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|Title||Technology-dependency among patients discharged from a children's hospital: a retrospective cohort study.|
|Publication Type||Journal Article|
|Year of Publication||2005|
|Authors||Feudtner C, Villareale NLarter, Morray B, Sharp V, Hays RM, Neff JM|
|Keywords||Adolescent, Adult, Catheterization, Central Venous, Child, Child, Preschool, Cohort Studies, Disabled Children, Drug Therapy, Female, Home Nursing, Humans, Infant, Infant, Newborn, Male, Nebulizers and Vaporizers, Ostomy, Patient Discharge, Retrospective Studies, Ventriculoperitoneal Shunt|
BACKGROUND: Advances in medical technology may be increasing the population of children who are technology-dependent (TD). We assessed the proportion of children discharged from a children's hospital who are judged to be TD, and determined the most common devices and number of prescription medications at the time of discharge.
METHODS: Chart review of 100 randomly selected patients from all services discharged from a children's hospital during the year 2000. Data were reviewed independently by 4 investigators who classified the cases as TD if the failure or withdrawal of the technology would likely have adverse health consequences sufficient to require hospitalization. Only those cases where 3 or 4 raters agreed were classified as TD.
RESULTS: Among the 100 randomly sampled patients, the median age was 7 years (range: 1 day to 24 years old), 52% were male, 86% primarily spoke English, and 54% were privately insured. The median length of stay was 3 days (range: 1 to 103 days). No diagnosis accounted for more than 5% of cases. 41% were deemed to be technology dependent, with 20% dependent upon devices, 32% dependent upon medications, and 11% dependent upon both devices and medications. Devices at the time of discharge included gastrostomy and jejeunostomy tubes (10%), central venous catheters (7%), and tracheotomies (1%). The median number of prescription medications was 2 (range: 0-13), with 12% of cases having 5 or more medications. Home care services were planned for 7% of cases.
CONCLUSION: Technology-dependency is common among children discharged from a children's hospital.
|Alternate Journal||BMC Pediatr|
|PubMed Central ID||PMC1142327|
|Grant List||K08 HS00002 / HS / AHRQ HHS / United States|