Rehospitalization of children with asthma.

摘要: Background Although some children with asthma experience multiple admissions, is considered a preventable cause of hospitalization. Objective To assess whether components medical histories, ambulatory care prior to hospitalization, or after discharge are associated repeated hospitalizations for admitted asthma. Design Nested case-control study cohort hospitalized asthma, comparing those who were rehospitalized within 1 year not rehospitalized. Setting Urban pediatric primary clinic. Participants and Methods Subjects 119 children, aged 0 14 years, had an inpatient admission diagnosis between July 1, 1993, June 30, 1995 (index hospitalization). Data sources included charts, computerized patient records, administrative data. Use health services was compared among the index not. Main Outcome Measure Repeated hospitalizations. Results The proportions received general pediatric, allergy, pulmonary in hospitalization 86%, 7%, 8%, respectively. By report, half all did receive prescribed therapies, more than exposed cigarette smoke at home, one fourth up-to-date immunizations time admission. Thirty-five subsequently readmitted Children differ from single terms above characteristics. However, significantly consultation during (23% vs 4%; P =.001) following (37% 12%; =.002). In addition, likely have other chronic conditions (69% 49%; =.048). Conclusion Among low-income urban readmission receipt therapies care.