Pediatric high users of Canadian hospitals and emergency departments.

<h4>Introduction</h4>Few studies have examined the most frequent pediatric users of hospital services. Our objective was to determine the clinical diagnoses, demographic characteristics, and medical severity of high-use pediatric patients in Canada.<h4>Methods</h4>We conducte...

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Autores principales:	Ryan Tiller, Kevin Chan, John C Knight, Roger Chafe
Formato:	article
Lenguaje:	EN
Publicado:	Public Library of Science (PLoS) 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/8410a91a7983495e9b3e9365030d262e
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spelling	oai:doaj.org-article:8410a91a7983495e9b3e9365030d262e2021-11-25T06:19:17ZPediatric high users of Canadian hospitals and emergency departments.1932-620310.1371/journal.pone.0251330https://doaj.org/article/8410a91a7983495e9b3e9365030d262e2021-01-01T00:00:00Zhttps://doi.org/10.1371/journal.pone.0251330https://doaj.org/toc/1932-6203<h4>Introduction</h4>Few studies have examined the most frequent pediatric users of hospital services. Our objective was to determine the clinical diagnoses, demographic characteristics, and medical severity of high-use pediatric patients in Canada.<h4>Methods</h4>We conducted a retrospective analysis of patients <18 years of age who either were admitted to hospital or visited an emergency department (ED) using the Canadian Institute for Health Information's (CIHI) Dynamic Cohort of Complex, High System Users. The analysis of hospital admission data excluded Quebec and Manitoba. ED data was only available for Alberta and Ontario.<h4>Results</h4>121 104 patients were identified as the most frequent hospital users and 459 998 patients as the most frequent ED users. High users were more likely to reside in a rural community, to be in a lower income quintile, and face more deprivation. The most frequent conditions for hospitalization for high use patients were disorders related to length of prematurity and fetal growth, respiratory and cardiovascular disorders specific to the perinatal period, and haemorrhagic and haematological disorders of fetus and newborn. For the most frequent ED users, the most common clinical diagnoses were acute upper respiratory infections, injuries to the head, and diseases of the middle ear and mastoid.<h4>Conclusion</h4>Pediatric high users by frequency of hospital and ED services are a distinct population. Better understanding their characteristics will allow for more appropriate planning of children's health services and help identify areas for effective preventive or quality improvement initiatives.Ryan TillerKevin ChanJohn C KnightRoger ChafePublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 16, Iss 5, p e0251330 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Ryan Tiller Kevin Chan John C Knight Roger Chafe Pediatric high users of Canadian hospitals and emergency departments.
description	<h4>Introduction</h4>Few studies have examined the most frequent pediatric users of hospital services. Our objective was to determine the clinical diagnoses, demographic characteristics, and medical severity of high-use pediatric patients in Canada.<h4>Methods</h4>We conducted a retrospective analysis of patients <18 years of age who either were admitted to hospital or visited an emergency department (ED) using the Canadian Institute for Health Information's (CIHI) Dynamic Cohort of Complex, High System Users. The analysis of hospital admission data excluded Quebec and Manitoba. ED data was only available for Alberta and Ontario.<h4>Results</h4>121 104 patients were identified as the most frequent hospital users and 459 998 patients as the most frequent ED users. High users were more likely to reside in a rural community, to be in a lower income quintile, and face more deprivation. The most frequent conditions for hospitalization for high use patients were disorders related to length of prematurity and fetal growth, respiratory and cardiovascular disorders specific to the perinatal period, and haemorrhagic and haematological disorders of fetus and newborn. For the most frequent ED users, the most common clinical diagnoses were acute upper respiratory infections, injuries to the head, and diseases of the middle ear and mastoid.<h4>Conclusion</h4>Pediatric high users by frequency of hospital and ED services are a distinct population. Better understanding their characteristics will allow for more appropriate planning of children's health services and help identify areas for effective preventive or quality improvement initiatives.
format	article
author	Ryan Tiller Kevin Chan John C Knight Roger Chafe
author_facet	Ryan Tiller Kevin Chan John C Knight Roger Chafe
author_sort	Ryan Tiller
title	Pediatric high users of Canadian hospitals and emergency departments.
title_short	Pediatric high users of Canadian hospitals and emergency departments.
title_full	Pediatric high users of Canadian hospitals and emergency departments.
title_fullStr	Pediatric high users of Canadian hospitals and emergency departments.
title_full_unstemmed	Pediatric high users of Canadian hospitals and emergency departments.
title_sort	pediatric high users of canadian hospitals and emergency departments.
publisher	Public Library of Science (PLoS)
publishDate	2021
url	https://doaj.org/article/8410a91a7983495e9b3e9365030d262e
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Pediatric high users of Canadian hospitals and emergency departments.

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