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Tenant Reported Triggers Are Associated With Pediatric Asthma Emergency Department Visits
Sophia S Carryl1, Zichuan Li1, Keith Acosta2
1Department of Environmental Health (SS Carryl, Z Li, G Adamkiewicz, and AL Haber), Harvard T.H. Chan School of Public Health, Boston, Mass.
Objective:
We aimed to evaluate the association between tenant-reported in-home asthma triggers and pediatric emergency department (ED) asthma visits at the neighborhood level.
Methods:
We conducted a retrospective cohort study of 3209 patients under the age of 26 with 5290 asthma-related Boston Children's Hospital ED visits between January 1, 2018 and December 31, 2019, from residential addresses in Boston area. Eight thousand two hundred and thirty reports of in-home asthma triggers to the City of Boston's Inspectional Services Department between 2017 and 2019 were included. Administered medications were available from the electronic health record for a subset of patients.
Results:
ED visits were significantly higher in neighborhoods with more asthma trigger reports before and after adjusting for neighborhood characteristics (IRR per IQR, 1.33; 95% CI, 1.25-1.40; adjusted IRR per IQR, 1.18; 95% CI, 1.08-1.27).
Conclusions:
Pediatric asthma ED utilization rates are significantly higher in neighborhoods with higher rates of tenant reports of in-home asthma triggers.
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