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Variation in Emergency Department Admission Rates in US Children’s Hospitals

Bourgeois FT, Monuteaux MC, Stack AM, et al. Pediatrics 2014;134:539−45.
      There is a wide variation in hospital admissions for common pediatric illnesses. This retrospective, cross-sectional study used information collected from US children’s hospitals to determine the differences in hospital-level admissions, defined as inpatient or observation admission, for common pediatric illnesses. Using the All Patient Refined Diagnosis Related Grouping (APR-DRG) system, the authors identified the common admission diagnoses as asthma, cellulitis/skin infection, bronchiolitis/respiratory syncytial virus (RSV) pneumonia, pneumonia not elsewhere characterized (NEC), kidney/urinary tract infection, seizure, and concussion. A severity index to account for acuity was also applied to admission data for the study.
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