Cargando…

Demographic and Risk Factor Differences between Children with “One-Time” and “Repeat” Visits to the Emergency Department for Asthma

This retrospective study examines demographic and risk factor differences between children who visited the emergency department (ED) for asthma once (“one-time”) and more than once (“repeat”) over an 18-month period at an academic medical center. The purpose is to contribute to the literature on ED...

Descripción completa

Detalles Bibliográficos
Autores principales: Rangachari, Pavani, Chen, Jie, Ahuja, Nishtha, Patel, Anjeli, Mehta, Renuka
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7827100/
https://www.ncbi.nlm.nih.gov/pubmed/33435304
http://dx.doi.org/10.3390/ijerph18020486
_version_ 1783640680859435008
author Rangachari, Pavani
Chen, Jie
Ahuja, Nishtha
Patel, Anjeli
Mehta, Renuka
author_facet Rangachari, Pavani
Chen, Jie
Ahuja, Nishtha
Patel, Anjeli
Mehta, Renuka
author_sort Rangachari, Pavani
collection PubMed
description This retrospective study examines demographic and risk factor differences between children who visited the emergency department (ED) for asthma once (“one-time”) and more than once (“repeat”) over an 18-month period at an academic medical center. The purpose is to contribute to the literature on ED utilization for asthma and provide a foundation for future primary research on self-management effectiveness (SME) of childhood asthma. For the first round of analysis, an 18-month retrospective chart review was conducted on 252 children (0–17 years) who visited the ED for asthma in 2019–2020, to obtain data on demographics, risk factors, and ED visits for each child. Of these, 160 (63%) were “one-time” and 92 (37%) were “repeat” ED patients. Demographic and risk factor differences between “one-time” and “repeat” ED patients were assessed using contingency table and logistic regression analyses. A second round of analysis was conducted on patients in the age-group 8–17 years to match another retrospective asthma study recently completed in the outpatient clinics at the same (study) institution. The first-round analysis indicated that except age, none of the individual demographic or risk factors were statistically significant in predicting of “repeat” ED visits. More unequivocally, the second-round analysis revealed that none of the individual factors examined (including age, race, gender, insurance, and asthma severity, among others) were statistically significant in predicting “repeat” ED visits for childhood asthma. A key implication of the results therefore is that something other than the factors examined is driving “repeat” ED visits in children with asthma. In addition to contributing to the ED utilization literature, the results serve to corroborate findings from the recent outpatient study and bolster the impetus for future primary research on SME of childhood asthma.
format Online
Article
Text
id pubmed-7827100
institution National Center for Biotechnology Information
language English
publishDate 2021
publisher MDPI
record_format MEDLINE/PubMed
spelling pubmed-78271002021-01-25 Demographic and Risk Factor Differences between Children with “One-Time” and “Repeat” Visits to the Emergency Department for Asthma Rangachari, Pavani Chen, Jie Ahuja, Nishtha Patel, Anjeli Mehta, Renuka Int J Environ Res Public Health Article This retrospective study examines demographic and risk factor differences between children who visited the emergency department (ED) for asthma once (“one-time”) and more than once (“repeat”) over an 18-month period at an academic medical center. The purpose is to contribute to the literature on ED utilization for asthma and provide a foundation for future primary research on self-management effectiveness (SME) of childhood asthma. For the first round of analysis, an 18-month retrospective chart review was conducted on 252 children (0–17 years) who visited the ED for asthma in 2019–2020, to obtain data on demographics, risk factors, and ED visits for each child. Of these, 160 (63%) were “one-time” and 92 (37%) were “repeat” ED patients. Demographic and risk factor differences between “one-time” and “repeat” ED patients were assessed using contingency table and logistic regression analyses. A second round of analysis was conducted on patients in the age-group 8–17 years to match another retrospective asthma study recently completed in the outpatient clinics at the same (study) institution. The first-round analysis indicated that except age, none of the individual demographic or risk factors were statistically significant in predicting of “repeat” ED visits. More unequivocally, the second-round analysis revealed that none of the individual factors examined (including age, race, gender, insurance, and asthma severity, among others) were statistically significant in predicting “repeat” ED visits for childhood asthma. A key implication of the results therefore is that something other than the factors examined is driving “repeat” ED visits in children with asthma. In addition to contributing to the ED utilization literature, the results serve to corroborate findings from the recent outpatient study and bolster the impetus for future primary research on SME of childhood asthma. MDPI 2021-01-09 2021-01 /pmc/articles/PMC7827100/ /pubmed/33435304 http://dx.doi.org/10.3390/ijerph18020486 Text en © 2021 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Rangachari, Pavani
Chen, Jie
Ahuja, Nishtha
Patel, Anjeli
Mehta, Renuka
Demographic and Risk Factor Differences between Children with “One-Time” and “Repeat” Visits to the Emergency Department for Asthma
title Demographic and Risk Factor Differences between Children with “One-Time” and “Repeat” Visits to the Emergency Department for Asthma
title_full Demographic and Risk Factor Differences between Children with “One-Time” and “Repeat” Visits to the Emergency Department for Asthma
title_fullStr Demographic and Risk Factor Differences between Children with “One-Time” and “Repeat” Visits to the Emergency Department for Asthma
title_full_unstemmed Demographic and Risk Factor Differences between Children with “One-Time” and “Repeat” Visits to the Emergency Department for Asthma
title_short Demographic and Risk Factor Differences between Children with “One-Time” and “Repeat” Visits to the Emergency Department for Asthma
title_sort demographic and risk factor differences between children with “one-time” and “repeat” visits to the emergency department for asthma
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7827100/
https://www.ncbi.nlm.nih.gov/pubmed/33435304
http://dx.doi.org/10.3390/ijerph18020486
work_keys_str_mv AT rangacharipavani demographicandriskfactordifferencesbetweenchildrenwithonetimeandrepeatvisitstotheemergencydepartmentforasthma
AT chenjie demographicandriskfactordifferencesbetweenchildrenwithonetimeandrepeatvisitstotheemergencydepartmentforasthma
AT ahujanishtha demographicandriskfactordifferencesbetweenchildrenwithonetimeandrepeatvisitstotheemergencydepartmentforasthma
AT patelanjeli demographicandriskfactordifferencesbetweenchildrenwithonetimeandrepeatvisitstotheemergencydepartmentforasthma
AT mehtarenuka demographicandriskfactordifferencesbetweenchildrenwithonetimeandrepeatvisitstotheemergencydepartmentforasthma