{"id":{"repo_id":"ohiolink","oai_identifier":"oai:etd.ohiolink.edu:ucin1353950161"},"canonical_url":"https://search.dev.ndltd.org/etd/ohiolink/oai:etd.ohiolink.edu:ucin1353950161","repository":{"repo_id":"ohiolink","name":"OhioLINK","base_url":"https://etd.ohiolink.edu/acprod/odb_etd/ws/oai/oai"},"display":{"title":"Evaluation of Differences Between Pediatric and General Emergency Departments in Rate of Admission and Resource Utilization for Visits by Children and Young Adults with Complex Chronic Conditions","abstract":"Objective: To evaluate for differences in rate of admission and charges between pediatric and general emergency departments for visits by children and young adults with complex chronic conditions Design: Cross-sectional study using data from the 2008 Nationwide Emergency Department SampleSetting: Stratified sample of U.S. hospital-based ED visitsParticipants: Visits by pediatric-aged patients aged 0-17 years of age and transition-aged patients aged 18-24 years of age with one or more complex chronic conditionsMain exposures: Type of ED in which the visit occurred, designated as a pediatric or a general EDMain outcome measures: The three primary outcome measures were: percent of patients admitted from the ED, ED Charges for treat-and-release visits, and total charges (ED + inpatient) for admitted patients.Results: A significantly higher percentage of visits by both pediatric-aged and transition-aged patients to pediatric EDs that had multiple CCCs and technology dependence when compared to visits to general EDs (p<0.0001). When controlling for patient and hospital characteristics, the type of ED was not a significant predictor of admission, ED charges or total charges. Markers of disease severity, presence of multiple CCCs and technology dependence, were predictive of admission and total charges in both pediatric-aged and transition-aged patients. Conclusions: Overall, the results highlight that the influence of type of ED is not significant when controlling for patient and hospital characteristics. This suggests that the increased charges observed at pediatric hospitals in previous studies may be in part due to uncontrolled for differences in disease severity between the individuals cared for at pediatric and general facilities. Our analysis showed that among visits by both pediatric and transition-aged patients, there was a higher percentage of visits by patients with technology dependence and multiple CCCs at pediatric EDs compared to general EDs. This result suggests that more complex patients are more commonly cared for, both initially as young children and later as they reach and possibly surpass the age of transition, in pediatric EDs and pediatric hospitals.","abstract_html":"Objective: To evaluate for differences in rate of admission and charges between pediatric and general emergency departments for visits by children and young adults with complex chronic conditions Design: Cross-sectional study using data from the 2008 Nationwide Emergency Department SampleSetting: Stratified sample of U.S. hospital-based ED visitsParticipants: Visits by pediatric-aged patients aged 0-17 years of age and transition-aged patients aged 18-24 years of age with one or more complex chronic conditionsMain exposures: Type of ED in which the visit occurred, designated as a pediatric or a general EDMain outcome measures: The three primary outcome measures were: percent of patients admitted from the ED, ED Charges for treat-and-release visits, and total charges (ED + inpatient) for admitted patients.Results: A significantly higher percentage of visits by both pediatric-aged and transition-aged patients to pediatric EDs that had multiple CCCs and technology dependence when compared to visits to general EDs (p&lt;0.0001). When controlling for patient and hospital characteristics, the type of ED was not a significant predictor of admission, ED charges or total charges. Markers of disease severity, presence of multiple CCCs and technology dependence, were predictive of admission and total charges in both pediatric-aged and transition-aged patients. Conclusions: Overall, the results highlight that the influence of type of ED is not significant when controlling for patient and hospital characteristics. This suggests that the increased charges observed at pediatric hospitals in previous studies may be in part due to uncontrolled for differences in disease severity between the individuals cared for at pediatric and general facilities. Our analysis showed that among visits