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December 29, 2008PEDIATRICSOpen Access

How Well Can Hospital Readmission Be Predicted in a Cohort of Hospitalized Children? A Retrospective, Multicenter Study

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Key result

A population-level prediction model for hospital readmission in children demonstrated strong discriminative ability, achieving a c statistic of 0.81 across 38 hospitals.

Population

186,856 patients between 2 and 18 years of age discharged from an index hospitalization during 2004 across…

Design

Cohort

Follow-up

365 days

Authors

CFChris FeudtnerChildren's Hospital of PhiladelphiaJLJames E. LevinBoston Children's HospitalRSRajendu SrivastavaIntermountain Healthcare

Discussion

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Implication

May aid pediatric readmission risk stratification; leaves open prospective validation before clinical use.

Study Design

Type

Cohort (n=186,856)

Multicenter

Yes

Structured PICO

P
Population
186,856 patients between 2 and 18 years of age discharged from an index hospitalization during 2004 across 38 children's hospitals in the United States, mean age 9.2 years, 54.4% male.
O
Outcome
Readmission to the hospital during the 365 days after discharge from the index admission

Main Result

Effect estimate: c statistic 0.81

A predictive model can accurately forecast 1-year hospital readmission in pediatric patients with a c-statistic of 0.81.

Cite This Study

Feudtner et al. (2008) conducted a cohort in Hospitalized children (n=186,856). Readmission prediction model was evaluated on Readmission to the hospital during the 365 days after discharge from the index admission (c statistic 0.81). A population-level prediction model for hospital readmission in children demonstrated strong discriminative ability, achieving a c statistic of 0.81 across 38 hospitals.

synapsesocial.com/papers/6a17347de6fc0256052c2fcdhttps://doi.org/10.1542/peds.2007-3395
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