children with medical complexity (CMc) have chronic conditions, intense healthcare needs, and high healthcare utilization Proposed changes in the healthcare environment initiated by the Affondable Care Act have led to efforts toward preventing hospital readmissions. The purpose of this integrative review is to explore the cutrent empirical literature and examine how hospital readmissions and repeat emergency department visits have been studied among cMc. A computer database search and ancestry search were conducted, resulting in a sampl of 26 studies. The reiults of the integrative review are presented along with gaps in the liferature and implications for nursing practice and research 2013 Elsevier Inc. All rights reserved.