Revista Brasileira de Enfermagem (Feb 2020)

Predictive model of hospitalization for children and adolescents with chronic disease

  • Yana Balduíno de Araújo,
  • Sérgio Ribeiro dos Santos,
  • Nívea Trindade de Araújo Tiburtino Neves,
  • Érika Leite da Silva Cardoso,
  • João Agnaldo Nascimento

DOI
https://doi.org/10.1590/0034-7167-2018-0467
Journal volume & issue
Vol. 73, no. 2

Abstract

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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.

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