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Long-term asthma-related readmissions: comparison between children admitted and not admitted to the intensive care unit for critical asthma.

Identifieur interne : 000599 ( Main/Exploration ); précédent : 000598; suivant : 000600

Long-term asthma-related readmissions: comparison between children admitted and not admitted to the intensive care unit for critical asthma.

Auteurs : Imane Jroundi [Maroc] ; Sze Man Tse [Canada]

Source :

RBID : pubmed:31491362

Abstract

OBJECTIVES

To compare the time to asthma-related readmission between children admitted to the intensive care unit (ICU) for asthma and those with a non-ICU hospitalization in the United States and to explore risk factors associated with readmission among children admitted in the ICU.

METHODS

In this retrospective cohort study, we included children aged 2-17 years in the State Inpatient Database (2005-2014) from four U.S. states who were hospitalized for asthma. We compared the time to asthma-related readmissions and emergency department (ED) visit between children admitted and not admitted to the ICU using the log-rank test. Among those admitted to the ICU, we explored factors associated with readmission using Cox regression.

RESULTS

66 835 children were hospitalized for asthma, with 14.0% admitted to the ICU, and 12 844 were readmitted for asthma while 22 915 had an asthma-related ED visit. The time to asthma-related readmission was shorter in the ICU group compared to the non-ICU group (

CONCLUSION

Compared to children not admitted to the ICU, children admitted to the ICU for asthma were at increased risk of asthma-related readmission, with certain risk factors conferring an even higher risk.


DOI: 10.1080/02770903.2019.1663430
PubMed: 31491362


Affiliations:


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<nlm:affiliation>Department of Pediatrics, Unit of Training and Research in Public Health, School of Medicine and Pharmacy of Rabat, University of Mohamed V of Rabat, Rabat, Morocco.</nlm:affiliation>
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<nlm:affiliation>Division of Respiratory Medicine, Department of Pediatrics, Sainte-Justine University Hospital Center, Montréal, Québec, Canada.</nlm:affiliation>
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<b>OBJECTIVES</b>
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<p>To compare the time to asthma-related readmission between children admitted to the intensive care unit (ICU) for asthma and those with a non-ICU hospitalization in the United States and to explore risk factors associated with readmission among children admitted in the ICU.</p>
</div>
<div type="abstract" xml:lang="en">
<p>
<b>METHODS</b>
</p>
<p>In this retrospective cohort study, we included children aged 2-17 years in the State Inpatient Database (2005-2014) from four U.S. states who were hospitalized for asthma. We compared the time to asthma-related readmissions and emergency department (ED) visit between children admitted and not admitted to the ICU using the log-rank test. Among those admitted to the ICU, we explored factors associated with readmission using Cox regression.</p>
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<p>
<b>RESULTS</b>
</p>
<p>66 835 children were hospitalized for asthma, with 14.0% admitted to the ICU, and 12 844 were readmitted for asthma while 22 915 had an asthma-related ED visit. The time to asthma-related readmission was shorter in the ICU group compared to the non-ICU group (</p>
</div>
<div type="abstract" xml:lang="en">
<p>
<b>CONCLUSION</b>
</p>
<p>Compared to children not admitted to the ICU, children admitted to the ICU for asthma were at increased risk of asthma-related readmission, with certain risk factors conferring an even higher risk.</p>
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