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Weekend Versus Weekday Asthma-Related Emergency Department Utilization
Talia Mahony1, Valerie S Harder2, Nikkolson Ang3
1Department of Pediatrics, University of California, San Francisco (T Mahony and NS Bardach).
Academic Pediatrics
|September 20, 2021
Summary
Asthma emergency department visits were slightly lower on weekends overall. However, young children (3-5) showed higher weekend visit rates, while teens (12-17) had lower rates.
Area of Science:
- Pediatric emergency medicine
- Public health surveillance
- Health services research
Background:
- Asthma is a common chronic respiratory disease in children, often requiring emergency department (ED) visits.
- Understanding temporal patterns of ED utilization, such as weekend versus weekday differences, is crucial for resource allocation and public health interventions.
Purpose of the Study:
- To investigate variations in asthma-related emergency department (ED) utilization between weekends and weekdays among children.
- To identify specific age groups that may experience differential ED visit rates during weekends.
Main Methods:
- A cross-sectional analysis of administrative claims data from California, Vermont, and Massachusetts (2015-2016) was performed.
- Asthma-related ED visits were defined as the rate per 100 child-years, distinguishing between weekend (Saturday-Sunday) and weekday visits.
- Negative binomial regression models were employed to assess the variation in rates between weekends and weekdays, stratified by age group.
Main Results:
- Overall, a slight decrease in asthma-related ED visit rates was observed on weekends (18.7/100 child-years) compared to weekdays (19.6/100 child-years).
- Children aged 3-5 years exhibited higher asthma-related ED visit rates on weekends (33.7/100 child-years) than weekdays (29.8/100 child-years).
- Adolescents aged 12-17 years showed lower asthma-related ED visit rates on weekends (13.0/100 child-years) compared to weekdays (16.3/100 child-years).
Conclusions:
- Limited overall variation exists in pediatric asthma-related ED utilization between weekends and weekdays.
- Targeted interventions may be needed for specific age groups, as younger children show increased weekend ED use, while adolescents show decreased use.
- Findings suggest that simply increasing weekend access options may not significantly reduce overall pediatric asthma-related ED visits.
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