MONDAY, June 14, 2021 (HealthDay Information) – From 2008 to 2018, there was a lower in pediatric inpatient capability and a rise in pediatric intensive care unit (PICU) beds, in accordance with a examine revealed on-line on June 14 in Pediatrics.
Anna M. Cushing, MD, of Boston Youngsters’s Hospital, and colleagues examined developments in pediatric inpatient capability in a retrospective examine of four,720 U.S. hospitals utilizing knowledge from the American Hospital Affiliation Survey. 2008 to 2018. Tendencies in pediatric hospital care and PICU capability have been described.
The researchers noticed a 19.1 p.c lower in pediatric inpatient items (34 items / yr) and an 11.eight p.c lower in pediatric inpatient beds (407 beds / yr). There was a 16.zero p.c enhance in PICU beds (66.9 beds / yr), primarily in kids’s hospitals. Bigger proportional declines have been seen in pediatric inpatient beds in rural areas (-26.1 versus -10.zero p.c). Most states skilled decreases in pediatric inpatient beds and pediatric inpatient days (imply state, −18.5 and −10.zero p.c, respectively). Practically 1 / 4 of American kids skilled a rise in distance to the closest pediatric inpatient unit. The very best danger of closure was noticed in low-volume pediatric items with out an related PICU.
“The pattern is evident: pediatric hospital care is extra regionalized and concentrated,” write the authors of an accompanying editorial. “Intensive care beds are getting used increasingly more, and the explanation for this may increasingly partly be a monetary response to declining reimbursement, reasonably than an elevated want for intensive care companies.”
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