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Pediatric patients with asthma: a high-risk population for subsequent hospitalization

Michele R Shaw1, Kenn B Daratha, Tamara Odom-Maryon

  • 1College of Nursing, Washington State University, Spokane, WA 99210-1495, USA.

The Journal of Asthma : Official Journal of the Association for the Care of Asthma
|April 3, 2013
PubMed

Insights

Pediatric asthma patients face a 33% higher risk of repeat hospitalizations. Children aged 3-5 with asthma showed the greatest risk, highlighting the need for targeted interventions.

Area of Science:

  • Pediatric Pulmonology
  • Healthcare Outcomes Research
  • Epidemiology

Background:

  • Asthma is a prevalent chronic condition in children, frequently leading to hospital admissions.
  • Understanding the risk factors for recurrent hospitalizations in pediatric asthma patients is crucial for improving care.
  • Existing research requires further evidence on factors contributing to adverse outcomes in hospitalized children with asthma.

Purpose of the Study:

  • To investigate the risk of subsequent hospitalizations in pediatric patients admitted for asthma.
  • To compare the readmission rates of asthma patients against a control group of children hospitalized for other conditions.

Main Methods:

  • Utilized the Washington State Comprehensive Hospital Abstract Reporting System (CHARS) database.
  • Analyzed data from 81,946 pediatric hospitalizations between 2004 and 2008.
  • Compared the risk of subsequent hospitalization for asthma patients versus a reference cohort.

Main Results:

  • Pediatric asthma patients exhibited a 33% increased risk of subsequent hospitalization (HR = 1.33).
  • Children under 13 with asthma showed a significantly higher risk of readmission compared to non-asthma controls.
  • The highest risk was observed in the 3-5 year old asthma cohort, with a 50% increased risk (HR = 1.50).

Conclusions:

  • Findings underscore the elevated risk of readmission for pediatric asthma patients.
  • Results can inform the development of interventions to prevent hospital admissions and reduce complications.
  • Implementing targeted strategies may improve patient care, lower healthcare costs, and mitigate adverse outcomes in pediatric asthma.
Abstract

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