Abstract 19872: 30-day Readmission Rate and Center Variability for US Children Hospitalized With Heart Failure
Background: The 30-day readmission rate is a well-established performance benchmark for adult heart failure programs. Little is known about the 30-day readmission rate for pediatric heart failure programs or the variability among centers. We sought to determine the 30-day readmission rate for children admitted with acute decompensated heart failure (ADHF) to support benchmarking efforts in pediatrics.
Methods: The Pediatric Health Information System (PHIS) database was queried to identify all children ≤21 years of age admitted between January 2009 and March 2014 with a primary or secondary diagnosis of heart failure. All-cause 30-day readmission rates were calculated, as was mean length of stay.
Results: Over the 5-year study period, a total of 39,150 hospitalizations at 47 children’s hospitals met the inclusion criteria. Overall, 56% were infants, 25% age 1-12 years, 9% adolescents, and 9% adults, 48% were female, 72% had congenital heart disease, 28% had cardiomyopathy/myocarditis. The mean hospital length of stay was 25 days (range 11,41 days; SD 7 days). In-hospital mortality was 8.4%. Overall 30-day readmission rate was 20% (range 10%, 30%; SD 5%) and varied considerably by center (Figure).
Conclusion: A substantial portion of children (one in five) admitted to the hospital for heart failure is re-admitted within 30 days. There is considerable center-based variation in re-admission rates. The mean hospital length of stay exceeds 3 week and also varies considerably by center.
Author Disclosures: C.S. Almond: None. D.N. Rosenthal: None. M. Wood: None. J.W. Rossano: None. J.F. Price: None. K.P. Daly: None. E. Liu: None. C. Nather: None. K. Jensen: None. A.Y. Shin: None.
- © 2015 by American Heart Association, Inc.