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Child Health Nurs Res > Volume 18(1):2012 > Article
Journal of Korean Academy of Child Health Nursing 2012;18(1):9-18.
DOI: https://doi.org/10.4094/jkachn.2012.18.1.9
Factors Influencing Readmission of Home Ventilator-Assisted Children.
Mi Hwa Kim, Hee Soon Kim, June Dong Park
1Seoul National University Hospital, Seoul, Korea.
2College of Nursing, Yonsei University, Nursing Policy Research Institute, Seoul, Korea. khssoon@yuhs.ac
3Department of Pediatrics, Seoul National University College of Medicine, Seoul, Korea.
Abstract
PURPOSE: This study was conducted to analyze factors affecting readmission of children with home ventilator care. METHODS: To collect patient data, a retrospective chart review was done of medical records of children admitted between June 1, 2007 and May 31, 2010 at one children's hospital located in Seoul. During that period 30 children were discharged with a home ventilator. RESULTS: Twenty-one of these children had a total of 63 readmissions during the study period, averaging 2.1 readmissions per child with a mean duration of hospitalization of 7.4 days. Children with nasogastric tubes were more frequently readmitted (t=7.232, p=.012) and duration of hospitalization was significantly longer (t=4.761, p=.038). Children who had cardio-pulmonary comorbidity were more frequently readmitted and had longer hospitalization than children without comorbidity (t=5.444, p=.027). When home ventilator assisted children were admitted via emergency room, they were hospitalized longer (t=14.686, p<.001). Cardio-pulmonary morbidity and readmission via ER explained 38.1% of variation for readmission. Feeding method explained 15.0% of variation in length of hospitalization. CONCLUSION: The results suggest that health care providers must give individualized education on home ventilator care to parents with children who are at risk for readmission due to cardio-pulmonary comorbidities, nasogastric tube, or readmission via ER.
Key words: Ventilators; mechanical; Hospital readmission; Respiratory insufficiency
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