title: Hospital readmissions and repeat emergency department visits among children with medical complexity: an integrative review.
abstract: Children with medical complexity (CMC) have chronic conditions, intense healthcare needs, and high healthcare utilization. Proposed changes in the healthcare environment initiated by the Affordable Care Act have led to efforts toward preventing hospital readmissions. The purpose of this integrative review is to explore the current empirical literature and examine how hospital readmissions and repeat emergency department visits have been studied among CMC. A computer database search and ancestry search were conducted, resulting in a sample of 26 studies. The results of the integrative review are presented along with gaps in the literature and implications for nursing practice and research.
authors.affiliation: Medical University of South Carolina, Charleston, SC, USA. hudsonsm@musc.edu
authors.forename: Shannon M
authors.initials: SM
authors.lastname: Hudson
mesh_terms: D002318:Cardiovascular Diseases / Q000175:diagnosis / Q000453:epidemiology / Q000628:therapy; D016022:Case-Control Studies; D002648:Child; D002675:Child, Preschool; D002908:Chronic Disease / Q000191:economics / Q000453:epidemiology / Q000628:therapy*; D000013:Congenital Abnormalities / Q000175:diagnosis / Q000453:epidemiology / Q000628:therapy; D016208:Databases, Factual; D019988:Children with Disabilities; D004636:Emergency Service, Hospital / Q000706:statistics & numerical data*; D005260:Female; D017048:Health Care Costs; D006801:Humans; D015994:Incidence; D007223:Infant; D008134:Long-Term Care / Q000191:economics / Q000706:statistics & numerical data; D008171:Lung Diseases / Q000175:diagnosis / Q000453:epidemiology / Q000628:therapy; D008297:Male; D009468:Neuromuscular Diseases / Q000175:diagnosis / Q000453:epidemiology / Q000628:therapy; D017063:Outcome Assessment, Health Care; D058991:Patient Protection and Affordable Care Act; D010359:Patient Readmission / Q000706:statistics & numerical data*; D018570:Risk Assessment; D014481:United States; D035862:Vulnerable Populations