Department of Otorhinolaryngology, Jena University Hospital, Am Klinikum 1, 07747, Jena, Germany.
Department of Otorhinolaryngology, SRH Zentralklinikum, Suhl, Germany.
J Otolaryngol Head Neck Surg. 2021 Sep 20;50(1):55. doi: 10.1186/s40463-021-00536-8.
Analysis of frequency and reasons for planned and unplanned 30-day readmission in hospitalized pediatric otorhinolaryngology patients using German Diagnosis Related Group (G-DRG) system data.
A retrospective population-based cohort study in Thuringia, Germany, was performed for the year 2015 with 2440 cases under 18 years (55.6% male) out of a total number of 15.271 inpatient cases. The majority of pediatric patients were from 2 to 5 years old (54.5%). The most frequent diagnoses were hyperplasia of adenoids or/and tonsils (26.6%). 36 cases (1.5%) experienced readmission within 30-days.
30-day readmission was planned in 9 cases (25% of all readmission) and was unplanned in 27 cases (75%). The median interval between index and readmission treatment was 8 days. Postoperative bleeding after adenoidectomy, tonsillotomy/tonsillectomy or tracheostomy (33.4%) and infectious complications after surgery like acute otitis media, abscess formation or fever (36.2%) were the most frequent reasons for 30-day readmission. Compared to adults treated in 2015 in Thuringia, the readmission rate was higher in adult patients (8.9%) than in this pediatric cohort. In contrast to children, readmissions in adults were mainly planned (65.1%) with a different spectrum of underlying diseases and reasons for readmission.
The 30-day readmission rate seemed to be lower for pediatric otolaryngology patients compared to adult patients. Unplanned readmissions dominated in pediatric patients, whereas planned readmissions dominated in adults.
利用德国诊断相关组（G-DRG）系统数据，分析耳鼻喉科住院患儿计划内和计划外 30 天再入院的频率和原因。
在德国图林根州进行了一项回顾性基于人群的队列研究，纳入了 2015 年的 2440 例 18 岁以下（55.6%为男性）患者，这些患者均来自于总数为 15271 例的住院患者。大多数儿科患者年龄在 2 至 5 岁之间（54.5%）。最常见的诊断是腺样体或/和扁桃体增生（26.6%）。36 例（1.5%）在 30 天内再次入院。
30 天内再入院的患者中，计划内再入院 9 例（所有再入院的 25%），计划外再入院 27 例（75%）。指数治疗与再入院治疗之间的中位数间隔为 8 天。腺样体切除术、扁桃体切除术/扁桃体切除术或气管切开术后的术后出血（33.4%）和手术后的感染并发症，如急性中耳炎、脓肿形成或发热（36.2%）是 30 天再入院的最常见原因。与 2015 年在图林根州接受治疗的成年人相比，该儿科队列中成年人的再入院率（8.9%）高于成年人。与儿童不同，成年人的再入院主要是计划内（65.1%），其基础疾病和再入院的原因也不同。
与成年患者相比，耳鼻喉科儿科患者的 30 天再入院率似乎较低。儿科患者以非计划性再入院为主，而成年人则以计划性再入院为主。
