{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,21]],"date-time":"2025-08-21T17:51:41Z","timestamp":1755798701658,"version":"3.44.0"},"reference-count":26,"publisher":"American Academy of Pediatrics (AAP)","issue":"8","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2025,8,1]]},"abstract":"\n OBJECTIVE<\/jats:title>\n Evaluate the correlation between use of language other than English (LOE) for care and length of stay (LOS) in children admitted to the hospital.<\/jats:p>\n <\/jats:sec>\n \n METHODS<\/jats:title>\n Single-center retrospective cohort study at an urban children\u2019s hospital including medical and surgical patients aged 0 to 17\u00a0years admitted to our pediatric inpatient floor or pediatric intensive care unit between January 1, 2018 and January 1, 2020. LOE families were defined as those with documented use of language interpretation and\/or who identified as using LOE for care during registration. LOS in hours and numbers of nights was compared across LOE and English-speaking groups with a Mann-Whitney U test, and across language groups using a Kruskal-Wallis Test. LOS analyses of the surgical population were done using Mann-Whitney U test. A multivariable linear regression model was fit to predict the relationship between LOE and LOS in hours and a negative binomial model was fit to predict number of nights in the hospital, controlling for social work consults, medical consults and acuity at presentation.<\/jats:p>\n <\/jats:sec>\n \n RESULTS<\/jats:title>\n 4755 patients were included. Median LOS in the LOE group was 64\u00a0hours, 6\u00a0hours longer than the English group (P\u2009&lt;\u2009.001). The LOE group stayed in the hospital a median of one night longer (P\u2009&lt;\u2009.001) than the English group. Families who spoke a Chinese dialect had the longest LOS (median 70\u00a0hours) among language subgroups. LOS was longer for LOE patients in both medical (66\u00a0hours vs 60\u00a0hours, P\u2009&lt;\u2009.001) and surgical (48\u00a0hours vs 42\u00a0hours, P\u2009&lt;\u2009.001) subgroups. LOS was longer for patients with LOE when controlling for social and medical complexity and acuity at presentation.<\/jats:p>\n <\/jats:sec>\n \n CONCLUSIONS<\/jats:title>\n Use of LOE for care was associated with longer LOS, including a higher median number of hospital overnights. Findings were particularly pronounced in Chinese-speaking families and extended to surgical patients. An extra hospital night is a clinically significant difference that could increase the risk of hospital-acquired infections, raise costs, and decrease patient satisfaction.<\/jats:p>\n <\/jats:sec>","DOI":"10.1542\/hpeds.2024-008050","type":"journal-article","created":{"date-parts":[[2025,7,6]],"date-time":"2025-07-06T20:02:50Z","timestamp":1751832170000},"page":"645-651","source":"Crossref","is-referenced-by-count":0,"title":["Inequities in Length of Stay for Pediatric Patient Families Using Languages Other Than English for Care"],"prefix":"10.1542","volume":"15","author":[{"given":"Paula E.","family":"Lopez-Perez","sequence":"first","affiliation":[{"name":"1Onsite Neonatal Partners, Voorhees, New Jersey"},{"name":"2Pediatric Care Center, Shore Medical Center, Somers Point, New Jersey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Elyse N.","family":"Portillo","sequence":"additional","affiliation":[{"name":"3Division of Pediatric Emergency Medicine, Baylor College of Medicine, Texas Children\u2019s Hospital, Houston, Texas"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michael","family":"Silver","sequence":"additional","affiliation":[{"name":"4Department of Research Administration, Maimonides Medical Center, Brooklyn, New York"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alexandra","family":"Coria","sequence":"additional","affiliation":[{"name":"5Division of Hospital Medicine, Mount Sinai Kravis Children\u2019s Hospital, New York, New York"},{"name":"6Departments of Pediatrics and Global Health, Icahn School of Medicine at Mount Sinai, New York, New