Key result
FSS-Brazil score at PICU discharge is linked to ~70% higher 1-year readmission risk.
Why the study?
The study was conducted to evaluate the association between pediatric functional status at hospital discharge after PICU admission and hospital readmission within 1 year.
Does functional status at hospital discharge predict hospital readmission within 1 year in children and adolescents admitted to the PICU?
Cohort (n=196)
Yes
Does functional status at hospital discharge predict hospital readmission within 1 year in children and adolescents admitted to the PICU?
Functional status decline at hospital discharge after PICU admission is a significant predictor of nonelective hospital readmission within 1 year.
Answers are grounded in this paper and cite their sources.
May support readmission risk stratification at PICU discharge; leaves open need for trials confirming causality and benefit.
Objectives: To evaluate the association between pediatric functional status at hospital discharge after PICU admission and hospital readmission within 1 year. Design: Prospective longitudinal study. Setting: Two PICUs in tertiary hospitals in South Brazil. Patients: Children and adolescents admitted to the PICU. Interventions: None. Measurements and Main Results: We evaluated the following: clinical and sociodemographic characteristics, functional status using the Functional Status Scale—Brazil (FSS-Brazil) at baseline and at hospital discharge, and hospital readmission within 1 year. Hospital readmission risk was associated with possible related factors using Cox regression to estimate the hazard ratio (HR). A total of 196 patients completed the follow-up. At hospital discharge, 39.3% of children had some degree of decline in FSS-Brazil, and 38.3% had at least one nonelective hospital readmission within 1 year. FSS-Brazil rating at hospital discharge was associated with the risk of hospital readmission within 1 year (HR, 1.698; 95% CI, 1.016–2.838). Conclusion: FSS-Brazil rating at hospital discharge, age, and length of stay were associated with greater hazard of nonelective hospital readmission within 1 year of discharge.
No takes yet. Share an insight, caveat, or question.
Peiter et al. (2022) conducted a cohort in Pediatric critical disease requiring PICU admission (n=196). Functional Status Scale—Brazil (FSS-Brazil) rating at hospital discharge was evaluated on Nonelective hospital readmission within 1 year (HR 1.698, 95% CI 1.016-2.838). FSS-Brazil rating at hospital discharge after PICU admission was associated with an increased risk of hospital readmission within 1 year.
Synapse has enriched 10 related papers. Consider them for comparative context: