Issues Identified by Postdischarge Contact after Pediatric Hospitalization: A Multisite Study
BACKGROUND Many hospitals are considering contacting hospitalized patients soon after discharge to help with issues that arise. OBJECTIVES To (1) describe the prevalence of contact‐identified postdischarge issues (PDI) and (2) assess characteristics of children with the highest likelihood of having...
Gespeichert in:
| Veröffentlicht in: | Journal of hospital medicine 2018-04, Vol.13 (4), p.236-242 |
|---|---|
| Hauptverfasser: | , , , , , , , , , , , , , , , , |
| Format: | Artikel |
| Sprache: | eng |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | 242 |
|---|---|
| container_issue | 4 |
| container_start_page | 236 |
| container_title | Journal of hospital medicine |
| container_volume | 13 |
| creator | Rehm, Kris P. Brittan, Mark S. Stephens, John R. Mummidi, Pradeep Steiner, Michael J. Gay, James C. Ayubi, Soleh Al Gujral, Nitin Mittal, Vandna Dunn, Kelly Chiang, Vincent Hall, Matt Blaine, Kevin O'Neill, Margaret McBride, Sarah Rogers, Jayne Berry, Jay G. |
| description | BACKGROUND
Many hospitals are considering contacting hospitalized patients soon after discharge to help with issues that arise.
OBJECTIVES
To (1) describe the prevalence of contact‐identified postdischarge issues (PDI) and (2) assess characteristics of children with the highest likelihood of having a PDI.
DESIGN, SETTING, AND PATIENTS
A retrospective analysis of hospital‐initiated follow‐up contact for 12,986 children discharged from January 2012 to July 2015 from 4 US children's hospitals. Contact was made within 14 days of discharge by hospital staff via telephone call, text message, or e‐mail. Standardized questions were asked about issues with medications, appointments, and other PDIs. For each hospital, patient characteristics were compared with the likelihood of PDI by using logistic regression.
RESULTS
Median (interquartile range) age of children at admission was 4.0 years (0‐11); 59.9% were non‐Hispanic white, and 51.0% used Medicaid. The most common reasons for admission were bronchiolitis (6.3%), pneumonia (6.2%), asthma (5.1%), and seizure (4.9%). Twenty‐five percent of hospitalized children (n = 3263) reported a PDI at contact (hospital range: 16.0%‐62.8%). Most (76.3%) PDIs were related to follow‐up appointments (eg, difficulty getting one); 20.8% of PDIs were related to medications (eg, problems filling a prescription). Patient characteristics associated with the likelihood of PDI varied across hospitals. Older age (age 10‐18 years vs |
| doi_str_mv | 10.12788/jhm.2934 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_1993991245</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>1993991245</sourcerecordid><originalsourceid>FETCH-LOGICAL-c3909-9f6c6bb9e9b871e8a2e4c1e30dbe9dfe202c005bbda659ffb5352bba0c6814e63</originalsourceid><addsrcrecordid>eNp10E1PGzEQBmCrKioQeuAPIEu9lEPAH-uN3RuNShMEAgk4VpY_ZsHRZjfYXlXh1-MSwqESp5nDo1czL0KHlJxQNpHydPG4PGGKV5_QHhWCj0VN6s_bXSi2i_ZTWhBScSmqL2i3WFVxQvfQn3lKAyQ899Dl0ATw2K7xTZ-yD8k9mvgAeNp32biMTZMh4hvwweQYHJ71aRWyacOzyaHvfuAzfDW0OaSQAd_mwa8P0E5j2gRf3-YI3Z__upvOxpfXv-fTs8ux44qosWpqV1urQFk5oSANg8pR4MRbUL4BRpgjRFjrTS1U01jBBbPWEFdLWkHNR-j7JncV-6fyTtbLcj20remgH5KmqjysKKtEod_-o4t-iF25TrOaTKiUSsqijjfKxT6lCI1exbA0ca0p0a-d69K5_td5sUdviYNdgn-X25ILoBvwN7Sw_jhJX8yufp4TSoXiL1HajIc</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2607188988</pqid></control><display><type>article</type><title>Issues Identified by Postdischarge Contact after Pediatric Hospitalization: A Multisite Study</title><source>Wiley Online Library Journals Frontfile Complete</source><creator>Rehm, Kris P. ; Brittan, Mark S. ; Stephens, John R. ; Mummidi, Pradeep ; Steiner, Michael J. ; Gay, James C. ; Ayubi, Soleh Al ; Gujral, Nitin ; Mittal, Vandna ; Dunn, Kelly ; Chiang, Vincent ; Hall, Matt ; Blaine, Kevin ; O'Neill, Margaret ; McBride, Sarah ; Rogers, Jayne ; Berry, Jay G.</creator><creatorcontrib>Rehm, Kris P. ; Brittan, Mark S. ; Stephens, John R. ; Mummidi, Pradeep ; Steiner, Michael J. ; Gay, James C. ; Ayubi, Soleh Al ; Gujral, Nitin ; Mittal, Vandna ; Dunn, Kelly ; Chiang, Vincent ; Hall, Matt ; Blaine, Kevin ; O'Neill, Margaret ; McBride, Sarah ; Rogers, Jayne ; Berry, Jay G.</creatorcontrib><description>BACKGROUND
Many hospitals are considering contacting hospitalized patients soon after discharge to help with issues that arise.
OBJECTIVES
To (1) describe the prevalence of contact‐identified postdischarge issues (PDI) and (2) assess characteristics of children with the highest likelihood of having a PDI.
DESIGN, SETTING, AND PATIENTS
A retrospective analysis of hospital‐initiated follow‐up contact for 12,986 children discharged from January 2012 to July 2015 from 4 US children's hospitals. Contact was made within 14 days of discharge by hospital staff via telephone call, text message, or e‐mail. Standardized questions were asked about issues with medications, appointments, and other PDIs. For each hospital, patient characteristics were compared with the likelihood of PDI by using logistic regression.
RESULTS
Median (interquartile range) age of children at admission was 4.0 years (0‐11); 59.9% were non‐Hispanic white, and 51.0% used Medicaid. The most common reasons for admission were bronchiolitis (6.3%), pneumonia (6.2%), asthma (5.1%), and seizure (4.9%). Twenty‐five percent of hospitalized children (n = 3263) reported a PDI at contact (hospital range: 16.0%‐62.8%). Most (76.3%) PDIs were related to follow‐up appointments (eg, difficulty getting one); 20.8% of PDIs were related to medications (eg, problems filling a prescription). Patient characteristics associated with the likelihood of PDI varied across hospitals. Older age (age 10‐18 years vs <1 year) was significantly (P < .001) associated with an increased likelihood of PDI in 3 of 4 hospitals.
CONCLUSIONS
PDIs were identified often through hospital‐initiated follow‐up contact. Most PDIs were related to appointments. Hospitals caring for children may find this information useful as they strive to optimize their processes for follow‐up contact after discharge.</description><identifier>ISSN: 1553-5592</identifier><identifier>EISSN: 1553-5606</identifier><identifier>DOI: 10.12788/jhm.2934</identifier><identifier>PMID: 29394301</identifier><language>eng</language><publisher>United States: Frontline Medical Communications</publisher><ispartof>Journal of hospital medicine, 2018-04, Vol.13 (4), p.236-242</ispartof><rights>2018 Society of Hospital Medicine</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3909-9f6c6bb9e9b871e8a2e4c1e30dbe9dfe202c005bbda659ffb5352bba0c6814e63</citedby><cites>FETCH-LOGICAL-c3909-9f6c6bb9e9b871e8a2e4c1e30dbe9dfe202c005bbda659ffb5352bba0c6814e63</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.12788%2Fjhm.2934$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.12788%2Fjhm.2934$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,776,780,1411,27901,27902,45550,45551</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/29394301$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Rehm, Kris P.</creatorcontrib><creatorcontrib>Brittan, Mark S.</creatorcontrib><creatorcontrib>Stephens, John R.</creatorcontrib><creatorcontrib>Mummidi, Pradeep</creatorcontrib><creatorcontrib>Steiner, Michael J.</creatorcontrib><creatorcontrib>Gay, James C.</creatorcontrib><creatorcontrib>Ayubi, Soleh Al</creatorcontrib><creatorcontrib>Gujral, Nitin</creatorcontrib><creatorcontrib>Mittal, Vandna</creatorcontrib><creatorcontrib>Dunn, Kelly</creatorcontrib><creatorcontrib>Chiang, Vincent</creatorcontrib><creatorcontrib>Hall, Matt</creatorcontrib><creatorcontrib>Blaine, Kevin</creatorcontrib><creatorcontrib>O'Neill, Margaret</creatorcontrib><creatorcontrib>McBride, Sarah</creatorcontrib><creatorcontrib>Rogers, Jayne</creatorcontrib><creatorcontrib>Berry, Jay G.</creatorcontrib><title>Issues Identified by Postdischarge Contact after Pediatric Hospitalization: A Multisite Study</title><title>Journal of hospital medicine</title><addtitle>J Hosp Med</addtitle><description>BACKGROUND
Many hospitals are considering contacting hospitalized patients soon after discharge to help with issues that arise.
OBJECTIVES
To (1) describe the prevalence of contact‐identified postdischarge issues (PDI) and (2) assess characteristics of children with the highest likelihood of having a PDI.
