Why the study?
Healthcare constraints and bed availability cause acute care unit strain, leading to more patients being discharged directly home from the PICU.
Does discharge directly home from the PICU increase PICU readmission rates in pediatric patients compared to discharge to the ward?
Population
5,531 admissions of PICU survivors younger than 18 years old
Comparison
Discharge directly home from PICU vs discharge to the hospital ward
Design
Retrospective observational cohort study
Follow-up
28 days
Key result
Discharge directly home from the PICU showed no significant difference in 28-day PICU readmission compared to discharge to the ward (RR 1.20; 95% CI 0.61-3.36).
Authors
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Direct PICU-to-home discharge shows similar readmission rates; leaves open prospective confirmation before practice change.
Cohort (n=5,531)
No
Does discharge directly home from the PICU increase PICU readmission rates in pediatric patients compared to discharge to the ward?
Relative Risk: 1.2 (95% CI 0.61–3.36)
Discharging less severely ill pediatric patients directly home from the PICU appears safe, with no significant increase in 2-day or 28-day readmission rates compared to ward transfer.
Roumeliotis et al. (2022) conducted a cohort in PICU admission (n=5,531). Discharge directly home vs. Discharge to the hospital ward was evaluated on PICU readmission at 28 days (RR 1.20, 95% CI 0.61-3.36). Discharge directly home from the PICU showed no significant difference in 28-day PICU readmission compared to discharge to the ward (RR 1.20; 95% CI 0.61-3.36).
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