:Journal Publications [ME]

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