儿科重症监护病房住院时间与 24 小时内非计划性再入院率的关系。
Relationship between pediatric intensive care unit length of stay and 24-h unplanned readmission rate.
机构信息
Department of Pediatrics, Medical College of Wisconsin, Milwaukee, Wisconsin, USA.
Virtual Pediatric Systems, LLC, Los Angeles, California, USA.
出版信息
Health Serv Res. 2022 Jun;57(3):598-602. doi: 10.1111/1475-6773.13952. Epub 2022 Feb 24.
OBJECTIVE
To evaluate the relationship between pediatric intensive care unit (PICU) severity-adjusted length of stay (LOS) and 24-h unplanned readmission rate.
DATA SOURCE
Data were obtained from a 10-year cohort from 2009 to 2018 from the Virtual Pediatric Systems (VPS, LLC) database.
STUDY DESIGN
In this retrospective study, standardized LOS ratio was computed for each PICU as the ratio of the sum of actual LOS divided by the predicted LOS for each PICU using VPS predictive LOS model. Correlation between standardized LOS ratios and 24-h unplanned readmission rates were computed using Pearson's correlation coefficient.
PRINCIPAL FINDINGS
There was practically no relationship between standardized LOS ratio and 24-h readmission rate (R = 0.05).
DATA COLLECTION/EXTRACTION METHODS: Not Applicable.
CONCLUSIONS
Severity-adjusted LOS has no relationship with 24-h unplanned readmission rate. These findings suggest that the relationship between PICU severity-adjusted LOS and 24-h unplanned readmission rate should not be used as a balancing quality measure.
目的
评估儿科重症监护病房（PICU）校正严重程度后的住院时间（LOS）与 24 小时内非计划性再入院率之间的关系。
资料来源
本研究数据来自 2009 年至 2018 年来自虚拟儿科系统（VPS，LLC）数据库的 10 年队列。
研究设计
在这项回顾性研究中，使用 VPS 预测 LOS 模型，为每个 PICU 计算校正严重程度后的 LOS 比值，其为实际 LOS 总和除以每个 PICU 预测 LOS 的比值。使用 Pearson 相关系数计算校正严重程度后的 LOS 比值与 24 小时内非计划性再入院率之间的相关性。
主要发现
校正严重程度后的 LOS 与 24 小时再入院率之间几乎没有关系（R=0.05）。
资料收集/提取方法：不适用。
结论
校正严重程度后的 LOS 与 24 小时内非计划性再入院率无关。这些发现表明，PICU 校正严重程度后的 LOS 与 24 小时内非计划性再入院率之间的关系不应用作平衡质量的衡量标准。
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