Assessing outpatient follow-up care compliance, complications, and sequelae in children hospitalized for isolated traumatic abdominal injuries

Blessing Ogbemudia, Jodi Raymond, La Ranna S. Hatcher, Ashley N. Vetor, Thomas Rouse, Aaron Carroll, Teresa M. Bell

Research output: Contribution to journalArticle

Abstract

Background: Currently there is limited knowledge on compliance with follow-up care in pediatric patients after abdominal trauma. The Indiana Network for Patient Care (INPC) is a large regional health information exchange with both structured clinical data (e.g., diagnosis codes) and unstructured data (e.g., provider notes). The objective of this study is to determine if regional health information exchanges can be used to evaluate whether patients receive all follow-up care recommended by providers. Methods: We identified 61 patients treated at a Pediatric Level I Trauma Center who were admitted for isolated abdominal injuries. We analyzed medical records for two years following initial hospital discharge for injury using the INPC. The encounters were classified by the type of encounter: outpatient, emergency department, unplanned readmission, surgery, imaging studies, and inpatient admission; then further categorized into injury- and non-injury-related care, based on provider notes. We determined compliance with follow-up care instructions given at discharge and subsequent outpatient visits, as well as the prevalence of complications and sequelae. Results: After reviewing patient records, we found that 78.7% of patients received all recommended follow-up care, 6.6% received partial follow-up care, and 11.5% did not receive follow-up care. We found that 4.9% of patients developed complications after abdominal trauma and 9.8% developed sequelae in the two years following their initial hospitalization. Conclusions: Our findings suggest that health information exchanges such as the INPC are useful in evaluation of follow-up care compliance and prevalence of complications/sequelae after abdominal trauma in pediatric patients. Level of evidence: Level IV.

Original languageEnglish (US)
JournalJournal of Pediatric Surgery
DOIs
StateAccepted/In press - Jan 1 2018

Fingerprint

Abdominal Injuries
Aftercare
Hospitalized Child
Outpatients
Wounds and Injuries
Patient Care
Pediatrics
Trauma Centers
Medical Records
Hospital Emergency Service
Inpatients
Hospitalization

Keywords

  • Abdominal trauma
  • Follow-up care compliance
  • Outpatient complications
  • Pediatric healthcare utilization
  • Secondary health conditions

ASJC Scopus subject areas

  • Surgery
  • Pediatrics, Perinatology, and Child Health

Cite this

Assessing outpatient follow-up care compliance, complications, and sequelae in children hospitalized for isolated traumatic abdominal injuries. / Ogbemudia, Blessing; Raymond, Jodi; Hatcher, La Ranna S.; Vetor, Ashley N.; Rouse, Thomas; Carroll, Aaron; Bell, Teresa M.

In: Journal of Pediatric Surgery, 01.01.2018.

Research output: Contribution to journalArticle

Ogbemudia, Blessing ; Raymond, Jodi ; Hatcher, La Ranna S. ; Vetor, Ashley N. ; Rouse, Thomas ; Carroll, Aaron ; Bell, Teresa M. / Assessing outpatient follow-up care compliance, complications, and sequelae in children hospitalized for isolated traumatic abdominal injuries. In: Journal of Pediatric Surgery. 2018.
@article{fff121546efd4b8f8daaf428e453c69e,
title = "Assessing outpatient follow-up care compliance, complications, and sequelae in children hospitalized for isolated traumatic abdominal injuries",
abstract = "Background: Currently there is limited knowledge on compliance with follow-up care in pediatric patients after abdominal trauma. The Indiana Network for Patient Care (INPC) is a large regional health information exchange with both structured clinical data (e.g., diagnosis codes) and unstructured data (e.g., provider notes). The objective of this study is to determine if regional health information exchanges can be used to evaluate whether patients receive all follow-up care recommended by providers. Methods: We identified 61 patients treated at a Pediatric Level I Trauma Center who were admitted for isolated abdominal injuries. We analyzed medical records for two years following initial hospital discharge for injury using the INPC. The encounters were classified by the type of encounter: outpatient, emergency department, unplanned readmission, surgery, imaging studies, and inpatient admission; then further categorized into injury- and non-injury-related care, based on provider notes. We determined compliance with follow-up care instructions given at discharge and subsequent outpatient visits, as well as the prevalence of complications and sequelae. Results: After reviewing patient records, we found that 78.7{\%} of patients received all recommended follow-up care, 6.6{\%} received partial follow-up care, and 11.5{\%} did not receive follow-up care. We found that 4.9{\%} of patients developed complications after abdominal trauma and 9.8{\%} developed sequelae in the two years following their initial hospitalization. Conclusions: Our findings suggest that health information exchanges such as the INPC are useful in evaluation of follow-up care compliance and prevalence of complications/sequelae after abdominal trauma in pediatric patients. Level of evidence: Level IV.",
keywords = "Abdominal trauma, Follow-up care compliance, Outpatient complications, Pediatric healthcare utilization, Secondary health conditions",
author = "Blessing Ogbemudia and Jodi Raymond and Hatcher, {La Ranna S.} and Vetor, {Ashley N.} and Thomas Rouse and Aaron Carroll and Bell, {Teresa M.}",
year = "2018",
month = "1",
day = "1",
doi = "10.1016/j.jpedsurg.2018.09.001",
language = "English (US)",
journal = "Journal of Pediatric Surgery",
issn = "0022-3468",
publisher = "W.B. Saunders Ltd",

