OBJECTIVE: @entity341 ( @entity341 ) visits and hospital readmissions are common following @entity5274 ( @entity5274 ) placement in @entity1 . We sought to characterize inter-hospital variation in revisit rates and explore the association between this outcome and hospital-specific @entity5274 case volume. STUDY DESIGN: We conducted a retrospective cohort study from 38 hospitals using the Pediatric Health Information System (PHIS) database. @entity1 <18 years who had a @entity5274 placed in 2010-2012 were assessed for a @entity5274 -related (mechanical or infectious) @entity341 visit or inpatient readmission at 30 and 90 days following discharge from @entity5274 placement. Risk-adjusted rates were calculated using generalized linear mixed effects models accounting for hospital clustering and relevant demographic and clinical attributes, then compared across hospitals. RESULTS: 15,642 @entity1 were included. A median of 468 @entity5274 were placed /hospital/3 years;(range 83-891), with a median of 11.4 @entity5274 placed per 1,000 discharges (range 2.4-16.7). Median @entity341 visit for each hospital at 30-days post-discharge was 8.2% (range: 3.7-17.2%) and 14.8% at 90 days (range: 6.3-26.1%). Median inpatient readmissions for each hospital at 30-days post discharge was 3.5%, (range: 0.5-10.5%) and 5.9% at 90-days (range: 1.0-18.5%). Hospital specific @entity5274 placement per 1,000 discharges (rate of @entity5274 placement) was inversely correlated with @entity341 visit rates at 30 days (p=0.007) and 90 days (p=0.020). The adjusted 30- and 90-day readmission rate and the adjusted 30 and 90 day @entity341 return rates decreased with increasing @entity5274 insertion rate (p<0.001). CONCLUSION: Higher hospital @entity5274 insertion rates are associated with lower @entity341 revisit rates but not inpatient readmissions.

Case Volume and Revisits in XXXX Undergoing Gastrostomy Tube Placement.

@entity1 :: ('9606', 'Species') :: ['children', 'Patients', 'patients'] @entity5274 :: ('MESH:D005184', 'Disease') :: ['gastrostomy tube', 'GT'] @entity341 :: ('MESH:D004630', 'Disease') :: ['ED', 'Emergency department']
@entity1 :: (9606,Species) :: ['Children']
