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. 2019 Aug;54(8):1617-1620.
doi: 10.1016/j.jpedsurg.2018.09.001. Epub 2018 Sep 21.

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

Blessing Ogbemudia  1 , Jodi Raymond  2 , LaRanna S Hatcher  1 , Ashley N Vetor  1 , Thomas Rouse  3 , Aaron E Carroll  3 , Teresa M Bell  4
Affiliations

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

Blessing Ogbemudia et al. J Pediatr Surg. 2019 Aug.

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.

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References

    1. Cantor RM and Leaming JM. Evaluation and management of pediatric major trauma. Emerg Med Clin North Am. 1998; 16(1): 229–256. - PubMed
    1. Flood RG and Mooney DP. Rate and prediction of traumatic injuries detected by abdominal computed tomography scan in intubated children. J Trauma. 2006; 61(2): 340–345. - PubMed
    1. Dodgion CM, Gosain A, Rogers A et al. National trends in pediatric blunt spleen and liver injury management and potential benefits of an abbreviated bed rest protocol. J Pediatr Surg. 2014; 49(6): 1004–1008; discussion 1008. - PubMed
    1. Notrica DM, Eubanks JW 3rd, Tuggle DW et al. Nonoperative management of blunt liver and spleen injury in children: Evaluation of the ATOMAC guideline using GRADE. J Trauma Acute Care Surg. 2015; 79(4): 683–693. - PubMed
    1. Arora S, Burner E, Terp S et al., Improving attendance at post-emergency department followup via automated text message appointment reminders: a randomized controlled trial. Acad Emerg Med. 2015; 22(1): 31–37. - PubMed