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Demographic and Risk Factor Differences between Children with "One-Time" and "Repeat" Visits to the Emergency
Pavani Rangachari1, Jie Chen2, Nishtha Ahuja3
1Department of Interdisciplinary Health Sciences, College of Allied Health Sciences, Augusta University, Augusta, GA 30912, USA.
International Journal of Environmental Research and Public Health
|January 13, 2021
Summary
This study found no significant demographic or risk factors predict repeat emergency department visits for childhood asthma. Further research into self-management effectiveness is needed to understand these frequent visits.
Area of Science:
- Pediatrics
- Respiratory Medicine
- Health Services Research
Background:
- Emergency department (ED) utilization for childhood asthma is a significant healthcare concern.
- Understanding factors contributing to repeat ED visits is crucial for improving asthma management.
- Previous studies have explored various risk factors, but a comprehensive analysis is still needed.
Purpose of the Study:
- To identify demographic and risk factor differences between children with one-time versus repeat ED visits for asthma.
- To contribute to the literature on ED utilization for pediatric asthma.
- To provide a foundation for future research on self-management effectiveness (SME) in childhood asthma.
Main Methods:
- Retrospective chart review of 252 children (0-17 years) who visited the ED for asthma over 18 months (2019-2020).
- Analysis included demographic data, risk factors, and ED visit frequency.
- Contingency table and logistic regression analyses were used to assess differences between one-time and repeat ED patients.
Main Results:
- No individual demographic or risk factors were statistically significant in predicting repeat ED visits in the initial analysis.
- A second analysis focusing on ages 8-17 also found no significant individual factors (including age, race, gender, insurance, asthma severity) predicting repeat ED visits.
- The findings suggest factors beyond those examined are driving repeat ED utilization for childhood asthma.
Conclusions:
- Demographic and commonly assessed risk factors do not reliably predict repeat emergency department visits for childhood asthma.
- The study underscores the need to investigate other potential drivers of frequent ED use, such as self-management effectiveness.
- Results support the impetus for future primary research focused on improving childhood asthma self-management.
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