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Prevalence, hospital admissions and costs of child chronic conditions: A population-based study.

Authors :
Bell, Jane
Lingam, Raghu
Wakefield, Claire E
Fardell, Joanna E
Zeltzer, Justin
Hu, Nan
Woolfenden, Sue
Callander, Emily
Marshall, Glenn M
Nassar, Natasha
Source :
Journal of Paediatrics & Child Health; Sep2020, Vol. 56 Issue 9, p1365-1370, 6p
Publication Year :
2020

Abstract

<bold>Aim: </bold>To determine population-based prevalence, hospital use and costs for children admitted to hospital with chronic conditions.<bold>Methods: </bold>We used hospital admissions data for children aged <16 years, 2002-2013 in New South Wales, Australia.<bold>Results: </bold>Of all admissions, 35% (n = 692 514) included a diagnosis of a chronic condition. In 2013, prevalence was 25.1 per 1000 children. Children with greater socio-economic disadvantage or living in regional and remote areas had lower prevalence, but a higher proportion of emergency admissions. Prevalence rates were highest for respiratory and neurological conditions (9.4, 7.4 per 1000, respectively). Mental health conditions were most common in older children. Admissions involving chronic conditions had longer length of stay (3.0 vs. 1.6 days), consumed more bed-days (50% of total) and involved 43% of total hospital costs.<bold>Conclusion: </bold>Differences in prevalence and use of hospital services suggest inequities in access and need for more appropriate and equitable models of care. [ABSTRACT FROM AUTHOR]

Details

Language :
English
ISSN :
10344810
Volume :
56
Issue :
9
Database :
Complementary Index
Journal :
Journal of Paediatrics & Child Health
Publication Type :
Academic Journal
Accession number :
145974195
Full Text :
https://doi.org/10.1111/jpc.14932