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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.
Abstract:
Asthma is a leading cause of hospitalization among children, and about 15-50% of pediatric patients are readmitted after an index admission. The purpose of this integrative review is to explore contemporary scientific findings on the association between pediatric asthma readmission and various demographic, environmental, psychosocial and clinical risk factors. An electronic database search resulted in a sample of 29 studies. African American, public or no insurers, previous admission and complex chronic comorbidity were identified as risk factors associated with pediatric asthma readmission. However, more interdisciplinary and well-designed investigations are warranted to further explicate the spectrum of environmental and psychosocial correlates.
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