TABLE 2.
Admission Rate Variation Across US Children’s Hospitals for Select APR-DRG Diagnostic Groups Among Pediatric Patients Treated in the ED From 2009 Through 2012 (n = 1 288 706)a
APR-DRG Category | No. Cases | Hospital-Level Admission Rate | Adjusted Hospital-Level Admission Rateb | ||||
---|---|---|---|---|---|---|---|
Median (IQR) | Range | Coefficient of Variationc | Median (IQR) | Range | Coefficient of Variationc | ||
Asthma | 410 530 | 24 (15–26) | 13–50 | 0.40 | 24 (19–29) | 13–52 | 0.32 |
Cellulitis and other bacterial skin infections | 225 304 | 19 (14–22) | 10–41 | 0.38 | 18 (14–22) | 5–37 | 0.38 |
Bronchiolitis and RSV pneumonia | 212 574 | 30 (26–37) | 17–77 | 0.36 | 32 (27–39) | 19–65 | 0.31 |
Pneumonia NEC | 152 417 | 29 (25–37) | 15–74 | 0.40 | 31 (24–35) | 19–69 | 0.31 |
Kidney and urinary tract infections | 120 997 | 18 (12–21) | 5–48 | 0.54 | 16 (13–20) | 6–37 | 0.39 |
Seizure | 97 829 | 17 (12–23) | 7–38 | 0.41 | 16 (12–23) | 7–37 | 0.39 |
Concussiond | 69 055 | 17 (12–29) | 4–73 | 0.68 | 19 (13–28) | 5–72 | 0.64 |
IQR, interquartile range.
Patients aged 0–18 y, inclusive, without a complex chronic condition diagnosis.
Adjusted for patient severity.
Coefficient of variation (SD/mean) represents a standardized metric to compare the variability between measurements with different means, with higher values indicating greater variation.
Concussion, closed skull fracture, uncomplicated intracranial injury, coma <1 h, or no coma.