{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,5]],"date-time":"2026-06-05T08:18:36Z","timestamp":1780647516910,"version":"3.54.1"},"reference-count":20,"publisher":"Cambridge University Press (CUP)","issue":"10","license":[{"start":{"date-parts":[[2022,11,28]],"date-time":"2022-11-28T00:00:00Z","timestamp":1669593600000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":["cambridge.org"],"crossmark-restriction":true},"short-container-title":["Cardiol Young"],"published-print":{"date-parts":[[2023,10]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec id=\"S1047951122003596_as1\"><jats:title>Objective:<\/jats:title><jats:p>Children with heart disease may require inpatient care for many reasons, but ultimately have a final reason for hospitalisation prior to discharge. Factors influencing length of stay in paediatric cardiac acute care units have been described but the last reason for hospitalisation has not been studied. Our aim was to describe Final Hospital Need as a novel measure, determine Final Hospital Need in our patients, and describe factors associated with this Need.<\/jats:p><\/jats:sec><jats:sec id=\"S1047951122003596_as2\"><jats:title>Methods:<\/jats:title><jats:p>Single-centre survey design. Discharging providers selected a Final Hospital Need from the following categories: cardiovascular, respiratory, feeding\/fluid, haematology\/ID, pain\/sedation, systems issues, and other\/wound issues. Univariable and multivariable analyses were performed separately for outcomes \u201ccardiovascular\u201d and \u201cfeeding\/fluid.\u201d<\/jats:p><\/jats:sec><jats:sec id=\"S1047951122003596_as3\"><jats:title>Measurements and Results:<\/jats:title><jats:p>Survey response rate was 99% (624 encounters). The most frequent Final Hospital Needs were cardiovascular (36%), feeding\/fluid (24%) and systems issues (13%). Probability of Final Hospital Need \u201ccardiovascular\u201d decreased as length of stay increased. Multivariate analysis showed Final Hospital Need \u201ccardiovascular\u201d was negatively associated with aortic arch repair, Norwood procedure, and Final ICU Need \u201crespiratory\u201d and \u201cother.\u201d Final Hospital Need \"feeding\/fluid\u201d was negatively associated with left-sided valve procedure, but positively associated with final ICU need \u201crespiratory,\u201d and tube feeding at discharge.<\/jats:p><\/jats:sec><jats:sec id=\"S1047951122003596_as4\"><jats:title>Conclusions:<\/jats:title><jats:p>Final Hospital Need is a novel measure that can be predicted by clinical factors including age, Final ICU Need, and type of surgery. Final Hospital Need may be utilised to track changes in clinical care over time and as a target for improvement work.<\/jats:p><\/jats:sec>","DOI":"10.1017\/s1047951122003596","type":"journal-article","created":{"date-parts":[[2022,11,28]],"date-time":"2022-11-28T09:28:57Z","timestamp":1669627737000},"page":"1967-1974","update-policy":"https:\/\/doi.org\/10.1017\/policypage","source":"Crossref","is-referenced-by-count":2,"title":["The final hospital need in children discharged from a cardiology acute care unit: a single-centre survey study"],"prefix":"10.1017","volume":"33","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3990-5734","authenticated-orcid":false,"given":"Adam L.","family":"Ware","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3494-925X","authenticated-orcid":false,"given":"Lauren","family":"Reiter","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4356-2957","authenticated-orcid":false,"given":"Melissa","family":"Winder","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dallin","family":"Kelly","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jennifer","family":"Marietta","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sonja","family":"Ohsiek","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zhining","family":"Ou","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Angela","family":"Presson","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David K.","family":"Bailly","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"56","published-online":{"date-parts":[[2022,11,28]]},"reference":[{"key":"S1047951122003596_ref1","doi-asserted-by":"crossref","first-page":"949","DOI":"10.1097\/PCC.0000000000001668","article-title":"Accurate prediction of congenital heart surgical length of stay incorporating a procedure-based categorical variable","volume":"19","author":"Alexander","year":"2018","journal-title":"Pediatr Crit Care Med."