The Journal of Pediatrics
Volume 154, Issue 6 , Pages 789-796 , June 2009

Factors Associated with Variability in Outcomes for Children Hospitalized with Urinary Tract Infection

  • Patrick H. Conway, MD, MSc

      Affiliations

    • Center for Health Care Quality and Division of Health Policy and Clinical Effectiveness, Cincinnati Children's Hospital Medical Center, Cincinnati, OH
    • Division of General Pediatrics, Cincinnati Children's Hospital Medical Center, Cincinnati, OH
    • Robert Wood Johnson Foundation Clinical Scholars Program, University of Pennsylvania, Philadelphia, PA
    • Corresponding Author InformationReprint requests: Patrick H. Conway, Cincinnati Children's Hospital, 3333 Burnet Ave, MLC 7014, Cincinnati, OH 45229
    • ,
  • Ron Keren, MD, MPH

      Affiliations

    • Division of General Pediatrics, Center for Pediatric Clinical Effectiveness, Children's Hospital of Philadelphia, Philadelphia, PA

Received 12 August 2008 ,Revised 2 December 2008 ,Accepted 6 January 2009.

References 

  1. Owens PLTJ, Elixhauser A, Ryan K. Care of children and adolescents in US hospitals. HCUP Fact Book No. 4. Rockville, MD: Agency for Healthcare Research and Quality; 2003;
  2. Landrigan CP, Conway PH, Stucky ER, Chiang VW, Ottolini MC. Variation in pediatric hospitalists' use of proven and unproven therapies: a study from the Pediatric Research in Inpatient Settings (PRIS) network. J Hosp Med. 2008;3:292–298
  3. Berwick DM. The John Eisenberg lecture: health services research as a citizen in improvement. Health Serv Res. 2005;40:317–336
  4. American Academy of Pediatrics. Committee on Quality Improvement. Subcommittee on Urinary Tract Infection. Practice parameter: the diagnosis, treatment, and evaluation of the initial urinary tract infection in febrile infants and young children. Pediatrics. 1999;103:843–852
  5. Gaskin DJ, Hadley J. Population characteristics of markets of safety-net and non-safety-net hospitals. J Urban Health. 1999;76:351–370
  6. Bazzoli GJ, Kang R, Hasnain-Wynia R, Lindrooth RC. An update on safety-net hospitals: coping with the late 1990s and early 2000s. Health Aff (Millwood). 2005;24:1047–1056
  7. 2006 National Healthcare Disparities Report. Report no: AHRQ Pub. No. 07-0012. Rockville, MD: Agency for Healthcare Research and Quality; 2006;
  8. Landrigan CP, Conway PH, Edwards S, Srivastava R. Pediatric hospitalists: a systematic review of the literature. Pediatrics. 2006;117:1736–1744
  9. Hoberman A, Wald ER, Hickey RW, Baskin M, Charron M, Majd M, et al. Oral versus initial intravenous therapy for urinary tract infections in young febrile children. Pediatrics. 1999;104:79–86
  10. Cohen AL, Rivara FP, Davis R, Christakis DA. Compliance with guidelines for the medical care of first urinary tract infections in infants: a population-based study. Pediatrics. 2005;115:1474–1478
  11. Conway PH, Edwards S, Stucky ER, Chiang VW, Ottolini MC, Landrigan CP. Variations in management of common inpatient pediatric illnesses: hospitalists and community pediatricians. Pediatrics. 2006;118:441–447

 P.C. was supported by a training grant from the Robert Wood Johnson Clinical Scholars Program at the University of Pennsylvania while conducting the beginning of this work. R.K. was supported by a grant from the National Institute of Child Health and Human Development, National Institutes of Health (K23 HD043179). The authors declare no conflicts of interest.

PII: S0022-3476(09)00008-0

doi: 10.1016/j.jpeds.2009.01.010

The Journal of Pediatrics
Volume 154, Issue 6 , Pages 789-796 , June 2009

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