Readmission after hospitalization with Staphylococcus aureus bacteremia in children

被引:3
作者
Inagaki, Kengo [1 ,2 ,4 ]
Ansari, Md Abu Yusuf [3 ]
Hobbs, Charlotte, V [1 ]
机构
[1] Univ Mississippi, Med Ctr, Dept Pediat, Jackson, MS 39216 USA
[2] Univ Mississippi, Med Ctr, Dept Populat Hlth Sci, Jackson, MS 39216 USA
[3] Univ Mississippi, Med Ctr, Dept Data Sci, Jackson, MS 39216 USA
[4] Univ Michigan, Dept Pediat, 1500 E Med Ctr Dr, Ann Arbor, MI 48109 USA
关键词
S. aureus bacteremia; Readmission; Children; QUALITY-OF-CARE; UNITED-STATES; MANAGEMENT; DIAGNOSIS; MORTALITY; TRENDS; IMPACT; STAY;
D O I
10.1016/j.ajic.2021.04.088
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
Background: Readmission rate is an important quality measure and can inform patient care. However, read-mission of S. aureus bacteremia in children requires further research. Methods: We performed a population-based longitudinal observational study using the State Inpatient Data-base from New York, Florida, and Washington, 2009-2015. Children aged 18 years or younger hospitalized with S. aureus bacteremia were included. The outcome of non-elective readmission was assessed by develop-ing Cox proportional hazards regression models. Results: Of 1240 children with S. aureus bacteremia, 223 (18.0%) and 351 (28.3%) had non-elective readmis-sion within 30 days and 90 days after discharge, respectively. On multivariable analysis, catheter related infection (hazard ratio, HR: 1.79, 95% confidence interval, CI: 1.31-2.45) was associated with 30-day readmis-sion. The median cost of the original hospitalization for S. aureus bacteremia was $29 914 (interquartile range, IQR: $13 276-$71 284), and that of 30 day readmission was $10 956 (IQR: $5765-$24 753). Conclusions: S. aureus bacteremia is associated with a high rate of readmission in children, particularly in those with catheter related infection. Hospitalization with S. aureus bacteremia and readmission are costly. Future research should seek interventions to improve outcomes of S. aureus bacteremia in children, and the results of this study can serve as a benchmark. (C) 2021 Association for Professionals in Infection Control and Epidemiology, Inc. Published by Elsevier Inc. All rights reserved.
引用
收藏
页码:1402 / 1407
页数:6
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