},{"key":"S1047951122003596_ref2","doi-asserted-by":"publisher","DOI":"10.1016\/j.athoracsur.2020.01.033"},{"key":"S1047951122003596_ref6","doi-asserted-by":"publisher","DOI":"10.1017\/S1047951114001450"},{"key":"S1047951122003596_ref5","doi-asserted-by":"publisher","DOI":"10.1056\/CAT.21.0032"},{"key":"S1047951122003596_ref7","doi-asserted-by":"publisher","DOI":"10.1016\/j.athoracsur.2020.10.004"},{"key":"S1047951122003596_ref9","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2020-004663"},{"key":"S1047951122003596_ref15","doi-asserted-by":"crossref","first-page":"615","DOI":"10.1016\/j.athoracsur.2017.06.027","article-title":"Duration of postoperative mechanical ventilation as a quality metric for pediatric cardiac surgery","volume":"105","author":"Gaies","year":"2018","journal-title":"Ann Thorac Surg."},{"key":"S1047951122003596_ref10","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2004-2071"},{"key":"S1047951122003596_ref18","doi-asserted-by":"crossref","first-page":"23","DOI":"10.1177\/1062860619846559","article-title":"Hospitalized after medical readiness for discharge: a multidisciplinary quality improvement initiative to identify discharge barriers in general medicine patients","volume":"35","author":"Meo","year":"2020","journal-title":"Am J Med Qual."},{"key":"S1047951122003596_ref13","doi-asserted-by":"publisher","DOI":"10.1111\/j.1747-0803.2007.00121.x"},{"key":"S1047951122003596_ref19","doi-asserted-by":"publisher","DOI":"10.1017\/S1047951118000549"},{"key":"S1047951122003596_ref8","doi-asserted-by":"publisher","DOI":"10.1017\/S1047951108002795"},{"key":"S1047951122003596_ref16","doi-asserted-by":"publisher","DOI":"10.1016\/j.pedn.2018.07.009"},{"key":"S1047951122003596_ref12","volume-title":"An Introduction to Statistical Learning: With Applications in R","author":"James","year":"2014"},{"key":"S1047951122003596_ref4","unstructured":"4. Winder, MM , Ou, Z , Presson, AP , et\u00a0al. The final reason paediatric cardiac ICU patients require care prior to discharge to the floor: a single-centre survey. Cardiol Young.."},{"key":"S1047951122003596_ref20","doi-asserted-by":"publisher","DOI":"10.1017\/S1047951111000850"},{"key":"S1047951122003596_ref14","doi-asserted-by":"publisher","DOI":"10.1017\/S1047951116002845"},{"key":"S1047951122003596_ref17","doi-asserted-by":"publisher","DOI":"10.1016\/j.pedn.2018.01.004"},{"key":"S1047951122003596_ref11","doi-asserted-by":"publisher","DOI":"10.1258\/hsmr.2009.009026"},{"key":"S1047951122003596_ref3","unstructured":"3. Optimizing Patient Flow: Moving Patients Smoothly Through Acute Care Settings. IHI Innovation Series white paper, 2003. Boston: Institute for Healthcare Improvement. Available at: www.IHI.org."}],"container-title":["Cardiology in the Young"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S1047951122003596","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,11]],"date-time":"2023-10-11T10:16:57Z","timestamp":1697019417000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S1047951122003596\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,11,28]]},"references-count":20,"journal-issue":{"issue":"10","published-print":{"date-parts":[[2023,10]]}},"alternative-id":["S1047951122003596"],"URL":"https:\/\/doi.org\/10.1017\/s1047951122003596","relation":{},"ISSN":["1047-9511","1467-1107"],"issn-type":[{"value":"1047-9511","type":"print"},{"value":"1467-1107","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,11,28]]},"assertion":[{"value":"\u00a9 The Author(s), 2022. 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