{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,1]],"date-time":"2026-11-01T00:29:53Z","timestamp":1793492993985,"version":"4.5.0"},"reference-count":60,"publisher":"American Academy of Pediatrics (AAP)","issue":"5","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,11,1]]},"abstract":"<jats:sec>\n                    <jats:title\/>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>OBJECTIVE<\/jats:title>\n                    <jats:p>To determine if early primary care follow-up after pediatric intensive care unit (PICU) hospitalization is associated with reduced acute care use.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>METHODS<\/jats:title>\n                    <jats:p>Using claims data from publicly and privately insured children, we identified a cohort of PICU hospitalizations from January 2016 to December 2019. We matched children with and without early primary care follow-up (within 7\u00a0days of hospital discharge) 1 to 1 on demographic and clinical characteristics. We compared the number of days of acute care use (emergency department or rehospitalization) during days 8 to 90 postdischarge using negative binomial regression and reported incidence rate ratios (IRR).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>RESULTS<\/jats:title>\n                    <jats:p>The sample included 180\u2009516 PICU hospitalizations, including 158\u2009544 for publicly insured children and 21\u2009972 for privately insured children. Among PICU hospitalizations for publicly and privately insured children, 56\u2009247 (35.4%) and 5156 (23.5%) were associated with acute care use with 8 to 90\u00a0days postdischarge. Hospitalizations of children with early primary care follow-up were less likely to be associated with acute care use than those without follow-up (public insurance: IRR, 0.93; 95% CI, 0.90\u20130.96; P\u2009&amp;lt;\u2009.001; and private insurance: IRR, 0.70; 95% CI, 0.63\u20130.77; P\u2009&amp;lt;\u2009.001). Subgroup analyses suggested early primary care follow-up was associated with larger decreases in acute care after hospitalizations of older children and children with sepsis. The association between early primary care follow-up and acute care use persisted in a secondary analysis using data from 2022 to 2023.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>CONCLUSIONS<\/jats:title>\n                    <jats:p>Early primary care follow-up was associated with lower acute care use after discharge from PICU hospitalization. Promotion of early primary care follow-up may be warranted after pediatric critical illness.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1542\/peds.2026-075962","type":"journal-article","created":{"date-parts":[[2026,10,14]],"date-time":"2026-10-14T00:02:23Z","timestamp":1791936143000},"source":"Crossref","is-referenced-by-count":0,"title":["Association of Early Primary Care Follow-Up With Acute Care Use After ICU Discharge"],"prefix":"10.1542","volume":"158","author":[{"given":"Erin F.","family":"Carlton","sequence":"first","affiliation":[{"name":"1Department of Pediatrics, Division of Critical Care Medicine, University of Michigan, Ann Arbor, Michigan"},{"name":"2Susan B. Meister Child Health Evaluation and Research Center, Department of Pediatrics, University of Michigan, Ann Arbor, Michigan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Moshiur","family":"Rahman","sequence":"additional","affiliation":[{"name":"2Susan B. Meister Child Health Evaluation and Research Center, Department of Pediatrics, University of Michigan, Ann Arbor, Michigan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrew J.","family":"Admon","sequence":"additional","affiliation":[{"name":"3Department of Internal Medicine, Division of Pulmonary and Critical Care Medicine, University of Michigan, Ann Arbor, Michigan"},{"name":"4Veterans Affairs Center for Clinical Management Research, Health Systems Research Center of Innovation, Ann Arbor, Michigan"},{"name":"5Department of Epidemiology, School of Public Health, University of Michigan, Ann Arbor, Michigan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"John P.","family":"Donnelly","sequence":"additional","affiliation":[{"name":"4Veterans Affairs Center for Clinical Management Research, Health Systems Research Center of Innovation, Ann Arbor, Michigan"},{"name":"6Department of Learning Health Sciences, University of Michigan, Ann Arbor, Michigan"},{"name":"7Department of Internal Medicine, Division of General Medicine, University of Michigan, Ann Arbor, Michigan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Renuka","family":"Tipirneni","sequence":"additional","affiliation":[{"name":"7Department of Internal Medicine, Division of General Medicine, University of Michigan, Ann Arbor, Michigan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"R. Scott","family":"Watson","sequence":"additional","affiliation":[{"name":"8Department of Pediatrics, Division of Pediatric Critical Care Medicine, University of Washington, Seattle, Washington"},{"name":"9Center for Child Health, Behavior, and Development, Seattle Children\u2019s Research Institute, Seattle, Washington"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Scott L.","family":"Weiss","sequence":"additional","affiliation":[{"name":"10Divison of Critical Care, Department of Pediatrics, Nemours Children\u2019s Hospital, Wilmington, Delaware"},{"name":"11Departments of Pediatrics and Pathology and Genomics, Sidney Kimmel Medical College, Thomas Jefferson University, Philadelphia, Pennsylvania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kao-Ping","family":"Chua","sequence":"additional","affiliation":[{"name":"2Susan B. Meister Child Health Evaluation and Research Center, Department of Pediatrics, University of Michigan, Ann Arbor, Michigan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Acham","family":"Gebremariam","sequence":"additional","affiliation":[{"name":"2Susan B. Meister Child Health Evaluation and Research Center, Department of Pediatrics, University of Michigan, Ann Arbor, Michigan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hallie C.","family":"Prescott","sequence":"additional","affiliation":[{"name":"4Veterans Affairs Center for Clinical Management Research, Health Systems Research Center of Innovation, Ann Arbor, Michigan"},{"name":"7Department of Internal Medicine, Division of General Medicine, University of Michigan, Ann Arbor, Michigan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"417","published-online":{"date-parts":[[2026,10,14]]},"reference":[{"issue":"5","key":"2026103120000001100_r1","doi-asserted-by":"crossref","first-page":"506","DOI":"10.1001\/jamapediatrics.2023.0184","article-title":"Epidemiology of intensive care admissions for children in the US from 2001 to 2019","volume":"177","author":"Killien","year":"2023","journal-title":"JAMA 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