DESIGN, SETTING, AND PATIENTS
A retrospective analysis of hospital‐initiated follow‐up contact for 12,986 children discharged from January 2012 to July 2015 from 4 US children's hospitals. Contact was made within 14 days of discharge by hospital staff via telephone call, text message, or e‐mail. Standardized questions were asked about issues with medications, appointments, and other PDIs. For each hospital, patient characteristics were compared with the likelihood of PDI by using logistic regression.
RESULTS
Median (interquartile range) age of children at admission was 4.0 years (0‐11); 59.9% were non‐Hispanic white, and 51.0% used Medicaid. The most common reasons for admission were bronchiolitis (6.3%), pneumonia (6.2%), asthma (5.1%), and seizure (4.9%). Twenty‐five percent of hospitalized children (n = 3263) reported a PDI at contact (hospital range: 16.0%‐62.8%). Most (76.3%) PDIs were related to follow‐up appointments (eg, difficulty getting one); 20.8% of PDIs were related to medications (eg, problems filling a prescription). Patient characteristics associated with the likelihood of PDI varied across hospitals. Older age (age 10‐18 years vs <1 year) was significantly (P < .001) associated with an increased likelihood of PDI in 3 of 4 hospitals.
CONCLUSIONS
PDIs were identified often through hospital‐initiated follow‐up contact. Most PDIs were related to appointments. Hospitals caring for children may find this information useful as they strive to optimize their processes for follow‐up contact after discharge.</description><issn>1553-5592</issn><issn>1553-5606</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2018</creationdate><recordtype>article</recordtype><recordid>eNp10E1PGzEQBmCrKioQeuAPIEu9lEPAH-uN3RuNShMEAgk4VpY_ZsHRZjfYXlXh1-MSwqESp5nDo1czL0KHlJxQNpHydPG4PGGKV5_QHhWCj0VN6s_bXSi2i_ZTWhBScSmqL2i3WFVxQvfQn3lKAyQ899Dl0ATw2K7xTZ-yD8k9mvgAeNp32biMTZMh4hvwweQYHJ71aRWyacOzyaHvfuAzfDW0OaSQAd_mwa8P0E5j2gRf3-YI3Z__upvOxpfXv-fTs8ux44qosWpqV1urQFk5oSANg8pR4MRbUL4BRpgjRFjrTS1U01jBBbPWEFdLWkHNR-j7JncV-6fyTtbLcj20remgH5KmqjysKKtEod_-o4t-iF25TrOaTKiUSsqijjfKxT6lCI1exbA0ca0p0a-d69K5_td5sUdviYNdgn-X25ILoBvwN7Sw_jhJX8yufp4TSoXiL1HajIc</recordid><startdate>201804</startdate><enddate>201804</enddate><creator>Rehm, Kris P.</creator><creator>Brittan, Mark S.</creator><creator>Stephens, John R.</creator><creator>Mummidi, Pradeep</creator><creator>Steiner, Michael J.</creator><creator>Gay, James C.</creator><creator>Ayubi, Soleh Al</creator><creator>Gujral, Nitin</creator><creator>Mittal, Vandna</creator><creator>Dunn, Kelly</creator><creator>Chiang, Vincent</creator><creator>Hall, Matt</creator><creator>Blaine, Kevin</creator><creator>O'Neill, Margaret</creator><creator>McBride, Sarah</creator><creator>Rogers, Jayne</creator><creator>Berry, Jay G.</creator><general>Frontline Medical Communications</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>K9.</scope><scope>7X8</scope></search><sort><creationdate>201804</creationdate><title>Issues Identified by Postdischarge Contact after Pediatric Hospitalization: A Multisite Study</title><author>Rehm, Kris P. ; Brittan, Mark S. ; Stephens, John R. ; Mummidi, Pradeep ; Steiner, Michael J. ; Gay, James C. ; Ayubi, Soleh Al ; Gujral, Nitin ; Mittal, Vandna ; Dunn, Kelly ; Chiang, Vincent ; Hall, Matt ; Blaine, Kevin ; O'Neill, Margaret ; McBride, Sarah ; Rogers, Jayne ; Berry, Jay G.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3909-9f6c6bb9e9b871e8a2e4c1e30dbe9dfe202c005bbda659ffb5352bba0c6814e63</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2018</creationdate><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Rehm, Kris P.</creatorcontrib><creatorcontrib>Brittan, Mark S.</creatorcontrib><creatorcontrib>Stephens, John R.</creatorcontrib><creatorcontrib>Mummidi, Pradeep</creatorcontrib><creatorcontrib>Steiner, Michael J.</creatorcontrib><creatorcontrib>Gay, James C.</creatorcontrib><creatorcontrib>Ayubi, Soleh Al</creatorcontrib><creatorcontrib>Gujral, Nitin</creatorcontrib><creatorcontrib>Mittal, Vandna</creatorcontrib><creatorcontrib>Dunn, Kelly</creatorcontrib><creatorcontrib>Chiang, Vincent</creatorcontrib><creatorcontrib>Hall, Matt</creatorcontrib><creatorcontrib>Blaine, Kevin</creatorcontrib><creatorcontrib>O'Neill, Margaret</creatorcontrib><creatorcontrib>McBride, Sarah</creatorcontrib><creatorcontrib>Rogers, Jayne</creatorcontrib><creatorcontrib>Berry, Jay G.