Severity of Illness Measures for Pediatric Inpatients

Details

• Personal Author:
  Cohen B ; Hessels AJ ; Larson EL ; Liu J ; Shang J
• Description:
  INTRODUCTION: Severity of illness (SOI) measures are commonly used in adults for comparison of treatment and outcomes in similar populations. Less is known about the psychometric properties of measures available to providers and healthcare systems caring for pediatric patients. The purpose of this study was to (1) identify SOI measures used for pediatric patients admitted to acute care hospitals and (2) compare the ability of two SOI measures to predict mortality and length of stay (LOS). METHODS: Twelve instruments were identified through literature search and one, the pediatric chronic complex condition (CCC), was retained. The CCC and the Charlson/Deyo comorbidity score were applied to an 8-year retrospective, multi-institutional data set using logistic and zero-truncated negative binomial regression models. RESULTS: Records from 199,001 children were examined. The CCC performed better for predicting mortality (odds ratio = 3.36; 95% confidence interval [CI]: 3.20-3.53) and LOS (incidence rate ratio = 2.24; 95% CI: 2.22-2.26). CONCLUSIONS: The CCC may be preferable for predicting outcomes among pediatric inpatients. Pediatric SOI measures are not extensively developed and tested nor widely and freely available. The use of the CCC can predict mortality and LOS to guide care, resource allocation, and research for the pediatric population. [Description provided by NIOSH]
• Subjects:
  Health Care Facilities Workforce And Services Health Personnel Morbidity Mortality Occupational Health Safety
• Keywords:
  Author Keywords: Severity Of Illness Children Health Care Health Services Humans Measures Medical Facilities Medical Personnel Morbidity Rates Mortality Rates Pediatrics

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• ISSN:
  1062-2551
• Document Type:
  Text
• Funding:
  Grant
• Genre:
  Journal Article
• Place as Subject:
  New York ; OSHA Region 2
• CIO:
  National Institute for Occupational Safety and Health (NIOSH)
• Topic:
  Workplace Safety & Health
• Location:
  North America
• Volume:
  40
• Issue:
  5
• NIOSHTIC Number:
  nn:20051082
• Citation:
  J Healthc Qual 2018 Sep/Oct; 40(5):e77-e89
• Contact Point Address:
  AmandaJ.Hessels, Columbia University Health Sciences, New York
• Email:
  ah3269@cumc.columbia.edu
• Federal Fiscal Year:
  2018
• NORA Priority Area:
  Healthcare and Social Assistance
• Performing Organization:
  Columbia University Health Sciences - New York
• Peer Reviewed:
  True
• Start Date:
  20160901
• Source Full Name:
  Journal for Healthcare Quality
• End Date:
  20190831
• Collection(s):
  National Institute for Occupational Safety and Health
• Main Document Checksum:
  urn:sha-512:6ba7c49448b066d5dd45316957f49c47791e60ed30fead9597c2f5524f7e48f5bf5d79fc981378ec46f71ee3313226cd3b1358893ce72e46807b46d4ede36c1b
• Download URL:
  https://stacks.cdc.gov/view/cdc/211208/cdc_211208_DS1.pdf
• File Type:
  [PDF - 551.42 KB ]