National Healthcare Quality and Disparities Report
Latest available findings on quality of and access to health care
Data
- Data Infographics
- Data Visualizations
- Data Tools
- Data Innovations
- All-Payer Claims Database
- Healthcare Cost and Utilization Project (HCUP)
- Medical Expenditure Panel Survey (MEPS)
- AHRQ Quality Indicator Tools for Data Analytics
- State Snapshots
- United States Health Information Knowledgebase (USHIK)
- Data Sources Available from AHRQ
Search All Research Studies
AHRQ Research Studies Date
Topics
- Asthma (1)
- Cardiovascular Conditions (1)
- Children's Health Insurance Program (CHIP) (1)
- (-) Children/Adolescents (10)
- Digestive Disease and Health (1)
- Disparities (1)
- Emergency Department (3)
- (-) Healthcare Cost and Utilization Project (HCUP) (10)
- Healthcare Costs (1)
- Healthcare Delivery (1)
- Health Insurance (1)
- Health Services Research (HSR) (1)
- Hospitalization (1)
- Hospital Readmissions (2)
- Hospitals (2)
- Imaging (1)
- Medicaid (1)
- Medical Expenditure Panel Survey (MEPS) (2)
- Outcomes (1)
- Practice Patterns (1)
- Research Methodologies (1)
- Respiratory Conditions (1)
- Sepsis (1)
- Skin Conditions (1)
- Social Determinants of Health (1)
AHRQ Research Studies
Sign up: AHRQ Research Studies Email updates
Research Studies is a compilation of published research articles funded by AHRQ or authored by AHRQ researchers.
Results
1 to 10 of 10 Research Studies DisplayedMichelson KA, Hudgins JD, Burke LG
Trends in severe pediatric emergency conditions in a national cohort, 2008 to 2014.
The objective of this study was to determine the incidence and recent trends in serious pediatric emergency conditions. Data from the Nationwide Emergency Department Sample 2008-2014 was used, and included patients less than18 years of age with a serious condition. Findings showed that the most common serious condition in children presenting to United States emergency departments was serious respiratory disease, while anaphylaxis was the fastest increasing serious condition.
AHRQ-funded; T32 HS000063.
Citation: Michelson KA, Hudgins JD, Burke LG .
Trends in severe pediatric emergency conditions in a national cohort, 2008 to 2014.
Pediatr Emerg Care 2020 Nov;36(11):e620-e21. doi: 10.1097/pec.0000000000001409..
Keywords: Healthcare Cost and Utilization Project (HCUP), Children/Adolescents, Emergency Department
Bucholz EM,, Schuster MA, Toomey SL
Trends in 30-day readmission for Medicaid and privately insured pediatric patients: 2010-2017.
This study examined trends in 30-day readmission rates for Medicaid and privately insured pediatric patients from 2010 to 2017. The HCUP Nationwide Readmissions Database was used to compare hospital-level risk-adjusted readmission rates. Higher readmission rates were found for Medicaid beneficiaires compared to privately insured pediatric patients during the time period.
AHRQ-funded; HS020513; HS025299.
Citation: Bucholz EM,, Schuster MA, Toomey SL .
Trends in 30-day readmission for Medicaid and privately insured pediatric patients: 2010-2017.
Pediatrics 2020 Aug;146(2). doi: 10.1542/peds.2020-0270..
Keywords: Healthcare Cost and Utilization Project (HCUP), Children/Adolescents, Hospital Readmissions, Health Insurance, Medicaid, Hospitals
Gigli KH, Davis BS, Yabes JG
Pediatric outcomes after regulatory mandates for sepsis care.
The authors used hospital discharge data from 2011 to 2015 to compare changes in pediatric sepsis outcomes in New York and four control states following New York’s 2013 regulations mandating that hospitals develop pediatric-specific protocols for sepsis recognition and treatment. They found that implementation of statewide sepsis regulations was generally associated with improved mortality trends in New York State, particularly in prespecified subpopulations of patients, suggesting that the regulations were successful in affecting sepsis outcomes.
AHRQ-funded; HS025146.
Citation: Gigli KH, Davis BS, Yabes JG .
Pediatric outcomes after regulatory mandates for sepsis care.
Pediatrics 2020 Jul;146(1). doi: 10.1542/peds.2019-3353.
.
.
Keywords: Healthcare Cost and Utilization Project (HCUP), Children/Adolescents, Sepsis, Outcomes, Hospitals
Bucholz EM, Toomey SL, Butala NM
Suitability of elderly adult hospital readmission rates for profiling readmissions in younger adult and pediatric populations.
Investigators sought to determine the correlation between hospital 30-day risk-standardized readmission rates in elderly adults and those in nonelderly adults and children. Data from U.S. hospitals in the 2013-2014 Nationwide Readmissions Database were used. The researchers found that hospital readmission rates in elderly adults may reflect broader hospital readmission performance in middle-aged and young adult populations, but they are not reflective of hospital performance in pediatric populations.
AHRQ-funded; HS020513; HS025299.
Citation: Bucholz EM, Toomey SL, Butala NM .
Suitability of elderly adult hospital readmission rates for profiling readmissions in younger adult and pediatric populations.
Health Serv Res 2020 Apr;55(2):277-87. doi: 10.1111/1475-6773.13269..
Keywords: Healthcare Cost and Utilization Project (HCUP), Hospital Readmissions, Health Services Research (HSR), Research Methodologies, Children/Adolescents
Cushing AM, Bucholz E, Michelson KA
Trends in regionalization of emergency care for common pediatric conditions.
