PMID- 36788740 OWN - NLM STAT- MEDLINE DCOM- 20230404 LR - 20230620 IS - 1553-5606 (Electronic) IS - 1553-5592 (Linking) VI - 18 IP - 4 DP - 2023 Apr TI - Effect of Patient and Family Centered I-PASS on adverse event rates in hospitalized children with complex chronic conditions. PG - 316-320 LID - 10.1002/jhm.13065 [doi] AB - BACKGROUND: Children with complex chronic conditions (CCCs) are at risk for adverse events (AEs) during hospitalizations. OBJECTIVE: We compared the effect of Patient and Family Centered (PFC)I-PASS on AE rates in children with and without CCCs. DESIGNS, SETTINGS, AND PARTICIPANTS: Patients were drawn from the PFCI-PASS study, which included 3106 hospitalized children from seven North American pediatric hospitals between December 2014 and January 2017. MAIN OUTCOME AND MEASURES: An effect modification analysis did not show difference in the intervention on children with and without CCCs (RRR 0.81, 95% CI [0.59-1.10]; p = .2). RESULTS: In multivariable analysis, the adjusted incidence rate ratiofor AEs in children with CCCs was 0.5 (95% CI = 0.3-0.9, p = .01) with PFC I-PASS exposure; there was no statistically significant change in AEs for children without CCCs [IRR 0.6 (95% CI = 0.3-1.2; p = .1)]. CI - (c) 2023 Society of Hospital Medicine. FAU - Kuzma, Nicholas AU - Kuzma N AUID- ORCID: 0000-0001-7214-7595 AD - Drexel University College of Medicine, Philadelphia, Pennsylvania, USA. AD - Department of Pediatrics, St. Christopher's Hospital for Children, Philadelphia, Pennsylvania, USA. FAU - Khan, Alisa AU - Khan A AUID- ORCID: 0000-0002-1641-1061 AD - Department of Pediatrics, Harvard Medical School, Boston, Massachusetts, USA. AD - Department of Pediatrics, Division of General Pediatrics, Boston Children's Hospital, Boston, Massachusetts, USA. FAU - Rickey, Lisa AU - Rickey L AD - Department of Pediatrics, Harvard Medical School, Boston, Massachusetts, USA. AD - Department of Pediatrics, Division of General Pediatrics, Boston Children's Hospital, Boston, Massachusetts, USA. FAU - Hall, Matt AU - Hall M AUID- ORCID: 0000-0001-7778-5887 AD - Children's Hospital Association, Lenexa, Kansas, USA. FAU - Ramotar, Matthew AU - Ramotar M AD - Department of Pediatrics, Division of General Pediatrics, Boston Children's Hospital, Boston, Massachusetts, USA. FAU - Spector, Nancy D AU - Spector ND AUID- ORCID: 0000-0001-6576-4560 AD - Drexel University College of Medicine, Philadelphia, Pennsylvania, USA. AD - Department of Pediatrics, St. Christopher's Hospital for Children, Philadelphia, Pennsylvania, USA. FAU - Landrigan, Christopher P AU - Landrigan CP AUID- ORCID: 0000-0001-8386-4100 AD - Department of Pediatrics, Harvard Medical School, Boston, Massachusetts, USA. AD - Department of Pediatrics, Division of General Pediatrics, Boston Children's Hospital, Boston, Massachusetts, USA. AD - Departments of Medicine and Neurology, Division of Sleep and Circadian Disorders, Brigham and Women's Hospital, Boston, Massachusetts, USA. FAU - Srivastava, Rajendu AU - Srivastava R AD - Department of Pediatrics, University of Utah School of Medicine at Primary Children's Hospital, Salt Lake City, Utah, USA. AD - Healthcare Delivery Institute, Intermountain Healthcare, Murray, Utah, USA. FAU - Berry, Jay G AU - Berry JG AD - Department of Pediatrics, Harvard Medical School, Boston, Massachusetts, USA. AD - Department of Pediatrics, Division of General Pediatrics, Boston Children's Hospital, Boston, Massachusetts, USA. LA - eng GR - K12 HS022986 (PI Finkelstein)/HS/AHRQ HHS/United States GR - CDR-1306-03556/PCORI/Patient-Centered Outcomes Research Institute/United States PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Research Support, U.S. Gov't, P.H.S. DEP - 20230214 PL - United States TA - J Hosp Med JT - Journal of hospital medicine JID - 101271025 SB - IM MH - Child MH - Humans MH - *Child, Hospitalized MH - *Hospitalization MH - Racial Groups MH - Chronic Disease EDAT- 2023/02/16 06:00 MHDA- 2023/04/04 06:42 CRDT- 2023/02/15 01:43 PHST- 2023/01/23 00:00 [revised] PHST- 2022/09/08 00:00 [received] PHST- 2023/02/02 00:00 [accepted] PHST- 2023/04/04 06:42 [medline] PHST- 2023/02/16 06:00 [pubmed] PHST- 2023/02/15 01:43 [entrez] AID - 10.1002/jhm.13065 [doi] PST - ppublish SO - J Hosp Med. 2023 Apr;18(4):316-320. doi: 10.1002/jhm.13065. Epub 2023 Feb 14.