Hall Madelyn, Berry Jay G, Hall Matt, Goodwin Emily J, Margaret Wright S, Bettenhausen Jessica, Colvin Jeffrey D
Blue Valley North High School, Overland Park, Kansas, USA.
Complex Care, Division of General Pediatrics, Boston Children's Hospital, Harvard Medical School, Boston, Massachusetts, USA.
J Hosp Med. 2024 May;19(5):399-402. doi: 10.1002/jhm.13292. Epub 2024 Feb 10.
It is important for hospitals to understand how hospitalizations for children are changing to adapt and best accommodate the future needs of all patient populations. This study aims to understand how hospitalizations for children with medical complexity (CMC) and non-CMC have changed over time at children's hospitals, and how hospitalizations for these children will look in the future. Children with 3+ complex chronic conditions (CCC) accounted for 7% of discharges and over one-quarter of days and one-third of costs during the study period (2012-2022). The number of CCCs was associated with increased growth in discharges, hospital days, and costs. Understanding these trends can help hospitals better allocate resources and training to prepare for pediatric patients across the spectrum of complexity.
对于医院来说，了解儿童住院情况如何变化，以适应并最好地满足所有患者群体未来的需求非常重要。本研究旨在了解儿童医院中患有复杂医疗状况（CMC）和非CMC的儿童住院情况随时间如何变化，以及这些儿童未来的住院情况会是怎样。在研究期间（2012 - 2022年），患有3种及以上复杂慢性病（CCC）的儿童占出院人数的7%，住院天数的四分之一以上，费用的三分之一。CCC的数量与出院人数、住院天数和费用的增长增加有关。了解这些趋势有助于医院更好地分配资源和培训，为不同复杂程度的儿科患者做好准备。
