Risk Factors of Readmission to Hospital for Pneumonia in Children

Yu Chan Hong; Eom Ji Choi; Sin-Ae Park

doi:10.14776/piv.2017.24.3.146

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Hong, Choi, and Park: Risk Factors of Readmission to Hospital for Pneumonia in Children

Original Article

Pediatric Infection & Vaccine 2017; 24(3): 146-151.

Published online: 21 December 2017

DOI: https://doi.org/10.14776/piv.2017.24.3.146

Risk Factors of Readmission to Hospital for Pneumonia in Children

Yu Chan Hong, Eom Ji Choi, Sin-Ae Park

Department of Pediatrics, Presbyterian Medical Center, Jeonju, the Republic of Korea.

Corresponding author (psinai@daum.net)

Received 11 May 2017 Revised 28 July 2017 Accepted 28 August 2017

Abstract

Purpose

We analyzed the risk factors affecting readmission of children with pneumonia.

Methods

We retrospectively analyzed the medical records of pediatric patients admitted to the Department of Pediatrics at the Jeonju Presbyterian Medical Center from January 2007 to August 2016. We classified patients who were readmitted with pneumonia within 30 days of discharge as the readmission group and patients who were admitted with pneumonia for the first time as the first admission group.

Results

Among 158 patients, the study (readmission) group included 82 patients and the control (first admission) group included 76 patients. Age, the percentage of segmented neutrophils and lymphocytes, the number of admissions in the last 12 months, the associated diseases (respiratory diseases such as asthma), and the affection of the right upper lung were analyzed as risk factors for readmission. However, based on a regression analysis, only age and associated diseases were found to be significant risk factors. The rate of readmission increased with younger age. When there were associated diseases, the rate of readmission also increased.

Conclusions

Young age and associated diseases were significant risk factors for readmission for patients with pediatric pneumonia. When pediatric patients are admitted with pneumonia, if they are young and/or have associated diseases, a comprehensive approach is needed to reduce the rate of readmission with careful consideration of precise examination, treatment, timing of discharge, and follow-up.

Keywords: Patient readmission, Pneumonia, Risk factors

Figures and Tables

Table 1

Patient Characteristics of Two Groups

Values are presented as median (range).

Table 2

Laboratory Values in Patients of Two Groups

Values are presented as median (range).

Abbreviations: WBC, white blood cell; CRP, C-reactive protein.

Table 3

Logistic Regression of Risk Factors Independently Related to Readmission

^*Respiratory disease, gastrointestinal disease, congenital heart disease, down syndrome, congenital hypothyroidism, and other diseases.

Abbreviations: RULF, right upper lung field; RMLF, right middle lung field; RLLF, righr lower lung filed; LULF, left upper lung field; LMLF, left middle lung field; LLLF, left lower lung filed.

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