by both pediatric and transition-aged patients, there was a higher percentage of visits by patients with technology dependence and multiple CCCs at pediatric EDs compared to general EDs. This result suggests that more complex patients are more commonly cared for, both initially as young children and later as they reach and possibly surpass the age of transition, in pediatric EDs and pediatric hospitals.","abstract_has_math":false,"creators":["Murtagh Kurowski, Eileen, M.D."],"institution":"University of Cincinnati","degree_name":"MS","degree_level":"masters","degree_discipline":"Medicine: Clinical and Translational Research","degree_department":null,"school":null,"contributors":["Haynes, Erin Nicole"],"advisors":[],"committee_chairs":[],"committee_members":[],"year":2012,"date_issued":"2012","date_published":"2012","updated_at":"2026-07-24T03:36:39Z","subjects":["Surgery","complex chronic conditions","pediatric","emergency department","Nationwide Emergency Department Sample"],"languages":["English"],"rights":["unrestricted","This thesis or dissertation is protected by copyright: all rights reserved. It may not be copied or redistributed beyond the terms of applicable copyright laws."],"rights_urls":[],"identifier_entries":[]},"links":{"outbound_url":"http://rave.ohiolink.edu/etdc/view?acc_num=ucin1353950161","outbound_label":"Repository record","outbound_source":"dc:identifier"},"metadata_groups":[{"id":"people","label":"People","entries":[{"key":"dc:contributor","label":"Contributor","values":["Haynes, Erin Nicole"]},{"key":"dc:creator","label":"Author","values":["Murtagh Kurowski, Eileen, M.D."]}]},{"id":"academic_context","label":"Academic Context","entries":[{"key":"dc:date","label":"Dc Date","values":["2012"]},{"key":"dc:publisher","label":"Institution","values":["University of Cincinnati / OhioLINK"]},{"key":"dc:type","label":"Dc Type","values":["Electronic Thesis or Dissertation"]},{"key":"thesis:degree_discipline","label":"Discipline","values":["Medicine: Clinical and Translational Research"]},{"key":"thesis:degree_level","label":"Degree Level","values":["masters"]},{"key":"thesis:degree_name","label":"Degree Name","values":["MS"]},{"key":"thesis:institution_name","label":"Thesis Institution Name","values":["University of Cincinnati"]}]},{"id":"subjects_keywords","label":"Subjects and Keywords","entries":[{"key":"dc:subject","label":"Dc Subject","values":["Surgery","complex chronic conditions","pediatric","emergency department","Nationwide Emergency Department Sample"]}]},{"id":"language_rights","label":"Language and Rights","entries":[{"key":"dc:language","label":"Dc Language","values":["English"]},{"key":"dc:rights","label":"Dc Rights","values":["unrestricted","This thesis or dissertation is protected by copyright: all rights reserved. It may not be copied or redistributed beyond the terms of applicable copyright laws."]}]},{"id":"identifiers","label":"Identifiers","entries":[{"key":"dc:identifier","label":"Identifier","values":["http://rave.ohiolink.edu/etdc/view?acc_num=ucin1353950161"]}]},{"id":"additional","label":"Additional Metadata","entries":[{"key":"dc:description","label":"Description","values":["Objective: To evaluate for differences in rate of admission and charges between pediatric and general emergency departments for visits by children and young adults with complex chronic conditions Design: Cross-sectional study using data from the 2008 Nationwide Emergency Department SampleSetting: Stratified sample of U.S. hospital-based ED visitsParticipants: Visits by pediatric-aged patients aged 0-17 years of age and transition-aged patients aged 18-24 years of age with one or more complex chronic conditionsMain exposures: Type of ED in which the visit occurred, designated as a pediatric or a general EDMain outcome measures: The three primary outcome measures were: percent of patients admitted from the ED, ED Charges for treat-and-release visits, and total charges (ED + inpatient) for admitted patients.Results: A significantly higher percentage of visits by both pediatric-aged and transition-aged patients to pediatric EDs that had multiple CCCs and technology dependence when compared to visits to general EDs (p<0.0001). When controlling for patient and hospital characteristics, the type of ED was not a significant predictor of admission, ED charges or total charges. Markers of disease severity, presence of multiple CCCs and technology dependence, were predictive of admission and total charges in both pediatric-aged and transition-aged