Advertising Disclaimer
This Article
Right arrow Full Text
Right arrow Full Text (PDF)
Right arrow Alert me when this article is cited
Right arrow Alert me when eLetters are posted
Right arrow Alert me if a correction is posted
Right arrow Citation Map
Services
Right arrow E-mail this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to My File Cabinet
Right arrow Download to citation manager
Right arrowRequest Permissions
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via CrossRef
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Calmes, D.
Right arrow Articles by Carlisle, D. M.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Calmes, D.
Right arrow Articles by Carlisle, D. M.
Related Collections
Right arrow Respiratory Tract
Social Bookmarking
Add to CiteULike   Add to Connotea   Add to Del.icio.us   Add to Digg   Add to Facebook   Add to Reddit   Add to Technorati   Add to Twitter  
What's this?

PEDIATRICS Vol. 101 No. 5 May 1998, pp. 845-850

Adverse Asthma Outcomes Among Children Hospitalized With Asthma in California

Received May 22, 1997; accepted Sep 4, 1997.

Daphne Calmes*, Barbara D. Leake*, Dagger , and David M. Carlisle*, Dagger

From the * Department of Pediatrics, King-Drew Medical Center/Charles R. Drew University of Medicine and Science, Los Angeles, California; and the Dagger  Division of General Internal Medicine and Health Services Research, School of Medicine, University of California, Los Angeles, California.

Objective.  To use administrative data to determine whether adverse asthma outcomes for pediatric asthma hospitalizations are related to specific clinical and nonclinical patient characteristics.

Design.  Cross-sectional study.

Setting.  All pediatric (0 to 17 years of age) asthma-related hospital discharges, 1986 to 1993, in California.

Patients.  A total of 113 974 eligible patients with asthma-related discharges.

Main Outcome Measure.  Adverse asthma outcomes (intubation, cardiopulmonary arrest, and death).

Results.  Adverse asthma outcomes occurred in 0.48% of subjects. The frequency of adverse asthma outcomes increased during the 1990s compared with 1986. After controlling for differences in gender, age, specific comorbid conditions, year, race, and insurance type, adverse asthma outcomes were more likely to occur in the 5- to 11-year-old group (odds ratio [OR]: 1.39; 95% confidence interval [CI]: 1.13-1.69) and in the 12- to 17-year-old group (OR: 4.48; CI: 3.20-6.21) compared with those children in the 0 to 4-year-old age group. Asian Pacific-American children were more likely (OR: 1.59; CI: 1.24-2.59) than were white children to experience an adverse asthma outcome. Children who had a secondary diagnoses of pneumonia (OR: 1.54; CI: 1.19-2.00) also were more likely to experience an adverse asthma outcome. The odds of an adverse outcome increased progressively after 1986, becoming significant after 1989. Gender and insurance type were not associated with increased odds of experiencing an adverse asthma outcome.

Conclusions.  Adverse asthma outcomes among hospitalized children are increasing in the 1990s and are associated with specific clinical and nonclinical patient characteristics.

Key words: asthma, health services research, insurance, outcomes.


Add to CiteULike CiteULike   Add to Connotea Connotea   Add to Del.icio.us Del.icio.us   Add to Digg Digg   Add to Facebook Facebook   Add to Reddit Reddit   Add to Technorati Technorati   Add to Twitter Twitter    What's this?


This article has been cited by other articles:


Home page
 ChestHome page
R. S. Ream, L. L. Loftis, G. M. Albers, B. A. Becker, R. E. Lynch, and R. B. Mink
Efficacy of IV Theophylline in Children With Severe Status Asthmaticus
Chest, May 1, 2001; 119(5): 1480 - 1488.
[Abstract] [Full Text] [PDF]

Home page
 PediatricsHome page
R.-K. R. Chang, A. Y. Chen, and T. S. Klitzner
Factors Associated With Age at Operation for Children With Congenital Heart Disease
Pediatrics, May 1, 2000; 105(5): 1073 - 1081.
[Abstract] [Full Text]

Home page
 PediatricsHome page
M. Rich, S. Lamola, C. Amory, and L. Schneider
Asthma in Life Context: Video Intervention/Prevention Assessment (VIA)
Pediatrics, March 1, 2000; 105(3): 469 - 477.
[Abstract] [Full Text] [PDF]

Home page
 PediatricsHome page
M. J. Russo, K. M. McConnochie, J. T. McBride, P. G. Szilagyi, A. M. Brooks, and K. J. Roghmann
Increase in Admission Threshold Explains Stable Asthma Hospitalization Rates
Pediatrics, September 1, 1999; 104(3): 454 - 462.
[Abstract] [Full Text] [PDF]