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Risk of readmission to hospital for pediatric asthma
1Department of Pediatrics, Kaiser Permanente Medical Center, Hayward, California 94589-2485, USA.
Insights
Young children and those with prior hospitalizations face higher risks of pediatric asthma readmission. A single asthma education class did not significantly lower these readmission rates for children.
Area of Science:
- Pediatric Pulmonology
- Healthcare Outcomes Research
- Asthma Management
Background:
- Hospital readmissions for pediatric asthma represent a significant healthcare burden.
- Identifying risk factors for readmission is crucial for effective patient management and resource allocation.
Purpose of the Study:
- To determine risk factors for hospital readmission in pediatric asthma patients within 12 months of an initial admission.
- To evaluate the impact of a single-session asthma education class on readmission rates.
Main Methods:
- Retrospective review of medical records for pediatric asthma patients (< 15 years) admitted to Kaiser Foundation Hospital, Hayward, CA.
- Data collection spanned from September 30, 1991, to June 30, 1993.
- Analysis focused on identifying patient characteristics associated with 12-month readmission.
Main Results:
- Patients younger than 5 years were identified as a high-risk group for readmission.
- A history of previous hospital admission was also a significant predictor of readmission.
- A single-session asthma education program did not demonstrate a reduction in hospital readmission risk.
Conclusions:
- Younger age and prior hospitalization are key risk factors for pediatric asthma readmission.
- Targeted interventions for high-risk pediatric asthma patients are warranted.
- Current single-session asthma education may be insufficient to mitigate readmission risk.
Abstract:
To describe risk for hospital readmission for pediatric asthma occurring within 12 months of index hospital admission, we reviewed the medical records of all pediatric (age < 15 years) patients admitted for asthma to the Kaiser Foundation Hospital (KFH), Hayward, California, between September 30, 1991 and June 30, 1993. Patients aged < 5 years or who had a history of prior hospital admission were at high risk for hospital readmission within 12 months of the index admission. A single-session asthma class did not reduce risk for hospital readmission.