}

TY - JOUR

T1 - Assessing outpatient follow-up care compliance, complications, and sequelae in children hospitalized for isolated traumatic abdominal injuries

AU - Ogbemudia, Blessing

AU - Raymond, Jodi

AU - Hatcher, La Ranna S.

AU - Vetor, Ashley N.

AU - Rouse, Thomas

AU - Carroll, Aaron

AU - Bell, Teresa M.

PY - 2018/1/1

Y1 - 2018/1/1

N2 - Background: Currently there is limited knowledge on compliance with follow-up care in pediatric patients after abdominal trauma. The Indiana Network for Patient Care (INPC) is a large regional health information exchange with both structured clinical data (e.g., diagnosis codes) and unstructured data (e.g., provider notes). The objective of this study is to determine if regional health information exchanges can be used to evaluate whether patients receive all follow-up care recommended by providers. Methods: We identified 61 patients treated at a Pediatric Level I Trauma Center who were admitted for isolated abdominal injuries. We analyzed medical records for two years following initial hospital discharge for injury using the INPC. The encounters were classified by the type of encounter: outpatient, emergency department, unplanned readmission, surgery, imaging studies, and inpatient admission; then further categorized into injury- and non-injury-related care, based on provider notes. We determined compliance with follow-up care instructions given at discharge and subsequent outpatient visits, as well as the prevalence of complications and sequelae. Results: After reviewing patient records, we found that 78.7% of patients received all recommended follow-up care, 6.6% received partial follow-up care, and 11.5% did not receive follow-up care. We found that 4.9% of patients developed complications after abdominal trauma and 9.8% developed sequelae in the two years following their initial hospitalization. Conclusions: Our findings suggest that health information exchanges such as the INPC are useful in evaluation of follow-up care compliance and prevalence of complications/sequelae after abdominal trauma in pediatric patients. Level of evidence: Level IV.

AB - Background: Currently there is limited knowledge on compliance with follow-up care in pediatric patients after abdominal trauma. The Indiana Network for Patient Care (INPC) is a large regional health information exchange with both structured clinical data (e.g., diagnosis codes) and unstructured data (e.g., provider notes). The objective of this study is to determine if regional health information exchanges can be used to evaluate whether patients receive all follow-up care recommended by providers. Methods: We identified 61 patients treated at a Pediatric Level I Trauma Center who were admitted for isolated abdominal injuries. We analyzed medical records for two years following initial hospital discharge for injury using the INPC. The encounters were classified by the type of encounter: outpatient, emergency department, unplanned readmission, surgery, imaging studies, and inpatient admission; then further categorized into injury- and non-injury-related care, based on provider notes. We determined compliance with follow-up care instructions given at discharge and subsequent outpatient visits, as well as the prevalence of complications and sequelae. Results: After reviewing patient records, we found that 78.7% of patients received all recommended follow-up care, 6.6% received partial follow-up care, and 11.5% did not receive follow-up care. We found that 4.9% of patients developed complications after abdominal trauma and 9.8% developed sequelae in the two years following their initial hospitalization. Conclusions: Our findings suggest that health information exchanges such as the INPC are useful in evaluation of follow-up care compliance and prevalence of complications/sequelae after abdominal trauma in pediatric patients. Level of evidence: Level IV.

KW - Abdominal trauma

KW - Follow-up care compliance

KW - Outpatient complications

KW - Pediatric healthcare utilization

KW - Secondary health conditions

UR - http://www.scopus.com/inward/record.url?scp=85054486474&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85054486474&partnerID=8YFLogxK

U2 - 10.1016/j.jpedsurg.2018.09.001

DO - 10.1016/j.jpedsurg.2018.09.001

M3 - Article

JO - Journal of Pediatric Surgery

JF - Journal of Pediatric Surgery

SN - 0022-3468

ER -