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Outcomes and patterns of healthcare utilization after hospitalization for pediatric critical illness due to respiratory failure

Pediatric Critical Care Medicine Feb 12, 2019

Yagiela LM, et al. - In this retrospective cohort study performed at quaternary care PICU, researchers assessed home care needs, healthcare utilization, and 2-year mortality after pediatric critical illness due to respiratory failure. They also assessed how resource use and outcomes were influenced by new morbidity and abnormal function at hospital discharge. Participants were patients less than or equal to 18 years with respiratory failure from January 1, 2013, to December 31, 2014. Multivariable regression methods were used. Findings revealed significant new healthcare burdens among children following critical illness. They found that, of surviving 155 patients at hospital discharge, 87 (56.1%) had abnormal function, 120 (77.4%) had new medications, 24 (15.5%) had new medical devices, and 43 (27.7%) had new home care equipment. Overall, increased healthcare utilization up to 2 years thereafter was reported in association with abnormal functional status at hospital discharge.
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