Risk factors on length of stay in pediatric emergency observation unit of a tertiary children's hospital in Guangzhou city

2011 ◽  
Author(s):  
Jianling Xie
Keyword(s):  
Risk Factors ◽  
Length Of Stay ◽  
Pediatric Emergency ◽  
Observation Unit ◽  
Guangzhou City ◽  
Children's Hospital ◽  
Children’S Hospital

Medical Device-related Pressure Injuries Associated With Electroencephalogram Leads in a Tertiary Care Children’s Hospital: A Retrospective Chart Review

2021 ◽  
Vol 67 (9) ◽  
pp. 25-32
Author(s):  
Christine Schindler ◽  
Rebekah Barrette ◽  
Aaron Sandcock ◽  
Evelyn Kuhn
Keyword(s):  
Risk Factors ◽  
Mortality Rate ◽  
Length Of Stay ◽  
Medical Device ◽  
Tertiary Care ◽  
Interquartile Range ◽  
Hospital Data ◽  
Children's Hospital ◽  
Children’S Hospital ◽  
Pressure Injury

BACKGROUND: Medical device-related pressure injuries (MDRPIs) present a substantial safety risk for children who are hospitalized. PURPOSE: This study aimed to describe patient and clinical characteristics of children who develop MDRPIs related to electroencephalogram (EEG) leads, determine risk factors associated with their development, and determine if there are common risk factors that can lead to actionable strategies to reduce MDRPIs related to EEG leads. METHODS: A retrospective review was completed of the electronic health records of all 3136 children who had EEG lead placements between January 1, 2014, and April 16, 2018, at a large tertiary care children’s hospital. Data abstracted included demographic variables, patient and pressure injury characteristics, as well as length of stay. RESULTS: Twenty-four (24) of the 3136 children (0.8%) developed an MDRPI. Most were stage 2 pressure injuries. Patients who developed a pressure injury were significantly younger than patients who did not (median age, 0.9 and 5.2 years, respectively; P = .005). Fifty percent (50%) of all patients who developed pressure injuries were younger than 1 year of age compared with 27% of patients who did not develop pressure injuries. The median length of stay for patients in whom MDRPI developed was 84.5 days (interquartile range, 45–137) versus 3.0 days (interquartile range, 2–8) for those who did not develop an MDRPI (P < .001). The mortality rate during the hospital stay was 21% (n = 5) for those who developed MDPRIs versus 4% (n = 19) for those who did not (P = .002). All patients received standard preventive strategies. CONCLUSION: The incidence of MDRPIs in this patient population was significantly higher in younger and longer-stay patients, and their mortality rate was significantly higher. This suggests that the patients who developed an MDRPI were more critically ill than those who did not. Vigilant assessment and more research are needed to determine if there are appropriate strategies to reduce MDRPIs related to EEG lead placement.

Analysis of the Effects of Applying Federal Diagnosis-Related Grouping (DRG) Guidelines to a Population of High-Risk Newborn Infants

PEDIATRICS ◽  
1985 ◽  
Vol 76 (1) ◽  
pp. 104-109
Author(s):  
Ronald L. Poland ◽  
Robert O. Bollinger ◽  
Mary P. Bedard ◽  
Sanford N. Cohen
Keyword(s):  
High Risk ◽  
Length Of Stay ◽  
Geometric Mean ◽  
Tertiary Care ◽  
Newborn Infants ◽  
Frequency Distributions ◽  
Federal Register ◽  
Children's Hospital ◽  
Lengths Of Stay ◽  
Children’S Hospital

Length of stay data collected for high-risk newborn infants admitted to a tertiary care children's hospital neonatal unit over a 6-year period were compared with mean and outlier lengths of stay published in the Federal Register as part of a proposed system for prospective payment of hospital cost by diagnosis-related groupings (DRGs). We found that the classification system for newborns markedly underestimated the number of days required for the treatment of these infants. The use of the geometric mean instead of the arithmetic mean as the measure of central tendency was a significant contributor to the discrepancy, especially in those sub-groups with bimodal frequency distributions of lengths of stay. Another contributor to the discrepancy was the lack of inborn patients in the children's hospital cohort. The system of prospective payments, as outlined, does not take into account several factors that have a strong influence on length of stay such as birth weight (which requires more than three divisions to serve as an effective predictor), surgery, outborn status, and ventilation. Implementation of the system described in the Federal Register would severely discourage tertiary care referral hospitals from providing neonatal intensive care.

Risk factors and prognosis of emergency cesarean delivery at the Yaoundé Women's and Children's Hospital, Cameroon

2014 ◽  
Vol 24 (1) ◽  
pp. 89-93
Author(s):  
P. Foumane ◽  
V. Mve Koh ◽  
J. Ze Minkande ◽  
E.A. Njofang Ngantcha ◽  
J.S. Dohbit ◽  
...  
Keyword(s):  
Risk Factors ◽  
Cesarean Delivery ◽  
Children's Hospital ◽  
Emergency Cesarean ◽  
Children’S Hospital

Safety of Automatic End Dates for Antimicrobial Orders to Facilitate Stewardship

2016 ◽  
Vol 37 (8) ◽  
pp. 974-978 ◽  
Author(s):  
Rachael K. Ross ◽  
Jonathan M. Beus ◽  
Talene A. Metjian ◽  
A. Russell Localio ◽  
Eric D. Shelov ◽  
...  
Keyword(s):  
Length Of Stay ◽  
Antimicrobial Stewardship ◽  
Infect Control Hosp ◽  
Readmission Rates ◽  
Children's Hospital ◽  
Children’S Hospital

Following implementation of automatic end dates for antimicrobial orders to facilitate antimicrobial stewardship at a large, academic children’s hospital, no differences were observed in patient mortality, length of stay, or readmission rates, even among patients with documented bacteremia.Infect Control Hosp Epidemiol 2016;37:974–978

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