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

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  • Wenwei Liu
  • Huimin Zhang
  • Haichen Zhang
  • Tongzhou Lyu
  • Suwei Yuan

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

Suggested Citation

  • Wenwei Liu & Huimin Zhang & Haichen Zhang & Tongzhou Lyu & Suwei Yuan, 2022. "Prevalence and associated factors of inappropriate hospital admissions and days of children in a secondary hospital in Shanghai, China," PLOS ONE, Public Library of Science, vol. 17(10), pages 1-14, October.
    • Handle: RePEc:plo:pone00:0275645
    DOI: 10.1371/journal.pone.0275645
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