Prolonged length of stay for acute hospital admissions as the increasing of age: A nationwide population study for Taiwan's patients with cerebral palsy
Background: Studies investigating reasons for the admission and the associated lengths of stay (LOSs) among cerebral palsy (CP) patients are limited. This study determined common reasons for acute hospitalizations and the LOSs among children, adolescents, and young adults with CP. Methods: We perfor...
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| Format: | Article |
| Language: | English |
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Elsevier
2019-02-01
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| Series: | Pediatrics and Neonatology |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S1875957218300573 |
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| author | Kuo-Liang Chiang Chin-Yin Huang Hueng-Chuen Fan Fang-Chuan Kuo |
| author_facet | Kuo-Liang Chiang Chin-Yin Huang Hueng-Chuen Fan Fang-Chuan Kuo |
| author_sort | Kuo-Liang Chiang |
| collection | DOAJ |
| description | Background: Studies investigating reasons for the admission and the associated lengths of stay (LOSs) among cerebral palsy (CP) patients are limited. This study determined common reasons for acute hospitalizations and the LOSs among children, adolescents, and young adults with CP. Methods: We performed a secondary analysis of data. CP patients aged 4–32.9 years were identified by CP registry in the catastrophic illness patient registry of the 2010 Taiwan National Health Insurance Research Database. Data of admission claims from 2010 to 2011 were analyzed. Reasons for admissions were identified according to International Classification of Diseases codes. Common reasons, frequencies of admissions for each reason, and LOSs were reported. Results: Pneumonia, other respiratory problems, and epilepsy were the top three reasons for admissions in all groups. Other common reasons in all groups were sepsis, other respiratory infections, and gastrointestinal problems. The reasons specific to children included orthopedic issues; ear, nose, and throat problems; and urinary tract infections (UTIs). In youths, scoliosis, and contractures, were unique reasons. In young adults, UTIs, blood problems, and mental illness, were special reasons. Most admission reasons appeared to prolong LOS, and the LOS exhibited an increasing trend as age increased. Conclusion: The results implied that patients with CP are more susceptible to most disease invasions. Our results also suggest that the current care system in Taiwan is unsuitable for patients with CP. These results can be used as guidance for planning effective multidisciplinary assessments in the future. Key Words: admission reason, cerebral palsy, epilepsy, length of stay, pneumonia |
| format | Article |
| id | doaj-art-c11f4c7cb55c40faa2c913e4a6b63aac |
| institution | DOAJ |
| issn | 1875-9572 |
| language | English |
| publishDate | 2019-02-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Pediatrics and Neonatology |
| spelling | doaj-art-c11f4c7cb55c40faa2c913e4a6b63aac2025-08-20T03:16:43ZengElsevierPediatrics and Neonatology1875-95722019-02-01601748210.1016/j.pedneo.2018.04.004Prolonged length of stay for acute hospital admissions as the increasing of age: A nationwide population study for Taiwan's patients with cerebral palsyKuo-Liang Chiang0Chin-Yin Huang1Hueng-Chuen Fan2Fang-Chuan Kuo3Department of Pediatric Neurology, Kuang-Tien General Hospital, Taichung, Taiwan; Department of Nutrition, Hungkuang University, Taichung, Taiwan; Department of Industrial Engineering and Enterprise Information, Tunghai University, Taichung, Taiwan; Corresponding author. No.117, Shatian Road, Shalu District, Taichung City 433, Taiwan.Program for Health Administration, Tunghai University, Taichung, TaiwanDepartment of Pediatrics, Department of Medical Research, Tungs' Metroharbor Hospital, Taichung, TaiwanDepartment of Physical Therapy, Hungkuang University, Taichung, TaiwanBackground: Studies investigating reasons for the admission and the associated lengths of stay (LOSs) among cerebral palsy (CP) patients are limited. This study determined common reasons for acute hospitalizations and the LOSs among children, adolescents, and young adults with CP. Methods: We performed a secondary analysis of data. CP patients aged 4–32.9 years were identified by CP registry in the catastrophic illness patient registry of the 2010 Taiwan National Health Insurance Research Database. Data of admission claims from 2010 to 2011 were analyzed. Reasons for admissions were identified according to International Classification of Diseases codes. Common reasons, frequencies of admissions for each reason, and LOSs were reported. Results: Pneumonia, other respiratory problems, and epilepsy were the top three reasons for admissions in all groups. Other common reasons in all groups were sepsis, other respiratory infections, and gastrointestinal problems. The reasons specific to children included orthopedic issues; ear, nose, and throat problems; and urinary tract infections (UTIs). In youths, scoliosis, and contractures, were unique reasons. In young adults, UTIs, blood problems, and mental illness, were special reasons. Most admission reasons appeared to prolong LOS, and the LOS exhibited an increasing trend as age increased. Conclusion: The results implied that patients with CP are more susceptible to most disease invasions. Our results also suggest that the current care system in Taiwan is unsuitable for patients with CP. These results can be used as guidance for planning effective multidisciplinary assessments in the future. Key Words: admission reason, cerebral palsy, epilepsy, length of stay, pneumoniahttp://www.sciencedirect.com/science/article/pii/S1875957218300573 |
| spellingShingle | Kuo-Liang Chiang Chin-Yin Huang Hueng-Chuen Fan Fang-Chuan Kuo Prolonged length of stay for acute hospital admissions as the increasing of age: A nationwide population study for Taiwan's patients with cerebral palsy Pediatrics and Neonatology |
| title | Prolonged length of stay for acute hospital admissions as the increasing of age: A nationwide population study for Taiwan's patients with cerebral palsy |
| title_full | Prolonged length of stay for acute hospital admissions as the increasing of age: A nationwide population study for Taiwan's patients with cerebral palsy |
| title_fullStr | Prolonged length of stay for acute hospital admissions as the increasing of age: A nationwide population study for Taiwan's patients with cerebral palsy |
| title_full_unstemmed | Prolonged length of stay for acute hospital admissions as the increasing of age: A nationwide population study for Taiwan's patients with cerebral palsy |
| title_short | Prolonged length of stay for acute hospital admissions as the increasing of age: A nationwide population study for Taiwan's patients with cerebral palsy |
| title_sort | prolonged length of stay for acute hospital admissions as the increasing of age a nationwide population study for taiwan s patients with cerebral palsy |
| url | http://www.sciencedirect.com/science/article/pii/S1875957218300573 |
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