patients. Conclusions: Overall, the results highlight that the influence of type of ED is not significant when controlling for patient and hospital characteristics. This suggests that the increased charges observed at pediatric hospitals in previous studies may be in part due to uncontrolled for differences in disease severity between the individuals cared for at pediatric and general facilities. Our analysis showed that among visits by both pediatric and transition-aged patients, there was a higher percentage of visits by patients with technology dependence and multiple CCCs at pediatric EDs compared to general EDs. This result suggests that more complex patients are more commonly cared for, both initially as young children and later as they reach and possibly surpass the age of transition, in pediatric EDs and pediatric hospitals."]},{"key":"dc:format","label":"Dc Format","values":["application/pdf","p.20","210.4 KB"]},{"key":"dc:title","label":"Title","values":["Evaluation of Differences Between Pediatric and General Emergency Departments in Rate of Admission and Resource Utilization for Visits by Children and Young Adults with Complex Chronic Conditions"]}]}],"canonical_facts":{"dc:contributor":["Haynes, Erin Nicole"],"dc:creator":["Murtagh Kurowski, Eileen, M.D."],"dc:date":["2012"],"dc:description":["Objective: To evaluate for differences in rate of admission and charges between pediatric and general emergency departments for visits by children and young adults with complex chronic conditions Design: Cross-sectional study using data from the 2008 Nationwide Emergency Department SampleSetting: Stratified sample of U.S. hospital-based ED visitsParticipants: Visits by pediatric-aged patients aged 0-17 years of age and transition-aged patients aged 18-24 years of age with one or more complex chronic conditionsMain exposures: Type of ED in which the visit occurred, designated as a pediatric or a general EDMain outcome measures: The three primary outcome measures were: percent of patients admitted from the ED, ED Charges for treat-and-release visits, and total charges (ED + inpatient) for admitted patients.Results: A significantly higher percentage of visits by both pediatric-aged and transition-aged patients to pediatric EDs that had multiple CCCs and technology dependence when compared to visits to general EDs (p<0.0001). When controlling for patient and hospital characteristics, the type of ED was not a significant predictor of admission, ED charges or total charges. Markers of disease severity, presence of multiple CCCs and technology dependence, were predictive of admission and total charges in both pediatric-aged and transition-aged patients. Conclusions: Overall, the results highlight that the influence of type of ED is not significant when controlling for patient and hospital characteristics. This suggests that the increased charges observed at pediatric hospitals in previous studies may be in part due to uncontrolled for differences in disease severity between the individuals cared for at pediatric and general facilities. Our analysis showed that among visits by both pediatric and transition-aged patients, there was a higher percentage of visits by patients with technology dependence and multiple CCCs at pediatric EDs compared to general EDs. This result suggests that more complex patients are more commonly cared for, both initially as young children and later as they reach and possibly surpass the age of transition, in pediatric EDs and pediatric hospitals."],"dc:format":["application/pdf","p.20","210.4 KB"],"dc:identifier":["http://rave.ohiolink.edu/etdc/view?acc_num=ucin1353950161"],"dc:language":["English"],"dc:publisher":["University of Cincinnati / OhioLINK"],"dc:rights":["unrestricted","This thesis or dissertation is protected by copyright: all rights reserved. It may not be copied or redistributed beyond the terms of applicable copyright laws."],"dc:subject":["Surgery","complex chronic conditions","pediatric","emergency department","Nationwide Emergency Department Sample"],"dc:title":["Evaluation of Differences Between Pediatric and General Emergency Departments in Rate of Admission and Resource Utilization for Visits by Children and Young Adults with Complex Chronic Conditions"],"dc:type":["Electronic Thesis or Dissertation"],"thesis:degree_discipline":["Medicine: Clinical and Translational Research"],"thesis:degree_level":["masters"],"thesis:degree_name":["MS"],"thesis:institution_name":["University of Cincinnati"]},"updated_at":"2026-07-24T03:36:39Z"}