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  • Prevalence, hospital admissions and costs of child chronic conditions: A population-based study

    Author(s)
    Bell, Jane
    Lingam, Raghu
    Wakefield, Claire E
    Fardell, Joanna E
    Zeltzer, Justin
    Hu, Nan
    Woolfenden, Sue
    Callander, Emily
    Marshall, Glenn M
    Nassar, Natasha
    Griffith University Author(s)
    Callander, Emily J.
    Year published
    2020
    Metadata
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    Abstract
    AIM: To determine population-based prevalence, hospital use and costs for children admitted to hospital with chronic conditions. METHODS: We used hospital admissions data for children aged <16 years, 2002-2013 in New South Wales, Australia. RESULTS: Of all admissions, 35% (n = 692 514) included a diagnosis of a chronic condition. In 2013, prevalence was 25.1 per 1000 children. Children with greater socio-economic disadvantage or living in regional and remote areas had lower prevalence, but a higher proportion of emergency admissions. Prevalence rates were highest for respiratory and neurological conditions (9.4, 7.4 per 1000, ...
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    AIM: To determine population-based prevalence, hospital use and costs for children admitted to hospital with chronic conditions. METHODS: We used hospital admissions data for children aged <16 years, 2002-2013 in New South Wales, Australia. RESULTS: Of all admissions, 35% (n = 692 514) included a diagnosis of a chronic condition. In 2013, prevalence was 25.1 per 1000 children. Children with greater socio-economic disadvantage or living in regional and remote areas had lower prevalence, but a higher proportion of emergency admissions. Prevalence rates were highest for respiratory and neurological conditions (9.4, 7.4 per 1000, respectively). Mental health conditions were most common in older children. Admissions involving chronic conditions had longer length of stay (3.0 vs. 1.6 days), consumed more bed-days (50% of total) and involved 43% of total hospital costs. CONCLUSION: Differences in prevalence and use of hospital services suggest inequities in access and need for more appropriate and equitable models of care.
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    Journal Title
    Journal of Paediatrics and Child Health
    DOI
    https://doi.org/10.1111/jpc.14932
    Note
    This publication has been entered in Griffith Research Online as an advanced online version.
    Subject
    Paediatrics
    Reproductive medicine
    Clinical sciences
    Health services and systems
    Public health
    Australia
    children
    chronic condition
    hospital admission
    prevalence
    Publication URI
    http://hdl.handle.net/10072/394639
    Collection
    • Journal articles

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