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You're asking whether the Pediatrics article titled "Hospitalizations by Children With Medical Complexity From 2009 to 2022" by Leyenaar et al. (Pediatrics, July 18, 2025; Article e2025071774) is available for purchase. Here's what you need to know:
📄 Purchase & Access Options
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The article is published in Pediatrics, the official journal of the American Academy of Pediatrics. Access typically requires either:
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Institutional or personal subscription,
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An institutional login (e.g., university or hospital),
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Or pay-per-view purchase directly through the AAP website. This article is listed as Online First and likely behind a paywall (Pediatrics).
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I do not see any indication that this is open access or freely available.
🚪 Alternative Access Routes
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Institutional Access: If you're affiliated with a university, healthcare organization, or library, you may be able to access it via institutional subscription.
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Interlibrary Loan or Document Delivery: Many libraries provide access via document delivery even if they don't subscribe.
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Contacting the Corresponding Author: Dr. JoAnna Leyenaar is the corresponding author. Authors can sometimes share a copy privately for academic purposes. The correspondence address details are publicly listed (geiselmed.dartmouth.edu, Pediatrics).
🧠 Study Highlights (if you don't want to buy)
Here’s a concise summary of key findings from the paper based on the abstract and publicly accessible info:
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Trends (2009–2022):
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Estimated hospitalizations of children with medical complexity (CMC) fell from 1.14 million in 2009 to 1.02 million in 2022.
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However, CMC represented an increasing share of pediatric healthcare over time:
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From 49.0% of all nonbirth pediatric hospitalizations in 2009 to 62.8% by 2022 (Pediatrics, BioMed Central).
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Resource Use & Outcomes in 2022:
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79.2% of pediatric hospital days,
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92.6% of in-hospital deaths (≈ 9,107 deaths),
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83.8% of total pediatric inpatient costs (~ US $30.6 billion) attributed to CMC (Pediatrics, Book学术, Pediatrics).
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✅ Summary Table
| Question | Answer |
|---|---|
| Is the article available for purchase? | Yes—via pay-per-view on the Pediatrics journal website (AAP) |
| Are there free access options? | Likely not; may require institution or contacting the author directly |
| If not purchased—study available? | You can still access key findings (abstract level or via institutional channels) |
Let me know if you'd like help finding a journal link to purchase it, writing to the author, or exploring related research on children with medical complexity.
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