Buicko et al identified factors associated with readmission of a pediatric patient who was initially admitted after an assault. A patient with one or more risk factors may benefit from more aggressive management before and after discharge. The authors are from the University of Miami in Florida.

Patient selection: age < 18 years, following assault


Outcome: 30-day nonelective readmission


Predictors of non-elective readmission:

(1) initial length of stay >= 4 days

(2) psychosis

(3) weight loss


Reasons for readmission:

(1) mental health issue (bipolar disorder, psychosis, major depression)

(2) infection (post-operative, post-traumatic, device-related)

(3) repeated assault


A significant percentage (almost 20%) of patients who were readmitted had the admission at a different hospital.

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