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At‐risk characteristics for hospital admissions and ED visits
Author(s) -
Hudson Shan M.,
Mueller Martina,
Hester William H.,
Magwood Gayenell S.,
Newman Susan D.,
Laken Marilyn A.
Publication year - 2014
Publication title -
journal for specialists in pediatric nursing
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.499
H-Index - 38
eISSN - 1744-6155
pISSN - 1539-0136
DOI - 10.1111/jspn.12068
Subject(s) - emergency department , medicine , medical record , public hospital , retrospective cohort study , medical emergency , family medicine , public health insurance , emergency medicine , health insurance , nursing , health care , economics , radiology , economic growth
Purpose The purpose of this study was to explore the factors associated with hospital utilization among infants and young children with complex chronic conditions ( CCC ). Design and Methods A descriptive, retrospective study was conducted with 216 medical records of children with CCC . Results Greater complexity, younger age, living with siblings, use of public insurance or self‐pay, use of more than one type of insurance, and presence of conditions affecting certain body systems were associated with increased hospital and emergency department ( ED ) utilization. Practice Implications Nurses must have a heightened awareness of these at‐risk characteristics to prevent avoidable hospital admissions and ED visits.