This study examined trends in regionalization of emergency care for common pediatric conditions. The authors sought to determine how the likelihood of definitive care has changed for 3 common conditions: asthma, croup, and gastroenteritis. They used the National Emergency Department Sample Database to study children from 2008 to 2016 who presented to emergency departments with those primary diagnoses, excluding critically ill patients. Researchers conducted analyses by stratification of annual emergency department pediatric volume categorized by quartiles. Referral rates increased for all conditions in all volume quartiles, with referral rates greatest in the lowest pediatric volume quartile.
AHRQ-funded; HS026503.
Citation: Cushing AM, Bucholz E, Michelson KA .
Trends in regionalization of emergency care for common pediatric conditions.
Pediatrics 2020 Apr;145(4). doi: 10.1542/peds.2019-2989..
Keywords: Healthcare Cost and Utilization Project (HCUP), Children/Adolescents, Emergency Department, Asthma, Respiratory Conditions, Digestive Disease and Health, Healthcare Delivery
Lee HH, Patel KR, Singam V
Associations of cutaneous and extracutaneous infections with hidradenitis suppurativa in U.S. children and adults.
The purpose of this study was to determine whether Hidradenitis suppurativa (HS) is associated with cutaneous and extracutaneous infections and related outcomes. Using data from the Nationwide Inpatient Sample, results showed that adults and children with HS had increased acute and chronic, cutaneous, extracutaneous, and systemic infections, which were associated with increased mortality and cost.
AHRQ-funded; HS023011.
Citation: Lee HH, Patel KR, Singam V .
Associations of cutaneous and extracutaneous infections with hidradenitis suppurativa in U.S. children and adults.
Br J Dermatol 2020 Feb;182(2):327-34. doi: 10.1111/bjd.18093..
Keywords: Healthcare Cost and Utilization Project (HCUP), Skin Conditions, Children/Adolescents
Simeone RM, Oster ME, Cassell CH
AHRQ Author: Gray DT
Pediatric inpatient hospital resource use for congenital heart defects.
The authors sought to estimate healthcare costs for infants, children, and adolescents with congenital heart defects (CHDs). Using the 2009 Healthcare Cost and Utilization Project Kids' Inpatient Database (KID), they found that hospitalizations for children with CHDs have disproportionately high hospital costs compared with other pediatric hospitalizations, and the 17% of hospitalizations with critical CHD diagnoses accounted for 27% of CHD hospital costs.
AHRQ-authored.
Citation: Simeone RM, Oster ME, Cassell CH .
Pediatric inpatient hospital resource use for congenital heart defects.
Birth Defects Res A Clin Mol Teratol 2014 Dec;100(12):934-43. doi: 10.1002/bdra.23262.
.
.
Keywords: Cardiovascular Conditions, Children/Adolescents, Healthcare Costs, Healthcare Cost and Utilization Project (HCUP), Hospitalization
Johnson EK, Graham DA, Chow JS
Nationwide emergency department imaging practices for pediatric urolithiasis: room for improvement.
The researchers describe the national use of computed tomography (CT) versus ultrasound imaging for pediatric patients seen at emergency departments (EDs) for suspected urolithiasis (SU) during the period 2006-2010. Use of CT was much higher than use of ultrasound, although it dropped off after 2007. Lowest CT use was seen at EDs that care for more children.
AHRQ-funded; HS019485
Citation: Johnson EK, Graham DA, Chow JS .
Nationwide emergency department imaging practices for pediatric urolithiasis: room for improvement.
J Urol. 2014 Jul;192(1):200-6. doi: 10.1016/j.juro.2014.01.028..
Keywords: Children/Adolescents, Emergency Department, Healthcare Cost and Utilization Project (HCUP), Imaging, Children/Adolescents, Practice Patterns
Berdahl TA, Friedman BS, McCormick MC
AHRQ Author: Berdahl TA, Friedman BS
Annual report on health care for children and youth in the United States: trends in racial/ethnic, income, and insurance disparities over time, 2002-2009.
Using MEPS and HCUP data, the authors examined trends in children's health access, utilization, and expenditures over time by race/ethnicity, income, and insurance status/expected payer. They found that disparities by race/ethnicity and income persist in access to and use of care, with Hispanic children experiencing progress in a number of measures, while black children did not.
AHRQ-authored.
Citation: Berdahl TA, Friedman BS, McCormick MC .
Annual report on health care for children and youth in the United States: trends in racial/ethnic, income, and insurance disparities over time, 2002-2009.
Acad Pediatr 2013 May-Jun;13(3):191-203. doi: 10.1016/j.acap.2013.02.003.
.
.
Keywords: Children/Adolescents, Disparities, Healthcare Cost and Utilization Project (HCUP), Medical Expenditure Panel Survey (MEPS), Social Determinants of Health
Clancy CM, Chesley F, Dougherty D
AHRQ Author: Clancy CM, Chesley F, Dougherty D
Health care for children and youth in the United States: 13 years of evidence.
In this article, the authors discuss the 10th in a series of annual reports summarizing various dimensions of health care for children and youth in the United States. They cover the evolution of the reports and reflect on changes in and improvements to children's health services research.
AHRQ-authored.
Citation: Clancy CM, Chesley F, Dougherty D .
Health care for children and youth in the United States: 13 years of evidence.
Acad Pediatr 2013 May-Jun;13(3):181-3. doi: 10.1016/j.acap.2013.03.012.
.
.
Keywords: Children/Adolescents, Children's Health Insurance Program (CHIP), Healthcare Cost and Utilization Project (HCUP), Medical Expenditure Panel Survey (MEPS)