Heart failure & cardiomyopathiesCohort study
30- and 60-Day Readmission Rates for Children With Heart Failure in the United States
- Retrospective cohort study
Authors' conclusion
The 30- and 60-day readmission rates for pediatric patients with HF in the current era is high (∼20% and 30%, respectively). Unlike adult HF, pediatric HF readmission rates have not declined. Pediatric HF patients readmitted to the hospital have higher death rates and greater resource utilization than patients without HF.
Study context
- Population
- Pediatric patients, Nationwide Readmission Database, US, 2010–2019
- Participants
- 84,731 heart failure (HF) admissions
- Exposure
- Children with HF vs children without HF
- Outcome
- All-cause readmission rates
- Follow-up
- 30 and 60 days
Main finding
As reported in the abstract
All-cause readmission
30-day
60-day
Observational data: associations, not effects.
Further findings
Readmission length of stay, deaths and costs
- Higher for children readmitted with HF vs without HF
- P < 0.05 for all
Trend in pediatric HF 30-/60-day readmissions, 2010–2019 (overall and congenital heart disease)
- No significant decline
- P > 0.05
- Adult HF readmissions declined
- P < 0.01
Readmission by age
- Infants at highest risk; rates rising in teenagers
Original publication
30- and 60-Day Readmission Rates for Children With Heart Failure in the United States. JACC Heart Fail. Published 8 November 2023. doi:10.1016/j.jchf.2023.08.029
Summarised from the published abstract; every number is checked against it