</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of hospital medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Rehm, Kris P.</au><au>Brittan, Mark S.</au><au>Stephens, John R.</au><au>Mummidi, Pradeep</au><au>Steiner, Michael J.</au><au>Gay, James C.</au><au>Ayubi, Soleh Al</au><au>Gujral, Nitin</au><au>Mittal, Vandna</au><au>Dunn, Kelly</au><au>Chiang, Vincent</au><au>Hall, Matt</au><au>Blaine, Kevin</au><au>O'Neill, Margaret</au><au>McBride, Sarah</au><au>Rogers, Jayne</au><au>Berry, Jay G.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Issues Identified by Postdischarge Contact after Pediatric Hospitalization: A Multisite Study</atitle><jtitle>Journal of hospital medicine</jtitle><addtitle>J Hosp Med</addtitle><date>2018-04</date><risdate>2018</risdate><volume>13</volume><issue>4</issue><spage>236</spage><epage>242</epage><pages>236-242</pages><issn>1553-5592</issn><eissn>1553-5606</eissn><abstract>BACKGROUND
Many hospitals are considering contacting hospitalized patients soon after discharge to help with issues that arise.
OBJECTIVES
To (1) describe the prevalence of contact‐identified postdischarge issues (PDI) and (2) assess characteristics of children with the highest likelihood of having a PDI.
DESIGN, SETTING, AND PATIENTS
A retrospective analysis of hospital‐initiated follow‐up contact for 12,986 children discharged from January 2012 to July 2015 from 4 US children's hospitals. Contact was made within 14 days of discharge by hospital staff via telephone call, text message, or e‐mail. Standardized questions were asked about issues with medications, appointments, and other PDIs. For each hospital, patient characteristics were compared with the likelihood of PDI by using logistic regression.
RESULTS
Median (interquartile range) age of children at admission was 4.0 years (0‐11); 59.9% were non‐Hispanic white, and 51.0% used Medicaid. The most common reasons for admission were bronchiolitis (6.3%), pneumonia (6.2%), asthma (5.1%), and seizure (4.9%). Twenty‐five percent of hospitalized children (n = 3263) reported a PDI at contact (hospital range: 16.0%‐62.8%). Most (76.3%) PDIs were related to follow‐up appointments (eg, difficulty getting one); 20.8% of PDIs were related to medications (eg, problems filling a prescription). Patient characteristics associated with the likelihood of PDI varied across hospitals. Older age (age 10‐18 years vs <1 year) was significantly (P < .001) associated with an increased likelihood of PDI in 3 of 4 hospitals.
CONCLUSIONS
PDIs were identified often through hospital‐initiated follow‐up contact. Most PDIs were related to appointments. Hospitals caring for children may find this information useful as they strive to optimize their processes for follow‐up contact after discharge.</abstract><cop>United States</cop><pub>Frontline Medical Communications</pub><pmid>29394301</pmid><doi>10.12788/jhm.2934</doi><tpages>7</tpages><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 1553-5592 |
| ispartof | Journal of hospital medicine, 2018-04, Vol.13 (4), p.236-242 |
| issn | 1553-5592 1553-5606 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_1993991245 |
| source | Wiley Online Library Journals Frontfile Complete |
| title | Issues Identified by Postdischarge Contact after Pediatric Hospitalization: A Multisite Study |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-28T12%3A14%3A04IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Issues%20Identified%20by%20Postdischarge%20Contact%20after%20Pediatric%20Hospitalization:%20A%20Multisite%20Study&rft.jtitle=Journal%20of%20hospital%20medicine&rft.au=Rehm,%20Kris%20P.&rft.date=2018-04&rft.volume=13&rft.issue=4&rft.spage=236&rft.epage=242&rft.pages=236-242&rft.issn=1553-5592&rft.eissn=1553-5606&rft_id=info:doi/10.12788/jhm.2934&rft_dat=%3Cproquest_cross%3E1993991245%3C/proquest_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=2607188988&rft_id=info:pmid/29394301&rfr_iscdi=true |