Hospitalizations by Children With Medical Complexity From 2009 to 2022.
BACKGROUND AND OBJECTIVES: Children with medical complexity (CMC) have multifaceted health care needs and are more likely to be hospitalized than children without medical complexity. This study examined the number and proportion of hospitalizations experienced by CMC in the United States from 2009 t...
| Publicado en: | Pediatrics Vol. 156; no. 2; pp. 1 - 2 |
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| Autores principales: | , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
American Academy of Pediatrics
Aug2025
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=187143759&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 187143759 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 00314005 PDT jtl: Pediatrics issn: 00314005 maglogo: N pubinfo: dt: Aug2025 vid: 156 iid: 2 pid: 1659 pub: American Academy of Pediatrics place: Elk Grove Village, Illinois artinfo: ui: 187143759 187143759 187143759 10.1542/peds.2025-071774 187143759 ppf: 1 ppct: 1 formats: tig: atl: Hospitalizations by Children With Medical Complexity From 2009 to 2022. aug: au: Leyenaar, JoAnna K. Freyleue, Seneca Arakelyan, Mary Schaefer, Andrew P. affil: Department of Pediatrics, Dartmouth Health Children's, Lebanon, New Hampshire sug: subj: Child, Hospitalized Evaluation Child, Medically Fragile United States Hospital Mortality Trends Health Care Costs Trends Length of Stay Trends Human United States Retrospective Design Cross Sectional Studies Inpatients Child Adolescence Child, Preschool Hospitals, Pediatric Descriptive Statistics Confidence Intervals Child: 6-12 years Adolescent: 13-18 years Child, Preschool: 2-5 years ab: BACKGROUND AND OBJECTIVES: Children with medical complexity (CMC) have multifaceted health care needs and are more likely to be hospitalized than children without medical complexity. This study examined the number and proportion of hospitalizations experienced by CMC in the United States from 2009 to 2022 and describes hospitalization characteristics. METHODS: This retrospective repeated cross-sectional study analyzed the Kids' Inpatient Database in 2009, 2012, 2016, 2019, and 2022. CMC were identified using the Complex Chronic Condition Classification System and Pediatric Medical Complexity Algorithm. Survey weights were applied to generate national estimates of the number and proportion of nonbirth hospitalizations in children aged less than 18 years experienced by CMC each year, as well as the number and proportion of hospital days, in-hospital deaths, and costs incurred by CMC overall and at freestanding children's hospitals and general hospitals. RESULTS: CMC experienced an estimated 1.14 million hospitalizations in 2009 and 1.02 million in 2022. In 2022, 37.8% (n = 386 961) of CMC-associated hospitalizations were at freestanding children's hospitals, and 62.2% (n = 636 789) were at general hospitals. These hospitalizations represented 49.0% (95% CI, 47.8%–50.3%) of pediatric hospitalizations in 2009 and 62.8% (95% CI, 61.7%–64.0%) in 2022. In 2022, CMC-associated hospitalizations accounted for 79.2% (95% CI, 76.8%–81.5%) of hospital days (n = 7.36 million days), 92.6% (95% CI, 91.7%–93.5%) of deaths (n = 9107), and 83.8% (95% CI, 81.3%–86.3%) of costs (30.6 billion US dollars) incurred by hospitalized children. CONCLUSIONS: The estimated number of CMC-associated hospitalizations decreased modestly from 2009 to 2022. However, CMC accounted for increasing proportions of hospitalizations, hospital days, in-hospital deaths, and costs, justifying programs and policies to support their complex health care needs. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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