Risk factors associated with hospital readmission in pediatric asthma

Hoi Sing Chung1, Donna K Hathaway2, Dukhee B Lew3

  • 1Loewenberg School of Nursing, The University of Memphis, Memphis, TN.

Insights

Pediatric asthma readmissions are common. Key risk factors include African American ethnicity, public insurance, and prior hospitalizations, highlighting the need for further research into environmental and psychosocial influences.

Area of Science:

  • Pediatric Pulmonology
  • Healthcare Disparities
  • Health Services Research

Background:

  • Asthma is a significant cause of pediatric hospitalizations.
  • Readmission rates for pediatric asthma range from 15-50% after initial admission.

Purpose of the Study:

  • To review current research on factors associated with pediatric asthma readmissions.
  • To identify demographic, environmental, psychosocial, and clinical risk factors.

Main Methods:

  • An integrative review of scientific literature.
  • Searched electronic databases for relevant studies.
  • Included 29 studies in the final analysis.

Main Results:

  • Identified risk factors for pediatric asthma readmission: African American race, public or no insurance, previous asthma admissions, and complex chronic comorbidities.
  • Highlighted the need for more research on environmental and psychosocial factors.

Conclusions:

  • Specific demographic and clinical factors are associated with increased pediatric asthma readmission risk.
  • Further interdisciplinary research is crucial to understand environmental and psychosocial influences on readmission.

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