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