{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,17]],"date-time":"2025-10-17T00:35:07Z","timestamp":1760661307005,"version":"build-2065373602"},"reference-count":17,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2024,10,15]],"date-time":"2024-10-15T00:00:00Z","timestamp":1728950400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["shmpublications.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Hospital Medicine"],"published-print":{"date-parts":[[2025,4]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>There is a paucity of information around whether hospital length of stay and readmission rates differ based upon hospital type for adolescents and young adults (AYA) with complex chronic diseases (CCDs).<\/jats:p><\/jats:sec><jats:sec><jats:title>Objective<\/jats:title><jats:p>To measure the association between hospital type and readmission rates and index admission LOS among AYA with CCDs.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We performed a retrospective cross\u2010sectional study of 2017\u2009Healthcare Cost and Utilization Project State Inpatient Databases, including patients 12\u201325 years old with cystic fibrosis (CF), sickle cell disease (SCD), spina bifida (SB), inflammatory bowel disease (IBD), and diabetes mellitus (DM). Index hospitalizations were categorized by hospital type (pediatric hospitals [PHs], adult hospitals with pediatric services [AHPSs], and adult hospitals without pediatric services [AHs]), CCD, and age group. We compared case\u2010mix adjusted 30\u2010day readmission rates and differences in index admission LOS between hospital types.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Adult hospitals without pediatric services exhibited higher readmission rates (25.4%) than AHPS (22.9%) and PH (15.1%). Compared to patients with CF admitted to AH, lower readmission rates were associated with longer LOS at both AHPS (relative ratio [RR]: 1.25, 95% confidence interval [CI]: 1.02\u20131.55) and PH (RR: 1.59, 95% CI: 1.28\u20131.97). Patients with DM admitted to AHPS (odds ratio [OR]: 0.75, 95% CI: 0.62\u20130.91) and PH (OR: 0.47, 95% CI: 0.31\u20130.71) also demonstrated lower readmission rates than those admitted to AH.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>For AYA with CCD, hospital type is associated with differences in readmission rates and LOS. Lower readmission rates at hospitals with pediatric services compared to adult hospitals without pediatric services suggest hospital type has a significant impact on outcomes.<\/jats:p><\/jats:sec>","DOI":"10.1002\/jhm.13524","type":"journal-article","created":{"date-parts":[[2024,10,15]],"date-time":"2024-10-15T08:03:08Z","timestamp":1728979388000},"page":"335-343","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Association between hospital type and length of stay and readmissions for young adults with complex chronic diseases"],"prefix":"10.1002","volume":"20","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0604-2637","authenticated-orcid":false,"given":"Jeffrey","family":"Lutmer","sequence":"first","affiliation":[{"name":"Division of Critical Care Medicine Center for Clinical Excellence, Nationwide Children's Hospital Columbus Ohio USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Emily","family":"Bucholz","sequence":"additional","affiliation":[{"name":"Department of Pediatrics Section of Cardiology University of Colorado Anschutz and Children's Hospital Colorado Aurora Colorado USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7970-5999","authenticated-orcid":false,"given":"Katherine A.","family":"Auger","sequence":"additional","affiliation":[{"name":"Division of Hospital Medicine Cincinnati Children's Hospital Medical Center Cincinnati Ohio USA"},{"name":"Department of Pediatrics University of Cincinnati College of Medicine Cincinnati Ohio USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7778-5887","authenticated-orcid":false,"given":"Matt","family":"Hall","sequence":"additional","affiliation":[{"name":"Children's Hospital Association Lenexa Kansas USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"suffix":"II","given":"J.","family":"Mitchell Harris","sequence":"additional","affiliation":[{"name":"Children's Hospital Association Washington District of Columbia USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8115-7824","authenticated-orcid":false,"given":"Ashley","family":"Jenkins","sequence":"additional","affiliation":[{"name":"Department of Medicine University of Rochester School of Medicine and Dentistry Rochester New York USA"},{"name":"Department of Pediatrics University of Rochester School of Medicine and Dentistry Rochester New York USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rustin","family":"Morse","sequence":"additional","affiliation":[{"name":"Arkansas Children's Northwest Springdale Arkansas USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mark I.","family":"Neuman","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Division of Emergency Medicine Boston Children's Hospital, Harvard Medical School Boston Massachusetts USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alon","family":"Peltz","sequence":"additional","affiliation":[{"name":"Department of Population Medicine Harvard Medical School Boston Massachusetts USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Harold K.","family":"Simon","sequence":"additional","affiliation":[{"name":"Departments of Pediatrics and Emergency Medicine Emory University School of Medicine and Children's Healthcare of Atlanta Atlanta Georgia USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"suffix":"II","given":"Ronald J.","family":"Teufel","sequence":"additional","affiliation":[{"name":"Department of Pediatrics Medical University of South Carolina Charleston South Carolina USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2024,10,15]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2012.188351"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2017-2934"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamanetworkopen.2019.7613"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.hpopen.2020.100007"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpeds.2017.05.066"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.acap.2021.12.020"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.1001\/archpedi.160.10.1054"},{"volume-title":"Healthcare Cost and Utilization Project (HCUP)","year":"2021","author":"HCUP Databases","key":"e_1_2_7_9_1"},{"key":"e_1_2_7_10_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamapediatrics.2020.6007"},{"key":"e_1_2_7_11_1","unstructured":"Boston Children's Hospital. Center of Excellence for Pediatric Quality Measurement (CEPQM). Pediatric All\u2010Condition Readmission Measure. 2023. Accessed November 16 2023.https:\/\/www.childrenshospital.org\/research\/centers\/center-excellence-pediatric-quality-measurement-cepqm-research\/cepqm-measures\/pediatric-readmissions"},{"volume-title":"Healthcare Cost and Utilization Project (HCUP)","author":"HCUP Databases","key":"e_1_2_7_12_1"},{"key":"e_1_2_7_13_1","doi-asserted-by":"publisher","DOI":"10.1513\/AnnalsATS.201705-357OC"},{"key":"e_1_2_7_14_1","doi-asserted-by":"publisher","DOI":"10.1093\/jpepsy\/jsx088"},{"key":"e_1_2_7_15_1","doi-asserted-by":"publisher","DOI":"10.1097\/MPH.0000000000002490"},{"key":"e_1_2_7_16_1","doi-asserted-by":"publisher","DOI":"10.1017\/cts.2018.338"},{"key":"e_1_2_7_17_1","doi-asserted-by":"publisher","DOI":"10.1542\/hpeds.2019-0218"},{"key":"e_1_2_7_18_1","doi-asserted-by":"publisher","DOI":"10.1002\/jhm.12960"}],"container-title":["Journal of Hospital Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/shmpublications.onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/jhm.13524","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,16]],"date-time":"2025-10-16T18:39:04Z","timestamp":1760639944000},"score":1,"resource":{"primary":{"URL":"https:\/\/shmpublications.onlinelibrary.wiley.com\/doi\/10.1002\/jhm.13524"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,10,15]]},"references-count":17,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2025,4]]}},"alternative-id":["10.1002\/jhm.13524"],"URL":"https:\/\/doi.org\/10.1002\/jhm.13524","archive":["Portico"],"relation":{},"ISSN":["1553-5592","1553-5606"],"issn-type":[{"type":"print","value":"1553-5592"},{"type":"electronic","value":"1553-5606"}],"subject":[],"published":{"date-parts":[[2024,10,15]]},"assertion":[{"value":"2024-03-10","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-09-23","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-10-15","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}