Hospital Readmissions for Childhood Asthma

• DOI: 10.1164/rccm.2201015
• Publication Date: 2003-04-08T20:38:42Z
• Authors: Gordon R. Bloomberg; Kathryn M. Trinkaus; Edwin B. Fisher; Judith R. Musick; Robert C. Strunk
• Keywords: Hospital Readmission

Studies of asthma admissions in the St. Louis metropolitan area have disclosed substantial numbers children with readmissions. To determine magnitude readmissions and attributes readmissions, a retrospective analysis 8,761 14,905 hospitalizations for January 1, 1990 through December 31, 1999 at two university affiliated children's hospitals was undertaken. Patient age, sex, race/ethnicity, residence, payor status, length stay, month admission were compared between patients admitted once during that period multiple times. Main outcome measures total number time to readmission study interval. A Lin, Wei, Yang, Ying model showed African-American Medicaid or no insurance are higher risk (risk ratio 1.28) than commercial white/other race/ethnicity regardless insurance. Probability increased from 30% after first admission, 46% second, 59% third. Prior more specific indicator greater positive predictive value ethnicity status their combination.