Postoperative Respiratory Failure in US Pediatric Care: Evidence from a Nationally Representative Database
<b>Background/Objectives</b>: Pediatric postoperative respiratory failure in the United States is increasingly considered a significant adverse event due to the increased risk of co-morbidities, suffering, and cost of healthcare. This study investigates associations between pediatric adv...
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MDPI AG
2025-05-01
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| author | Michael Samawi Gulzar H. Shah Linda Kimsey |
| author_facet | Michael Samawi Gulzar H. Shah Linda Kimsey |
| author_sort | Michael Samawi |
| collection | DOAJ |
| description | <b>Background/Objectives</b>: Pediatric postoperative respiratory failure in the United States is increasingly considered a significant adverse event due to the increased risk of co-morbidities, suffering, and cost of healthcare. This study investigates associations between pediatric adverse events (PAEs) and hospital and patient characteristics within the inpatient hospital setting, focusing solely on the framework of pediatric quality indicators (PDIs) from the Agency for Healthcare Research and Quality (AHRQ). Specifically, the study focuses on PDI 09-Postoperative Respiratory Failure (PORF). <b>Methods</b>: This quantitative research analyzed the inpatient discharge data from the Healthcare Cost and Utilization Project (HCUP) Kids’ Inpatient Databases (KID) for 2019. We performed multivariate logistic regression to analyze patient-level encounters with PORF. <b>Results</b>: The results indicate that smaller, rural, and non-teaching hospitals exhibit significantly lower odds of PDI 09 than large, urban, and urban teaching hospitals, reflecting a concentration of operative procedures. In comparison, the Western United States exhibits higher odds of PDI 09. Various individual factors such as gender, age, race, service lines, payment sources, and major operating room procedures demonstrate differing levels of significance concerning PDI 09, warranting further investigation into confounding factors. In contrast, hospital ownership consistently shows lower odds of PORF risk for private, investor-owned hospitals. <b>Conclusions</b>: This study provides contextual expansion on the findings and offers valuable insights into PAEs in the inpatient hospital setting. It highlights areas for developing evidence-based interventions and guidelines for clinicians and policymakers. Ultimately, the findings contribute to the growing understanding of factors influencing PORF and emphasize the importance of targeted strategies for improving pediatric patient safety. |
| format | Article |
| id | doaj-art-04b66a077d0b4f139a2bf8fa5bbdabc5 |
| institution | OA Journals |
| issn | 2036-7503 |
| language | English |
| publishDate | 2025-05-01 |
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| spelling | doaj-art-04b66a077d0b4f139a2bf8fa5bbdabc52025-08-20T02:21:52ZengMDPI AGPediatric Reports2036-75032025-05-011735810.3390/pediatric17030058Postoperative Respiratory Failure in US Pediatric Care: Evidence from a Nationally Representative DatabaseMichael Samawi0Gulzar H. Shah1Linda Kimsey2Department of Health Policy and Community Health, Jiann-Ping Hsu College of Public Health Georgia Southern University, P.O. Box 8015, Statesboro, GA 30460, USADepartment of Health Policy and Community Health, Jiann-Ping Hsu College of Public Health Georgia Southern University, P.O. Box 8015, Statesboro, GA 30460, USADepartment of Health Policy and Community Health, Jiann-Ping Hsu College of Public Health Georgia Southern University, P.O. Box 8015, Statesboro, GA 30460, USA<b>Background/Objectives</b>: Pediatric postoperative respiratory failure in the United States is increasingly considered a significant adverse event due to the increased risk of co-morbidities, suffering, and cost of healthcare. This study investigates associations between pediatric adverse events (PAEs) and hospital and patient characteristics within the inpatient hospital setting, focusing solely on the framework of pediatric quality indicators (PDIs) from the Agency for Healthcare Research and Quality (AHRQ). Specifically, the study focuses on PDI 09-Postoperative Respiratory Failure (PORF). <b>Methods</b>: This quantitative research analyzed the inpatient discharge data from the Healthcare Cost and Utilization Project (HCUP) Kids’ Inpatient Databases (KID) for 2019. We performed multivariate logistic regression to analyze patient-level encounters with PORF. <b>Results</b>: The results indicate that smaller, rural, and non-teaching hospitals exhibit significantly lower odds of PDI 09 than large, urban, and urban teaching hospitals, reflecting a concentration of operative procedures. In comparison, the Western United States exhibits higher odds of PDI 09. Various individual factors such as gender, age, race, service lines, payment sources, and major operating room procedures demonstrate differing levels of significance concerning PDI 09, warranting further investigation into confounding factors. In contrast, hospital ownership consistently shows lower odds of PORF risk for private, investor-owned hospitals. <b>Conclusions</b>: This study provides contextual expansion on the findings and offers valuable insights into PAEs in the inpatient hospital setting. It highlights areas for developing evidence-based interventions and guidelines for clinicians and policymakers. Ultimately, the findings contribute to the growing understanding of factors influencing PORF and emphasize the importance of targeted strategies for improving pediatric patient safety.https://www.mdpi.com/2036-7503/17/3/58postoperative respiratory failurequality improvementpediatric carepediatric adverse eventskid’s inpatient databasehospital and patient characteristics |
| spellingShingle | Michael Samawi Gulzar H. Shah Linda Kimsey Postoperative Respiratory Failure in US Pediatric Care: Evidence from a Nationally Representative Database Pediatric Reports postoperative respiratory failure quality improvement pediatric care pediatric adverse events kid’s inpatient database hospital and patient characteristics |
| title | Postoperative Respiratory Failure in US Pediatric Care: Evidence from a Nationally Representative Database |
| title_full | Postoperative Respiratory Failure in US Pediatric Care: Evidence from a Nationally Representative Database |
| title_fullStr | Postoperative Respiratory Failure in US Pediatric Care: Evidence from a Nationally Representative Database |
| title_full_unstemmed | Postoperative Respiratory Failure in US Pediatric Care: Evidence from a Nationally Representative Database |
| title_short | Postoperative Respiratory Failure in US Pediatric Care: Evidence from a Nationally Representative Database |
| title_sort | postoperative respiratory failure in us pediatric care evidence from a nationally representative database |
| topic | postoperative respiratory failure quality improvement pediatric care pediatric adverse events kid’s inpatient database hospital and patient characteristics |
| url | https://www.mdpi.com/2036-7503/17/3/58 |
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