This blog entry has abbreviated/summarized this presentation. Though not intentional, some important material is likely to have been omitted; in addition, transcription errors are possible as well.
Risk Factors for Hospitalization Among Pediatric Intestinal Failure Patients
Tatyana Hofmekler, Janet Figueroa, Hilina Kassa, Rene Romero, Andi Shane.
Dr Hofmekler is now part of GI Care for Kids (my group) and provided a terrific presentation.
- In this study, there were no social or demographic factors which were identified which were associated with increased hospitalization
- Having a colon and an ileocecal valve lowered the risk of hospitalization
- The use of SBBO treatment was associated with increased hospitalization though this may have been a marker of more severe disease
- Vascular catheter infections were reduced compared to study at same institution previously but remained an important risk factor for hospitalization
My take: this study illustrates the challenges in reducing hospitalization. While the authors did not identify social/demographic factors, my experience is that there are some families who are much more capable than others in taking care of children with complex problems. If all children had the best parents, that would truly allow the hospitalization rate to be reduced much lower.