Predicting frequent emergency department visits among children with asthma using EHR data

2017 ◽  
Vol 52 (7) ◽  
pp. 880-890 ◽  
Author(s):  
Lala T. Das ◽  
Erika L. Abramson ◽  
Anne E. Stone ◽  
Janienne E. Kondrich ◽  
Lisa M. Kern ◽  
...  
Keyword(s):  
Emergency Department ◽  
Emergency Department Visits ◽  
Children With Asthma

scholarly journals Emergency department visits for children with acute asthma: discharge instructions, parental plans, and follow-through of care—a prospective study

CJEM ◽  
2014 ◽  
Vol 16 (06) ◽  
pp. 467-476 ◽  
Author(s):  
Pat G. Camp ◽  
Seamus P. Norton ◽  
Ran D. Goldman ◽  
Salomeh Shajari ◽  
M. Anne Smith ◽  
...  
Keyword(s):  
Emergency Department ◽  
Acute Care ◽  
Family Doctor ◽  
Emergency Department Visits ◽  
Upper Respiratory Tract ◽  
Asthma Exacerbations ◽  
Initial Care ◽  
Children With Asthma ◽  
Tract Infections ◽  
The Impact

Abstract Objective: Communication between emergency department (ED) staff and parents of children with asthma may play a role in asthma exacerbation management. We investigated the extent to which parents of children with asthma implement recommendations provided by the ED staff. Method: We asked questions on asthma triggers, ED care (including education and discharge recommendations), and asthma management strategies used at home shortly after the ED visit and again at 6 months. Results: A total of 148 children with asthma were recruited. Thirty-two percent of children were not on inhaled corticosteroids prior to their ED visit. Eighty percent of parents identified upper respiratory tract infections (URTIs) as the primary trigger for their child’s asthma. No parent received or implemented any specific asthma strategies to reduce the impact of URTIs; 82% of parents did not receive any printed asthma education materials. Most (66%) parents received verbal instructions on how to manage their child’s future asthma exacerbations. Of those, one-third of families were told to return to the ED. Parents were rarely advised to bring their child to their family doctor in the event of a future exacerbation. At 6 months, parents continued to use the ED services for asthma exacerbations in their children, despite reporting feeling confident in managing their child’s asthma. Conclusion: Improvements are urgently needed in developing strategies to manage pediatric asthma exacerbations related to URTIs, communication with parents at discharge in acute care, and using alternate acute care services for parents who continue to rely on EDs for the initial care of mild asthma exacerbations.

Emergency department visits by urban African American children with asthma

2000 ◽  
Vol 105 (1) ◽  
pp. 83-90 ◽  
Author(s):  
Cynthia S. Rand ◽  
Arlene M. Butz ◽  
Ken Kolodner ◽  
Karen Huss ◽  
Peyton Eggleston ◽  
...  
Keyword(s):  
Emergency Department ◽  
African American ◽  
Emergency Department Visits ◽  
African American Children ◽  
Children With Asthma ◽  
American Children

scholarly journals Social Determinants of Emergency Department Visits in Mild Compared To Moderate and Severe Asthma

2021 ◽  
Author(s):  
Kamel Alachraf ◽  
Caroline Currie ◽  
William Wooten ◽  
Dmitry Tumin
Keyword(s):  
Emergency Department ◽  
Severe Asthma ◽  
Social Determinants ◽  
Insurance Coverage ◽  
Asthma Severity ◽  
Emergency Department Visits ◽  
Data Set ◽  
The Past ◽  
Children With Asthma ◽  
Ed Visits

Abstract Social determinants of health (SDH) influence emergency department (ED) use among children with asthma. We aimed to examine if SDH were more strongly associated with ED use among children with moderate/severe compared to mild asthma. This study utilized the 2016-2019 data from the National Survey of Children’s Health. Children with asthma ages 0-17 years (N=9,937) were included in the analysis. Asthma severity and all-cause ED use in the past year were reported by caregivers. The association between patient factors and ED visits was evaluated using ordinal logistic regression. Based on the study sample, 29% of children with asthma had moderate/severe asthma. In the mild group, 30% visited the ED at least once in the past 12 months, compared to 49% in the moderate/severe group. SDH associated with ED visits included race/ethnicity, insurance coverage, and parental educational attainment, but the strength of these associations did not vary according to asthma severity. In a nationally-representative data set, SDH were equally predictive of ED use regardless of children’s asthma severity. Interventions to reduce ED use among children with asthma should be considered for children with any severity of asthma, especially children in socially disadvantaged groups at higher risk of ED utilization.

scholarly journals Health Care Costs Associated with Acute Asthma: A Prospetive Economic Analysis

1999 ◽  
Vol 6 (6) ◽  
pp. 521-525 ◽  
Author(s):  
Naser Awadh Behbehani ◽  
Anton Grunfeld ◽  
J Mark FitzGerald
Keyword(s):  
Emergency Department ◽  
Teaching Hospital ◽  
Hospital Admissions ◽  
Acute Asthma ◽  
Hospital Setting ◽  
Cost Benefit ◽  
Indirect Costs ◽  
Emergency Department Visits ◽  
Accurate Estimation ◽  
Children With Asthma

OBJECTIVE: To determine the direct and indirect costs associated with the care of acute asthma in an adult teaching hospital.DESIGN: A prospective, cost identification study.PATIENTS AND METHODS: Patients aged 15 to 55 years presenting with acute asthma. Consecutive emergency department visits for asthma at Vancouver Hospital and Health Sciences Centre over six months were prospectively monitored. The duration of hospital stay, physician?s care, laboratory procedures and medication given were recorded. Time lost from work or school was determined by follow-up telephone calls. The costs were calculated in 1997 Canadian dollars.RESULTS: One hundred and forty-nine patients made 195 emergency department visits over the six-month study. Twenty-eight (14%) of these visits led to hospital admissions. The total cost associated with the care of these patients was $250,570. The median (standard deviation in brackets) direct medical costs associated with each emergency department visit and hospital day were $324.00 (±52.00) per visit, and $677.00 (±76.00) per day, respectively.CONCLUSION: The present study provides a more accurate estimation of the operational cost of managing asthma in a teaching hospital setting than previous studies. The data presented in this study can be used in future cost effectiveness and cost-benefit studies in acute asthma, particularly where these studies involve specific intervention such as asthma education. More studies, which include children with asthma and patients treated outside of the hospital setting, are needed.

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