JoEllen Schimmels, Jennifer Schneider, Kathryn K Bucher, Mary-Beth Coty
Stoicism and Cognitive Strategies for Nursing Professional Development
Journal of continuing education in nursing
trends perforated appendicitis pa rates studied regional variability pediatric admissions pa remains unknown retrospective crosssectional analysis 20062012 kids inpatient database conducted examine variation pa admission rates region united states insurance status pa rates calculated reported per 1000 admissions accordance national quality measure specifications national pa rates per 1000 admissions 2006 2009 2012 3139 2792 3091 respectively similarly regions demonstrated statistically significant decrease pa rates 2006 2009 p0001 increase rates 2009 2012 statistically significant midwest odds ratio 107 95 confidence interval 95ci 103112 west 110 95 ci 107114 northeast consistently experienced lowest pa rates odds pa highest among uninsured patients 135 95 ci 131129 south highest proportion uninsured children patients highest odds perforation 157 95 ci 121202 children appendicitis geographic region insurance status appear associated perforation upon presentation understanding regional variation pediatric pa rates may inform health policymakers constantly evolving insurance coverage landscape level iii treatment study retrospective comparative study appendicitis presentation children region country