Sep 2026· Journal of Pediatric Health Care· 0 citations· 19 references
Medicine
TL;DR
CC enrollment was associated with reduced hospital utilization among CMC, and Adjusted analyses showed reductions of 32% in hospitalizations and 72% in inpatient days.
Abstract
INTRODUCTION
Children with medical complexity (CMC) account for disproportionate pediatric hospital utilization. Complex care programs (CCP) may reduce utilization but are often resource intensive. We evaluated whether enrollment in a cross-setting CCP was associated with reduced hospitalizations and inpatient days.
Methods
We conducted a retrospective cohort study of CMC enrolled in a children's hospital CCP from 2015 to 2024. The CCP supports cross-setting care through a small team (pediatric hospitalist, nurse practitioner, and community health worker) without dedicated clinic space. Outcomes were annualized hospitalization rates and inpatient days up to 2 years before and after enrollment. We used pre-post comparisons and multivariable negative binomial regression.
Results
Among 71 patients, median hospitalizations decreased from 3.5 to 2.0/year and inpatient days from 41.5 to 11.5/year (both p < .001). Adjusted analyses showed reductions of 32% in hospitalizations and 72% in inpatient days.
Conclusions
CCP enrollment was associated with reduced hospital utilization among CMC.
BACKGROUND AND OBJECTIVES: Pediatric inpatient and critical care services are increasingly regionalizing: shifting from smaller hospitals to larger specialty centers. Children with medical complexity (CMC) and with technology dependence (TD) account for a disproportionate share of these services, but it is unknown whet...
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OBJECTIVE
To determine if early primary care follow-up after pediatric intensive care unit (PICU) hospitalization is associated with reduced acute care use.
METHODS
Using claims data from publicly and privately insured children, we identified a cohort of PICU hospitalizations from January 2016 to December 2019. We ma...
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BACKGROUND
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OBJECTIVES
To examine health care utilization...
David L. Lysecki, James Lee, Myanca Rodrigues et al.· Journal of Palliative Medici...· 0 citations
BACKGROUND AND OBJECTIVES
As survival after pediatric critical illness improves, attention has shifted to post-intensive care syndrome and the long-term mental health of pediatric intensive care unit (PICU) survivors, who have high rates of posttraumatic stress, anxiety, and depression. The objective of this study is t...
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BACKGROUND
Hospital length of stay (LOS) contributes to inpatient capacity constraints and emergency department crowding. Nonclinical factors, particularly discharge complexity related to postacute care needs, may drive prolonged hospitalization.
OBJECTIVES
We evaluated whether excess hospital days are broadly distri...
Barry Hahn, K. Mathews, Ahmad Nama et al.· Journal of Hospital Medicine· 0 citations
61
Background:
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Yousef Chavehpour, J. Segel· JCO Oncology Practice· 0 citations
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