Severity of Illness Measures for Pediatric Inpatients
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Severity of Illness Measures for Pediatric Inpatients
  • Published Date:

    2018 Sep/Oct

  • Source:
    J Healthc Qual. 40(5):e77-e89
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    J Healthc Qual
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  • Description:
    Background 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 health care systems caring for pediatric patients. Purpose To (a) identify SOI measures used for pediatric patients admitted to acute care hospitals, and (b) 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 (CCI) were applied to an 8-year retrospective, multi-institutional dataset using logistic and zero-truncated negative binomial regression models. Results Records from 199,001 children were examined. The CCC performed better for predicting mortality (OR=3.36; 95% CI: 3.20–3.53) and LOS (IRR=2.24; 95% CI: 2.22–2.26). Conclusions The CCC may be preferable for predicting outcomes among pediatric inpatients. Implications Pediatric SOI measures are not extensively developed and tested nor widely and freely available. Use of the CCC can predict mortality and LOS to guide care, resource allocation and research for the pediatric population.
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