2.50
Hdl Handle:
http://hdl.handle.net/10755/211549
Type:
Research Study
Title:
PEDIATRIC PATIENTS WITH ASTHMA: A HIGH RISK POPULATION FOR RE-HOSPITALIZATION
Abstract:
Purpose: The purpose of this study was to examine the risk of re-hospitalization among pediatric patients hospitalized with asthma in all acute care hospital settings throughout Washington State. Background: Asthma is the most common chronic condition among children and is one of the leading causes for pediatric hospitalizations (American Lung Association, 2010). Prevalence of childhood asthma continues to rise every year and is now at an all-time high affecting 9.6% of all U.S. children under the age of 17 years (Centers for Disease Control and Prevention (CDC), 2011). Roughly 50% of children with asthma experience at least one asthma attack per year, leading to an increased risk for poor health outcomes including hospitalizations and visits to the emergency room (CDC, 2011). During 2007, 640,000 children under the age of 17 years visited an emergency department and 157,000 were hospitalized for asthma (CDC, 2011). Although the prevalence and severity of pediatric asthma continues to grow, there is a critical gap in current data clearly describing variables associated with hospitalization and subsequent re-hospitalizations (Cardarelli, 2009; Reznik et al., 2006). More evidence is needed to clarify the longer-term risks of repeat hospitalization and the underlying factors contributing to adverse health outcomes among pediatric patients hospitalized with asthma (Ash & Brandt, 2006; Cardarelli). Methods: The Washington State Comprehensive Hospital Abstract Reporting System (CHARS) was used to obtain data for the study. This data base contains admission and discharge information for every patient hospitalized in all private and public hospitals throughout Washington State. Data about 81,683 hospitalized pediatric patients admitted between 2004-2008 with a minimum of one year follow-up were available.  The risk of re-hospitalization among children admitted for either a primary (n=4,773) or secondary (n=5,238) diagnosis of asthma as compared to a reference group (children admitted for any diagnosis other than asthma) was examined. Results:  The primary and secondary asthma groups had a 35% (99% confidence interval (CI): 23%, 49%) and 16% (99% CI: 8%, 25%) increased risk (respectively) of re-hospitalization within 5 years based on a model controlling for age, gender, index hospitalization primary diagnosis categorization, index hospitalization length of stay, index hospitalization primary payer, 12 month count of previous hospitalizations and Elixhauser comorbidity variables. Implications: Findings from this study demonstrate that children with asthma are a high risk population for re-hospitalization. This finding held true even among the group of pediatric patients who had secondary admission diagnoses of asthma. Results from this study can be utilized in the development of appropriate interventions aimed at preventing and reducing hospital admissions, improving outpatient care, decreasing over all costs, and lessoning complications among pediatric patients with asthma.
Keywords:
Pediatric patients; Asthma; Re-hospitalization
Repository Posting Date:
20-Feb-2012
Date of Publication:
20-Feb-2012
Other Identifiers:
5452
Sponsors:
Western Institute of Nursing

Full metadata record

DC FieldValue Language
dc.typeResearch Studyen_GB
dc.titlePEDIATRIC PATIENTS WITH ASTHMA: A HIGH RISK POPULATION FOR RE-HOSPITALIZATIONen_GB
dc.identifier.urihttp://hdl.handle.net/10755/211549-
dc.description.abstractPurpose: The purpose of this study was to examine the risk of re-hospitalization among pediatric patients hospitalized with asthma in all acute care hospital settings throughout Washington State. Background: Asthma is the most common chronic condition among children and is one of the leading causes for pediatric hospitalizations (American Lung Association, 2010). Prevalence of childhood asthma continues to rise every year and is now at an all-time high affecting 9.6% of all U.S. children under the age of 17 years (Centers for Disease Control and Prevention (CDC), 2011). Roughly 50% of children with asthma experience at least one asthma attack per year, leading to an increased risk for poor health outcomes including hospitalizations and visits to the emergency room (CDC, 2011). During 2007, 640,000 children under the age of 17 years visited an emergency department and 157,000 were hospitalized for asthma (CDC, 2011). Although the prevalence and severity of pediatric asthma continues to grow, there is a critical gap in current data clearly describing variables associated with hospitalization and subsequent re-hospitalizations (Cardarelli, 2009; Reznik et al., 2006). More evidence is needed to clarify the longer-term risks of repeat hospitalization and the underlying factors contributing to adverse health outcomes among pediatric patients hospitalized with asthma (Ash & Brandt, 2006; Cardarelli). Methods: The Washington State Comprehensive Hospital Abstract Reporting System (CHARS) was used to obtain data for the study. This data base contains admission and discharge information for every patient hospitalized in all private and public hospitals throughout Washington State. Data about 81,683 hospitalized pediatric patients admitted between 2004-2008 with a minimum of one year follow-up were available.  The risk of re-hospitalization among children admitted for either a primary (n=4,773) or secondary (n=5,238) diagnosis of asthma as compared to a reference group (children admitted for any diagnosis other than asthma) was examined. Results:  The primary and secondary asthma groups had a 35% (99% confidence interval (CI): 23%, 49%) and 16% (99% CI: 8%, 25%) increased risk (respectively) of re-hospitalization within 5 years based on a model controlling for age, gender, index hospitalization primary diagnosis categorization, index hospitalization length of stay, index hospitalization primary payer, 12 month count of previous hospitalizations and Elixhauser comorbidity variables. Implications: Findings from this study demonstrate that children with asthma are a high risk population for re-hospitalization. This finding held true even among the group of pediatric patients who had secondary admission diagnoses of asthma. Results from this study can be utilized in the development of appropriate interventions aimed at preventing and reducing hospital admissions, improving outpatient care, decreasing over all costs, and lessoning complications among pediatric patients with asthma.en_GB
dc.subjectPediatric patientsen_GB
dc.subjectAsthmaen_GB
dc.subjectRe-hospitalizationen_GB
dc.date.available2012-02-20T12:01:42Z-
dc.date.issued2012-02-20T12:01:42Z-
dc.date.accessioned2012-02-20T12:01:42Z-
dc.description.sponsorshipWestern Institute of Nursingen_GB
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