{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,4,18]],"date-time":"2025-04-18T04:07:12Z","timestamp":1744949232338,"version":"3.40.4"},"reference-count":25,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2025,1,19]],"date-time":"2025-01-19T00:00:00Z","timestamp":1737244800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J Paediatrics Child Health"],"published-print":{"date-parts":[[2025,4]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:sec><jats:title>Aim<\/jats:title><jats:p>To identify factors and diagnoses associated with unplanned readmission of paediatric patients to a Western Sydney metropolitan hospital.<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>A retrospective cross\u2010sectional study on paediatric patients admitted to a non\u2010tertiary hospital in Western Sydney from January 2017 to December 2022. Multivariate modelling was used to determine demographic factors and diagnoses associated with unplanned readmission.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>1334 (6.3%) of 21\u2009262 admissions had an unplanned readmission within 28\u2009days of the initial admission. Being First Nations had an <jats:styled-content style=\"fixed-case\">OR<\/jats:styled-content> of 1.31 (95% <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content> 1.11\u20131.54), while each additional day of admission had an <jats:styled-content style=\"fixed-case\">OR<\/jats:styled-content> of 1.05 (95% <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content> 1.03\u20131.07). Increasing age had an <jats:styled-content style=\"fixed-case\">OR<\/jats:styled-content> of 0.95 (95% <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content> 0.93\u20130.96) per year, and those admitted during the <jats:styled-content style=\"fixed-case\">COVID<\/jats:styled-content> pandemic had an <jats:styled-content style=\"fixed-case\">OR<\/jats:styled-content> of 0.61 (95% <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content> 0.54\u20130.69). A diagnosis of diabetes was found to have an <jats:styled-content style=\"fixed-case\">OR<\/jats:styled-content> of 2.36 (95% <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content> 1.45\u20133.84) and bronchiolitis an <jats:styled-content style=\"fixed-case\">OR<\/jats:styled-content> of 1.9 (95% <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content> 1.53\u20132.36), whereas a diagnosis of injury had an <jats:styled-content style=\"fixed-case\">OR<\/jats:styled-content> of 0.76 (95% <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content> 0.58\u20130.99) and otitis media an <jats:styled-content style=\"fixed-case\">OR<\/jats:styled-content> of 0.23 (95% <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content> 0.11\u20130.49).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Being First Nations and having a longer length of stay increased the likelihood of unplanned readmission in paediatric patients, while older age and admission during the COVID pandemic decreased the likelihood. A diagnosis of diabetes or bronchiolitis, among others, increased the likelihood of unplanned readmission. Conversely, a diagnosis of injury or otitis media decreased the likelihood of unplanned readmission. This lays the groundwork for further research and targeted interventions to reduce unplanned readmissions and associated costs.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jpc.16782","type":"journal-article","created":{"date-parts":[[2025,1,20]],"date-time":"2025-01-20T05:34:53Z","timestamp":1737351293000},"page":"577-583","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Identifying High\u2010Risk Patients for Paediatric Unplanned Readmissions: Insights From a Western Sydney Hospital"],"prefix":"10.1111","volume":"61","author":[{"ORCID":"https:\/\/orcid.org\/0009-0003-4912-9016","authenticated-orcid":false,"given":"Owen","family":"Wraight","sequence":"first","affiliation":[{"name":"Department of Paediatrics Nepean Hospital, Nepean Blue Mountains Local Health District  Penrith Australia"},{"name":"Nepean Clinical School, Faculty of Medicine and Health The University of Sydney  Sydney Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Huma","family":"Sadulla","sequence":"additional","affiliation":[{"name":"Faculty of Medicine Western Sydney University  Penrith Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gary","family":"Low","sequence":"additional","affiliation":[{"name":"Nepean Clinical School, Faculty of Medicine and Health The University of Sydney  Sydney