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Safety Events in Children's Hospitals During the COVID-19 Pandemic.
Masonbrink, Abbey R; Harris, Mitch; Hall, Matt; Kaiser, Sunitha; Hogan, Alexander H; Parikh, Kavita; Clark, Nicholas A; Rangel, Shawn.
  • Masonbrink AR; Department of Pediatrics, Children's Mercy Hospital and University of Missouri-Kansas City, Kansas City, Missouri; armasonbrink@cmh.edu.
  • Harris M; Children's Hospital Association, Lenexa, Kansas.
  • Hall M; Department of Pediatrics, Children's Mercy Hospital and University of Missouri-Kansas City, Kansas City, Missouri.
  • Kaiser S; Children's Hospital Association, Lenexa, Kansas.
  • Hogan AH; Department of Pediatrics, University of California, San Francisco, San Francisco, California.
  • Parikh K; Department of Pediatrics, Connecticut Children's Medical Center and School of Medicine, University of Connecticut, Hartford, Connecticut.
  • Clark NA; Department of Pediatrics, Children's National Hospital and The George Washington University, Washington, District of Columbia; and.
  • Rangel S; Department of Pediatrics, Children's Mercy Hospital and University of Missouri-Kansas City, Kansas City, Missouri.
Hosp Pediatr ; 11(6): e95-e100, 2021 06.
Article in English | MEDLINE | ID: covidwho-1219639
ABSTRACT
BACKGROUND AND

OBJECTIVES:

The coronavirus disease 2019 (COVID-19) pandemic has impacted hospitals, potentially affecting quality and safety. Our objective was to compare pediatric hospitalization safety events during the pandemic versus previous years.

METHODS:

In this retrospective cohort study of hospitalizations in the Pediatric Health Information System, we compared Pediatric Quality Indicator (PDI) rates from March 15 to May 31, 2017-2019 (pre-COVID-19), with those from March 15 to May 31, 2020 (during COVID-19). Generalized linear mixed-effects models with adjustment for patient characteristics (eg, diagnosis, clinical severity) were used.

RESULTS:

There were 399 113 discharges pre-COVID-19 and 88 140 during COVID-19. Unadjusted PDI rates were higher during versus pre-COVID-19 for overall PDIs (6.39 vs 5.05; P < .001). In adjusted analyses, odds of postoperative sepsis were higher during COVID-19 versus pre-COVID-19 (adjusted odds ratio 1.28 [95% confidence interval 1.04-1.56]). The remainder of the PDIs did not have increased adjusted odds during compared with pre-COVID-19.

CONCLUSIONS:

Postoperative sepsis rates increased among children hospitalized during COVID-19. Efforts are needed to improve safety of postoperative care for hospitalized children.
Subject(s)

Full text: Available Collection: International databases Database: MEDLINE Main subject: Postoperative Complications / Sepsis / Patient Safety / COVID-19 / Hospitals, Pediatric Type of study: Cohort study / Observational study / Prognostic study Limits: Adolescent / Child / Child, preschool / Female / Humans / Infant / Male Country/Region as subject: North America Language: English Journal: Hosp Pediatr Year: 2021 Document Type: Article

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Postoperative Complications / Sepsis / Patient Safety / COVID-19 / Hospitals, Pediatric Type of study: Cohort study / Observational study / Prognostic study Limits: Adolescent / Child / Child, preschool / Female / Humans / Infant / Male Country/Region as subject: North America Language: English Journal: Hosp Pediatr Year: 2021 Document Type: Article