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).
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?
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?
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.
Direct PICU-to-home discharge shows similar readmission rates; leaves open prospective confirmation before practice change.
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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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