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Functional Status and Hospital Readmission After Pediatric Critical Disease: A Year Follow-Up.

OBJECTIVES
To evaluate the association between pediatric functional status at hospital discharge after PICU admission and hospital readmission within 1 year.


DESIGN
Prospective longitudinal study.


SETTING
Two PICUs in tertiary hospitals in South Brazil.


PATIENTS
Children and adolescents admitted to the PICU.


INTERVENTIONS
None.


MEASUREMENTS AND MAIN RESULTS
We evaluated the following: clinical and sociodemographic characteristics, functional status using the Functional Status Scale-Brazil (FSS-Brazil) at baseline and at hospital discharge, and hospital readmission within 1 year. Hospital readmission risk was associated with possible related factors using Cox regression to estimate the hazard ratio (HR). A total of 196 patients completed the follow-up. At hospital discharge, 39.3% of children had some degree of decline in FSS-Brazil, and 38.3% had at least one nonelective hospital readmission within 1 year. FSS-Brazil rating at hospital discharge was associated with the risk of hospital readmission within 1 year (HR, 1.698; 95% CI, 1.016-2.838).


CONCLUSION
FSS-Brazil rating at hospital discharge, age, and length of stay were associated with greater hazard of nonelective hospital readmission within 1 year of discharge.