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김미화 ( Kim Mi-Hwa ) - 서울대학병원
김희순 ( Kim Hee-Soon ) - 연세대학교 간호대학
박준동 ( Park June-Dong ) - 서울대학교 의과대학
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Abstract
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Purpose: This study was conducted to analyze factors affecting readmission of children with home ventilator care.
Methods: To collect patient data, a retrospective chart review was done of medical records of children admitted between June 1, 2007 and May 31, 2010 at one children’s hospital located in Seoul. During that period 30 children were discharged with a home ventilator.
Results: Twenty-one of these children had a total of 63 readmissions during the study period, averaging 2.1 readmissions per child with a mean duration of hospitalization of 7.4 days. Children with nasogastric tubes were more frequently readmitted (t=7.232, p=.012) and duration of hospitalization was significantly longer (t=4.761, p=.038). Children who had cardio-pulmonary comorbidity were more frequently readmitted and had longer hospitalization than children without comorbidity (t=5.444, p=.027). When home ventilator assisted children were admitted via emergency room, they were hospitalized longer (t=14.686, p=<.001). Cardio-pulmonary morbidity and readmission via ER explained 38.1% of variation for readmission. Feeding method explained 15.0% of variation in length of hospitalization.
Conclusion: The results suggest that health care providers must give individualized education on home ventilator care to parents with children who are at risk for readmission due to cardio-pulmonary comorbidities, nasogastric tube, or readmission via ER.
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KeyWords
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가정용 인공호흡기, 재입원, 만성호흡부전
Ventilators, mechanical, Hospital readmission, Respiratory insufficiency
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원문 및 링크아웃 정보
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등재저널 정보
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