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.

Citations

• Predictors of early hospital readmission in patients receiving home mechanical ventilation
  Eun Young Kim, Hee Jung Suh, Ga Jin Seo, Min Kyung Jang, Chae-Man Lim, Jin Won Huh
  Heart & Lung.2023; 57: 222.     CrossRef
• Factors associated with caring behaviors of family caregivers for patients receiving home mechanical ventilation with tracheostomy: A cross-sectional study
  Hyang Sook Kim, Chung Eun Lee, Yong Sook Yang, Tai-Heng Chen
  PLOS ONE.2021; 16(7): e0254987.     CrossRef
• Risk Factors of Readmission to Hospital for Pneumonia in Children
  Yu Chan Hong, Eom Ji Choi, Sin-Ae Park
  Pediatric Infection and Vaccine.2017; 24(3): 146.     CrossRef
• A study of the use of home mechanical ventilator and medical insurance
  Sang Wook Mun, Hyung Young Kim, Hye-Young Kim, Hee Ju Park, Soo Yeon Kim, Young Beom Shin, Seung Kook Son
  Allergy, Asthma & Respiratory Disease.2016; 4(3): 195.     CrossRef
• Survey on Self Care, Respiratory Difficulty, Sleep Impediment, Anxiety and Depression among Patients with Neuromuscular Disease dependent on Home Mechanical Ventilator
  Moon Sook Hwang, Mi Kyung Lee, Jong Rye Song
  Korean Journal of Adult Nursing.2016; 28(5): 595.     CrossRef