York"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"417","published-online":{"date-parts":[[2025,7,7]]},"reference":[{"author":"Explore census data","key":"2025081908362440500_r1","article-title":"United States Census Bureau"},{"author":"Children of immigrants data tool","key":"2025081908362440500_r2","article-title":"Urban Institute"},{"issue":"9","key":"2025081908362440500_r3","doi-asserted-by":"crossref","first-page":"831","DOI":"10.1001\/archpediatrics.2011.61","article-title":"Effects of the limited English proficiency of parents on hospital length of stay and home health care referral for their home health care-eligible children with infections","volume":"165","author":"Levas","year":"2011","journal-title":"Arch Pediatr Adolesc Med."},{"issue":"3","key":"2025081908362440500_r4","doi-asserted-by":"crossref","first-page":"219","DOI":"10.1542\/hpeds.2012-0091","article-title":"Association between language, serious adverse events, and length of stay among hospitalized children","volume":"3","author":"Lion","year":"2013","journal-title":"Hosp Pediatr."},{"issue":"3","key":"2025081908362440500_r5","doi-asserted-by":"crossref","first-page":"244","DOI":"10.1542\/hpeds.2022-006900","article-title":"The Impact of non-English language preference on pediatric hospital outcomes","volume":"13","author":"Pilarz","year":"2023","journal-title":"Hosp Pediatr."},{"issue":"3","key":"2025081908362440500_r6","doi-asserted-by":"crossref","first-page":"e139","DOI":"10.1542\/hpeds.2023-007241","article-title":"Impact of preferred written language in patients discharged with bronchiolitis from a children\u2019s hospital","volume":"14","author":"Jeffries","year":"2024","journal-title":"Hosp Pediatr."},{"issue":"1","key":"2025081908362440500_r7","doi-asserted-by":"crossref","first-page":"55","DOI":"10.1046\/j.1524-4733.2002.51076.x","article-title":"A method for identifying the financial burden of hospitalized infants on families","volume":"5","author":"Leader","year":"2002","journal-title":"Value Health."},{"issue":"4","key":"2025081908362440500_r8","doi-asserted-by":"crossref","first-page":"324","DOI":"10.1108\/17506121011095182","article-title":"Hospital length of stay and probability of acquiring infection","volume":"4","author":"Hassan","year":"2010","journal-title":"Int J Pharm Healthc Mark."},{"issue":"6","key":"2025081908362440500_r9","doi-asserted-by":"crossref","first-page":"373","DOI":"10.3928\/01477447-20200910-02","article-title":"The effect of length of hospital stay and patient factors on patient satisfaction in an academic hospital","volume":"43","author":"Diwan","year":"2020","journal-title":"Orthopedics."},{"issue":"1","key":"2025081908362440500_r10","doi-asserted-by":"crossref","first-page":"40","DOI":"10.1186\/1824-7288-36-40","article-title":"Children staying in hospital: a research on psychological stress of caregivers","volume":"36","author":"Commodari","year":"2010","journal-title":"Ital J Pediatr."},{"issue":"7309","key":"2025081908362440500_r11","doi-asserted-by":"crossref","first-page":"391","DOI":"10.1136\/bmj.323.7309.391","article-title":"Mann-Whitney test is not just a test of medians: differences in spread can be important","volume":"323","author":"Hart","year":"2001","journal-title":"BMJ."},{"volume-title":"Emergency Severity Index Handbook Fifth Edition 5 Version","year":"2023","key":"2025081908362440500_r12"},{"issue":"6","key":"2025081908362440500_r13","doi-asserted-by":"crossref","first-page":"e2022059386","DOI":"10.1542\/peds.2022-059386","article-title":"Undertriage for children with caregivers preferring languages other than English","volume":"151","author":"Rojas","year":"2023","journal-title":"Pediatrics."},{"issue":"Suppl 2","key":"2025081908362440500_r14","doi-asserted-by":"crossref","first-page":"312","DOI":"10.1007\/s11606-007-0360-8","article-title":"Patient satisfaction with different interpreting methods: a randomized controlled trial","volume":"22","author":"Gany","year":"2007","journal-title":"J Gen Intern Med."