{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,11]],"date-time":"2026-09-11T18:10:38Z","timestamp":1789150238520,"version":"build-2803163510"},"reference-count":16,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,9,11]],"date-time":"2026-09-11T00:00:00Z","timestamp":1789084800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,9,11]],"date-time":"2026-09-11T00:00:00Z","timestamp":1789084800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["shmpublications.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Hospital Medicine"],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Data in the last decade demonstrate an increase in pediatric hospitalizations for primary rhabdomyolysis. In 2020, the American Academy of Pediatrics released a general review article for the treatment of rhabdomyolysis, but it lacks standardization of care.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>Our study aimed to describe the hospital\u2010level variation in treatment of primary rhabdomyolysis and to determine how resource utilization relates to clinical outcomes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This was a retrospective cross\u2010sectional study from the Pediatric Health Information System database of patients aged 0\u201318 years with the primary discharge diagnosis of rhabdomyolysis admitted between January 2020 and December 2023.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>A total of 3779 cases across 36 children's hospitals met inclusion criteria. Fluids were received by a median of 86.4% across hospitals. A variety of intravenous (IV) fluids were used, with the most common being sodium chloride by a median of (67.1%), followed by dextrose and sodium chloride (45.1%), dextrose and sodium chloride with potassium chloride (14.2%), and dextrose in water (10.4%). Acetaminophen was the most used analgesic (47.8%), followed by nonsteroidal anti\u2010inflammatory drugs (26.9%), and opioids (11.3%). Use of imaging studies was observed in all 36 hospitals and occurred in 31.1%; (interquartile range [IQR]: 26%\u201335.7%). When adjusted, there was no statistical difference in length of stay (LOS) (55.7\u2009h), or emergency department return rate (1.5%) between the high, medium, and lower utilizer groups. There was a statistically significant decrease in the 7\u2010day readmission rate in the medium compared with the high utilizer group (odds ratio [OR]: 0.57, 95% confidence interval [CI]: 0.33\u20130.96).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>There was wide variation across hospitals in all aspects of treatment for children hospitalized with rhabdomyolysis.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/jhm.70467","type":"journal-article","created":{"date-parts":[[2026,9,11]],"date-time":"2026-09-11T17:46:57Z","timestamp":1789148817000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Variation in treatment and clinical outcome of rhabdomyolysis in children's hospitals"],"prefix":"10.1002","author":[{"ORCID":"https:\/\/orcid.org\/0009-0000-9623-0369","authenticated-orcid":false,"given":"Darya","family":"Falamarzi","sequence":"first","affiliation":[{"name":"Helen De Vos Children's Hospital Grand Rapids Michigan USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"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":[{"vocabulary":"crossref","role":"author"}]},{"given":"Grace","family":"Tsaloff","sequence":"additional","affiliation":[{"name":"Helen De Vos Children's Hospital Grand Rapids Michigan USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Katie","family":"Peterson","sequence":"additional","affiliation":[{"name":"Helen De Vos Children's Hospital Grand Rapids Michigan 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