Podcast 881: Pediatric Readmissions

<p dir="ltr"><strong>Contributor: Nick Tsipis MD</strong></p> <p dir="ltr"><strong>Educational Pearls:</strong></p> <ul> <li dir="ltr" aria-level="1"> <p dir="ltr" role="presentation">The review article assessed 16.3 million patients across six states to identify those at high-risk for critical revisit</p> </li> <ul> <li dir="ltr" aria-level="2"> <p dir="ltr" role="presentation">Criteria for critical revisit was ICU admission or death within three days of discharge from the ED</p> </li> </ul> <li dir="ltr" aria-level="1"> <p dir="ltr" role="presentation">Critical revisits are extremely rare </p> </li> <ul> <li dir="ltr" aria-level="2"> <p dir="ltr" role="presentation">0.1% of patients have a critical revisit after discharge</p> </li> <li dir="ltr" aria-level="2"> <p dir="ltr" role="presentation">0.00001% die after revisit</p> </li> </ul> <li dir="ltr" aria-level="1"> <p dir="ltr" role="presentation">Of the patients that do experience critical revisits, the two major risk factors are</p> </li> <ul> <li dir="ltr" aria-level="2"> <p dir="ltr" role="presentation">Asthma - relative risk 2.24</p> </li> <li dir="ltr" aria-level="2"> <p dir="ltr" role="presentation">Chronic medical conditions - incidence rate ratio 11.03</p> </li> </ul> <li dir="ltr" aria-level="1"> <p dir="ltr" role="presentation"> Of the top ten diagnoses that lead to critical revisits, 5 are respiratory</p> </li> <ul> <li dir="ltr" aria-level="2"> <p dir="ltr" role="presentation">Others include cellulitis, seizures, gastrointestinal disease, appendectomy, and sickle cell crisis. </p> </li> </ul> </ul> <p dir="ltr"><strong>References</strong></p> <p dir="ltr">1. Cavallaro SC, Michelson KA, D’Ambrosi G, Monuteaux MC, Li J. Critical Revisits Among Children After Emergency Department Discharge. Ann Emerg Med. 2023;82(5):575-582. doi:10.1016/j.annemergmed.2023.06.006</p> <p dir="ltr"><em>Summarized by Jorge Chalit, OMSII | Edited by Meg Joyce & Jorge Chalit, OMSII</em></p> <p> </p>