},{"issue":"8","key":"2025081908362440500_r15","doi-asserted-by":"crossref","first-page":"1591","DOI":"10.1007\/s11606-019-04847-5","article-title":"A systematic review of the impact of patient-physician non-English language concordance on quality of care and outcomes","volume":"34","author":"Diamond","year":"2019","journal-title":"J Gen Intern Med."},{"author":"Dietrich","key":"2025081908362440500_r16","article-title":"What languages do we speak in the United States?"},{"key":"2025081908362440500_r17","article-title":"Ability to speak English by language spoken at home: 2000"},{"issue":"2","key":"2025081908362440500_r18","doi-asserted-by":"crossref","first-page":"e20193312","DOI":"10.1542\/peds.2019-3312","article-title":"Patterns and predictors of professional interpreter use in the pediatric emergency department","volume":"147","author":"Lion","year":"2021","journal-title":"Pediatrics."},{"issue":"4","key":"2025081908362440500_r19","doi-asserted-by":"crossref","first-page":"e920","DOI":"10.1542\/peds.2006-1508","article-title":"Pediatricians\u2019 use of language services for families with limited English proficiency","volume":"119","author":"Kuo","year":"2007","journal-title":"Pediatrics."},{"issue":"8","key":"2025081908362440500_r20","doi-asserted-by":"crossref","first-page":"956","DOI":"10.1016\/j.acap.2019.07.006","article-title":"The use and impact of professional interpretation in a pediatric emergency department","volume":"19","author":"Hartford","year":"2019","journal-title":"Acad Pediatr."},{"issue":"3","key":"2025081908362440500_r21","doi-asserted-by":"crossref","first-page":"255","DOI":"10.1177\/1077558705275416","article-title":"The impact of medical interpreter services on the quality of health care: a systematic review","volume":"62","author":"Flores","year":"2005","journal-title":"Med Care Res Rev."},{"issue":"Suppl 2","key":"2025081908362440500_r22","doi-asserted-by":"crossref","first-page":"324","DOI":"10.1007\/s11606-007-0340-z","article-title":"Providing high-quality care for limited English proficient patients: the importance of language concordance and interpreter use","volume":"22","author":"Ngo-Metzger","year":"2007","journal-title":"J Gen Intern Med."},{"issue":"Suppl 2","key":"2025081908362440500_r23","doi-asserted-by":"crossref","first-page":"319","DOI":"10.1007\/s11606-007-0361-7","article-title":"The impact of medical interpretation method on time and errors","volume":"22","author":"Gany","year":"2007","journal-title":"J Gen Intern Med."},{"issue":"2","key":"2025081908362440500_r24","doi-asserted-by":"crossref","first-page":"354","DOI":"10.1542\/peds.2014-2982","article-title":"Partnering health disparities research with quality improvement science in pediatrics","volume":"135","author":"Lion","year":"2015","journal-title":"Pediatrics."},{"author":"Language identification flashcard","key":"2025081908362440500_r25","article-title":"United States Census Bureau"},{"author":"AHA disparities - how to ask the questions","key":"2025081908362440500_r26"}],"container-title":["Hospital Pediatrics"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/publications.aap.org\/hospitalpediatrics\/article-pdf\/15\/8\/645\/1835176\/hosppeds.2024008050.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/publications.aap.org\/hospitalpediatrics\/article-pdf\/15\/8\/645\/1835176\/hosppeds.2024008050.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,19]],"date-time":"2025-08-19T12:36:29Z","timestamp":1755606989000},"score":1,"resource":{"primary":{"URL":"https:\/\/publications.aap.org\/hospitalpediatrics\/article\/15\/8\/645\/202528\/Inequities-in-Length-of-Stay-for-Pediatric-Patient"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,7,7]]},"references-count":26,"journal-issue":{"issue":"8","published-online":{"date-parts":[[2025,7,7]]},"published-print":{"date-parts":[[2025,8,1]]}},"URL":"https:\/\/doi.org\/10.1542\/hpeds.2024-008050","relation":{},"ISSN":["2154-1663","2154-1671"],"issn-type":[{"type":"print","value":"2154-1663"},{"type":"electronic","value":"2154-1671"}],"subject":[],"published":{"date-parts":[[2025,7,7]]}}}