The cost of emergency care for children across differing levels of emergency department pediatric readiness.

IF 2.2 3区农林科学 Q2 AGRICULTURE, MULTIDISCIPLINARY

Annals of Applied Biology Pub Date : 2023-06-20 eCollection Date: 2023-07-01 DOI:10.1093/haschl/qxad015

Craig D Newgard, McKenna Smith, Amber Lin, K John McConnell, Katherine E Remick, Randall S Burd, Jennifer R Marin, N Clay Mann, Marianne Gausche-Hill, Hilary A Hewes, Angela Child, Benjamin Lang, Ashley A Foster, Brandon Maughan, Jeremy D Goldhaber-Fiebert

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Abstract

High emergency department (ED) pediatric readiness is associated with improved survival in children, but the cost is unknown. We evaluated the costs of emergency care for children across quartiles of ED pediatric readiness. This was a retrospective cohort study of children aged 0-17 years receiving emergency services in 747 EDs in 9 states from January 1, 2012, through December 31, 2017. We measured ED pediatric readiness using the weighted Pediatric Readiness Score (range: 0-100). The primary outcome was the total cost of acute care (ED and inpatient) in 2022 dollars, adjusted for ED case mix and hospital characteristics. A total of 15 138 599 children received emergency services, including 27.6% with injuries and 72.4% with acute medical illness. The average adjusted per-patient cost by quartile of ED pediatric readiness ranged from $991 (quartile 1) to $1064 (quartile 4) for injured children and $1104-$1217 for medical children. The resulting cost differences were $72 (95% CI: -$6 to $151) and $113 (95% CI: $20-$206), respectively. Receiving emergency care in high-readiness EDs was not associated with marked increases in the cost of delivering services.

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急诊科儿科准备程度不同的儿童急诊费用。

急诊科（ED）儿科准备程度高与儿童生存率提高有关，但其成本尚不清楚。我们评估了急诊科儿科准备度四分位数的儿童急诊成本。这是一项回顾性队列研究，研究对象是 2012 年 1 月 1 日至 2017 年 12 月 31 日期间在 9 个州的 747 家急诊室接受急诊服务的 0-17 岁儿童。我们使用加权儿科准备度评分（范围：0-100）来衡量急诊室儿科准备度。主要结果是根据急诊室病例组合和医院特征调整后的 2022 年急性病护理（急诊室和住院）总成本。共有 15 138 599 名儿童接受了急诊服务，其中 27.6% 的儿童受伤，72.4% 的儿童患有急性内科疾病。按急诊室儿科准备程度的四分位数计算，受伤儿童的调整后每名患者平均成本为 991 美元（四分位数 1）至 1064 美元（四分位数 4），内科儿童的调整后每名患者平均成本为 1104-1217 美元。由此产生的成本差异分别为 72 美元（95% CI：-6 美元至 151 美元）和 113 美元（95% CI：20 美元至 206 美元）。在准备就绪程度高的急诊室接受急诊治疗与服务成本的明显增加无关。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Annals of Applied Biology 生物-农业综合

CiteScore

5.50

自引率

0.00%

发文量

审稿时长

18-36 weeks

期刊介绍： Annals of Applied Biology is an international journal sponsored by the Association of Applied Biologists. The journal publishes original research papers on all aspects of applied research on crop production, crop protection and the cropping ecosystem. The journal is published both online and in six printed issues per year. Annals papers must contribute substantially to the advancement of knowledge and may, among others, encompass the scientific disciplines of: Agronomy Agrometeorology Agrienvironmental sciences Applied genomics Applied metabolomics Applied proteomics Biodiversity Biological control Climate change Crop ecology Entomology Genetic manipulation Molecular biology Mycology Nematology Pests Plant pathology Plant breeding & genetics Plant physiology Post harvest biology Soil science Statistics Virology Weed biology Annals also welcomes reviews of interest in these subject areas. Reviews should be critical surveys of the field and offer new insights. All papers are subject to peer review. Papers must usually contribute substantially to the advancement of knowledge in applied biology but short papers discussing techniques or substantiated results, and reviews of current knowledge of interest to applied biologists will be considered for publication. Papers or reviews must not be offered to any other journal for prior or simultaneous publication and normally average seven printed pages.