Related Experiment Video

Updated: Apr 21, 2026

Bronchial Thermoplasty: A Novel Therapeutic Approach to Severe Asthma
14:39

Bronchial Thermoplasty: A Novel Therapeutic Approach to Severe Asthma

Published on: November 4, 2010

32.7K

Factors associated with length of stay for pediatric asthma hospitalizations

Leticia A Shanley1, Hua Lin, Glenn Flores

  • 1Division of General Pediatrics, University of Texas Southwestern Medical Center and Children's Medical Center , Dallas, TX , USA.

The Journal of Asthma : Official Journal of the Association for the Care of Asthma
|November 7, 2014
PubMed

Insights

Pediatric asthma hospitalizations are longer for children with obstructive sleep apnea, obesity, complex chronic conditions, and those admitted during winter or on weekends. Interventions targeting these factors can reduce hospital stays.

Area of Science:

  • Pediatric Pulmonology
  • Health Services Research
  • Epidemiology

Background:

  • Asthma is a significant cause of pediatric hospitalizations.
  • Factors influencing the length of stay (LOS) for pediatric asthma admissions are not well understood.
  • Identifying these factors is crucial for optimizing resource allocation and patient care.

Purpose of the Study:

  • To identify sociodemographic, temporal, and health status factors associated with LOS in pediatric asthma hospitalizations.
  • To provide data for targeted interventions aimed at reducing hospital stays for children with asthma.

Main Methods:

  • Utilized the Pediatric Health Information System (PHIS) database for 2011.
  • Included patients aged 2-17 years with a primary asthma diagnosis.
  • Employed bivariate and multivariable logistic regression analyses, adjusting for severity of illness (SOI).

Main Results:

  • A total of 25,900 children were analyzed, with a mean LOS of 1.9 days.
  • Factors significantly associated with longer LOS (>2 days) included obstructive sleep apnea (OSA), older age, obesity, complex chronic conditions (CCC), winter admissions, female gender, and weekend admissions.
  • Patients with CCC and adolescents showed longer mean LOS in bivariate analysis.

Conclusions:

  • Obstructive sleep apnea, older age, obesity, complex chronic conditions, winter/weekend admissions, and female gender are independently associated with increased LOS for pediatric asthma.
  • These findings highlight specific at-risk groups for targeted interventions.
  • Focusing interventions on these identified factors may effectively reduce pediatric asthma hospitalization duration.
Abstract

Keywords:
Asthma hospitalizationdiatrichospitalized childlength of stay

Related Concept Videos

Asthma-III: Symptoms and Complications01:24

Asthma-III: Symptoms and Complications

Asthma, a common chronic respiratory condition, is classified considering the frequency and severity of symptoms alongside lung function impairment. Understanding this classification is essential for appropriate treatment and management. Here's a detailed look at the classification of asthma and its clinical features and complications:
Classification of Asthma
3.7K
Asthma-I: Introduction01:29

Asthma-I: Introduction

Asthma is a chronic respiratory ailment that requires careful management due to its varying symptoms and influencing factors. It is characterized by airway inflammation, bronchial hyperresponsiveness, and reversible airflow obstruction, leading to symptoms like wheezing, shortness of breath, chest tightness, and coughing. The symptom frequency and intensity may vary considerably over time. It is also linked to immune system responses to allergens and irritants, highlighting the complex...
3.8K
Asthma III: Clinical Manifestations01:13

Asthma III: Clinical Manifestations

Asthma presents with a characteristic pattern of episodic respiratory symptoms that reflect underlying airway inflammation, bronchoconstriction, and mucus hypersecretion. Although severity varies among individuals, certain clinical manifestations are considered hallmarks of the disorder and often guide diagnosis and assessment.Respiratory SymptomsA persistent cough is one of the most common early features of asthma. It is frequently dry and tends to worsen at night or in the early morning,...
20
Asthma I: Introduction01:28

Asthma I: Introduction

Asthma is a chronic inflammatory disorder of the airways characterized by variable airflow obstruction and heightened bronchial responsiveness to a wide range of triggers. The underlying inflammation leads to airway swelling, mucus hypersecretion, and smooth muscle constriction, all of which narrow the airway lumen and impede airflow. Clinically, asthma presents with recurrent episodes of wheezing, shortness of breath, chest tightness, and coughing, symptoms that typically vary in intensity and...
16
Pneumonia I: Introduction01:30

Pneumonia I: Introduction

Pneumonia is an acute respiratory infection that targets the lungs, specifically the alveoli. These tiny air sacs, essential for oxygen exchange, become engorged with pus and fluid, severely hindering breathing, decreasing oxygen absorption, and causing significant pain and discomfort during respiration.
Risk Factors
Various factors influence the likelihood of developing pneumonia. Age plays a crucial role, with infants, children under two, and individuals over 65 at increased risk due to their...
1.4K
Pneumonia I: Introduction01:29

Pneumonia I: Introduction

Pneumonia is an infection of the lower respiratory tract that leads to inflammation of the lung parenchyma, often resulting in the accumulation of inflammatory exudate in the alveoli and airways. Unlike the watery, low-protein fluid exudate in pulmonary edema, the exudate in this case is a thick fluid rich in immune cells, proteins, and debris produced during infection and inflammation.This impairs gas exchange and can lead to consolidation of lung tissue. The infection may be caused by a...
16