Australia"},{"name":"Research Directorate Nepean Hospital, Nepean Blue Mountains Local Health District  Penrith Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1374-2455","authenticated-orcid":false,"given":"Anthony","family":"Liu","sequence":"additional","affiliation":[{"name":"Department of Paediatrics Nepean Hospital, Nepean Blue Mountains Local Health District  Penrith Australia"},{"name":"Nepean Clinical School, Faculty of Medicine and Health The University of Sydney  Sydney Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5114-9380","authenticated-orcid":false,"given":"Habib","family":"Bhurawala","sequence":"additional","affiliation":[{"name":"Department of Paediatrics Nepean Hospital, Nepean Blue Mountains Local Health District  Penrith Australia"},{"name":"Nepean Clinical School, Faculty of Medicine and Health The University of Sydney  Sydney Australia"},{"name":"Faculty of Medicine Notre Dame University Australia  Sydney Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,1,19]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"publisher","DOI":"10.1071\/AH16287"},{"key":"e_1_2_12_3_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2017-020554"},{"key":"e_1_2_12_4_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10880-015-9430-y"},{"key":"e_1_2_12_5_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2016-011060"},{"key":"e_1_2_12_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/jpc.14492"},{"key":"e_1_2_12_7_1","doi-asserted-by":"publisher","DOI":"10.36401\/JQSH-23-17"},{"key":"e_1_2_12_8_1","doi-asserted-by":"publisher","DOI":"10.4103\/sjmms.sjmms_352_23"},{"key":"e_1_2_12_9_1","doi-asserted-by":"publisher","DOI":"10.1071\/AH18123"},{"key":"e_1_2_12_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpeds.2021.05.015"},{"issue":"2","key":"e_1_2_12_11_1","first-page":"e3132112","article-title":"Bondi and Beyond. Lessons From Three Waves of COVID\u201019 From 2020","volume":"31","author":"Capon A.","year":"2021","journal-title":"Public Health Research & Practice"},{"key":"e_1_2_12_12_1","doi-asserted-by":"publisher","DOI":"10.17061\/phrp3042030"},{"key":"e_1_2_12_13_1","doi-asserted-by":"publisher","DOI":"10.4103\/ijmr.IJMR_1731_19"},{"key":"e_1_2_12_14_1","doi-asserted-by":"publisher","DOI":"10.12788\/jhm.3521"},{"key":"e_1_2_12_15_1","doi-asserted-by":"publisher","DOI":"10.1002\/jhm.2426"},{"key":"e_1_2_12_16_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12913-023-09567-5"},{"key":"e_1_2_12_17_1","unstructured":"The Royal Children's Hospital Melbourne \u201cAcute otitis media The Royal Children's Hospital Melbourne: Paediatric Improvement Collaborative \u201d2021 https:\/\/www.rch.org.au\/clinicalguide\/guideline_index\/Acute_otitis_media\/."},{"key":"e_1_2_12_18_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2011.122"},{"key":"e_1_2_12_19_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2015-4182"},{"key":"e_1_2_12_20_1","doi-asserted-by":"publisher","DOI":"10.1111\/pedi.12968"},{"key":"e_1_2_12_21_1","doi-asserted-by":"publisher","DOI":"10.1155\/2016\/3917806"},{"key":"e_1_2_12_22_1","doi-asserted-by":"publisher","DOI":"10.1097\/PEC.0000000000001966"},{"key":"e_1_2_12_23_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamapediatrics.2023.2112"},{"key":"e_1_2_12_24_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00431-021-04015-0"},{"key":"e_1_2_12_25_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2020-044735"},{"key":"e_1_2_12_26_1","unstructured":"NSW Plan for Healthy Culturally and Linguistically Diverse Communities \u201cIn: Health N \u201d2019\u20102023."}],"container-title":["Journal of Paediatrics and Child Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jpc.16782","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,4,17]],"date-time":"2025-04-17T04:15:38Z","timestamp":1744863338000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/jpc.16782"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,1,19]]},"references-count":25,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2025,4]]}},"alternative-id":["10.1111\/jpc.16782"],"URL":"https:\/\/doi.org\/10.1111\/jpc.16782","archive":["Portico"],"relation":{},"ISSN":["1034-4810","1440-1754"],"issn-type":[{"type":"print","value":"1034-4810"},{"type":"electronic","value":"1440-1754"}],"subject":[],"published":{"date-parts":[[2025,1,19]]},"assertion":[{"value":"2024-09-25","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-01-07","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-01-19","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}