Prevalence and associated factors of inappropriate hospital admissions and days of children in a secondary hospital in Shanghai, China

Wenwei Liu, Huimin Zhang, Haichen Zhang, Tongzhou Lyu and Suwei Yuan

PLOS ONE, 2022, vol. 17, issue 10, 1-14

Abstract: Background: Although the appropriateness of hospital utilization of adults and the elderly in China was audited by several studies, the appropriateness of hospital use by children in Shanghai remains to be determined. This study aims to assess the level of inappropriate hospital admissions and hospital days, to detect factors associated with inappropriateness, and to elucidate reasons for inappropriateness. Methods: A retrospective review of the records of 291 admissions and 1449 hospital days of children inpatients from a secondary hospital in Shanghai was performed by two reviewers using the Chinese version Pediatric Appropriateness Evaluation Protocol (C-PAEP). Demographics, socio-economic characteristics, and other admission- or hospital stay-related information were collected and analyzed to determine factors associated with inappropriateness utilizing multivariate regression models. Results: 38.5% (n = 112) of admissions and 9.5% (n = 137) of hospital days were categorized as inappropriate, according to the C-PAEP. Children who were non-Shanghai residents (p

Date: 2022
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Persistent link: https://EconPapers.repec.org/RePEc:plo:pone00:0275645

DOI: 10.1371/journal.pone.0275645

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