TABLE 2

Clinical Categories of Patients With 15-Day Readmissions in 2007–2008

Patient GroupTotal Patients, n (%)aTotal Readmissions, n (%)bReadmissions per Patientc
Oncology200 (13.9)810 (31.8)4.1
Infectious diseases (eg, pneumonia, subcutaneous abscesses, meningitis, osteomyelitis, generally in previously healthy children)
    Total164 (11.4)194 (7.6)1.2
    Subset: bronchiolitis37 (2.6)40 (1.6)1.1
Newborns (readmitted after nursery course)
    Total159 (11.1)166 (6.5)1.04
    Subset: Newborns with hyperbilirubinemia73 (5.1)76 (3.0)1.04
    Subset: other newborn readmissions (apparent life-threatening events, actual or suspected infections, gastroesophageal reflux, poor weight gain)86 (6.0)90 (3.5)1.05
    Readmissions after NICU course45 (3.1)45 (1.8)1.0
Neurology
    Total143 (10.0)241 (9.5)1.7
    Subset: severe neurocompromise (cerebral palsy, severe brain injury)86 (6.0)158 (6.2)1.8
    Subset: seizures (patients without cerebral palsy)37 (2.6)55 (2.2)1.5
Cardiology
    Total108 (7.5)166 (6.5)1.5
    Subset: congenital heart disease92 (6.4)148 (5.8)1.6
Gastrointestinal disorders
    Total108 (7.5)197 (7.7)1.8
    Subset: short bowel syndrome, dependence on total parenteral nutrition16 (1.1)62 (2.4)3.9
    Subset: biliary atresia6 (0.4)23 (1.0)3.8
    Subset: other gastrointestinal disorders (gastroenteritis, constipation, abdominal pain)69 (4.8)86 (3.4)1.2
Pulmonary
    Total81 (5.6)130 (5.1)1.6
    Subset: bronchopulmonary dysplasia/chronic lung disease26 (1.8)54 (2.1)2.1
    Subset: cystic fibrosis16 (1.1)22 (0.9)1.4
    Subset: asthma11 (0.8)13 (0.5)1.2
General surgery
    Total70 (4.9)79 (3.1)1.1
    Subset: appendectomies/appendicitis34 (2.4)40 (1.6)1.2
    Subset: pyloric stenosis16 (1.1)16 (0.6)1.0
Neurosurgery
    Total63 (4.4)105 (4.1)1.7
    Subset: ventricular shunts (without spina bifida)35 (2.4)68 (2.7)1.9
Spina bifida
    Total31 (2.2)48 (1.9)1.5
    Subset: spina bifida, ventricular shunt problems11 (0.8)16 (0.6)1.5
Other congenital anomalies (includes medical and surgical admissions)55 (3.8)80 (3.1)1.5
Other surgery
    Total48 (3.4)63 (2.5)1.3
    Subset: tonsillectomy7 (0.5)12 (0.5)1.7
Trauma30 (2.1)30 (1.2)1.0
Hematology
    Total49 (3.4)85 (3.3)1.7
    Subset: sickle cell syndromes23 (1.6)34 (1.3)1.5
    Subset: other general hematology11 (0.8)14 (0.5)1.3
Solid-organ transplantation24 (1.7)41 (1.6)1.7
Nephrology (eg, acute renal failure, nephrolithiasis, chronic renal failure)21 (1.5)36 (1.4)1.7
Endocrine, including diabetes16 (1.1)19 (0.7)1.2
Rheumatology14 (1.0)19 (0.7)1.4
Other17 (1.2)21 (0.8)1.2
Total1435 (100)2546 (100)1.8
  • Patients were classified in mutually exclusive clinical groups according to organ system, etiology, or hospital service.

  • a Total number and % of total of individual patients in each category (1435 total patients).

  • b Total number and % of total readmissions for patients in each category (2546 total readmissions).

  • c Total number of patients divided by total number of 15-day readmissions.