Predictive model of hospitalization for children and adolescents with chronic disease

Rev Bras Enferm. 2020 Feb 17;73(2):e20180467. doi: 10.1590/0034-7167-2018-0467. eCollection 2020.
[Article in English, Portuguese]

Abstract

Objectives: Describe a predictive model of hospitalization frequency for children and adolescents with chronic disease.

Methods: A decision tree-based model was built using a database of 141 children and adolescents with chronic disease admitted to a federal public hospital; 18 variables were included and the frequency of hospitalization was defined as the outcome.

Results: The decision tree obtained in this study could properly classify 80.85% of the participants. Model reading provided an understanding that situations of greater vulnerability such as unemployment, low income, and limited or lack of family involvement in care were predictors of a higher frequency of hospitalization.

Conclusions: The model suggests that nursing professionals should adopt prevention actions for modifiable factors and authorities should make investments in health promotion for non-modifiable factors. It also enhances the debate about differentiated care to these patients.

Publication types

  • Observational Study

MeSH terms

  • Adolescent
  • Adolescent, Hospitalized / statistics & numerical data*
  • Child
  • Child, Hospitalized / statistics & numerical data*
  • Child, Preschool
  • Chronic Disease / epidemiology
  • Cross-Sectional Studies
  • Female
  • Hospitalization / statistics & numerical data*
  • Humans
  • Male