Predictive model of hospitalization for children and adolescents with chronic disease

Modelo predictor de internación hospitalaria para niños y adolescentes con enfermedades crónicas

ABSTRACT

Objectives:

Describe a predictive model of hospitalization frequency for children and adolescents with chronic disease.

Methods:

A decision tree-based model was built using a database of 141 children and adolescents with chronic disease admitted to a federal public hospital; 18 variables were included and the frequency of hospitalization was defined as the outcome.

Results:

The decision tree obtained in this study could properly classify 80.85% of the participants. Model reading provided an understanding that situations of greater vulnerability such as unemployment, low income, and limited or lack of family involvement in care were predictors of a higher frequency of hospitalization.

Conclusions:

The model suggests that nursing professionals should adopt prevention actions for modifiable factors and authorities should make investments in health promotion for non-modifiable factors. It also enhances the debate about differentiated care to these patients.

Descriptors:
Decision Trees; Chronic Disease; Hospitalization; Child; Adolescent