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Clin Pediatr (Phila). 2010 Dec;49(12):1111-6. doi: 10.1177/0009922810378038. Epub 2010 Aug 19.

Younger asthmatics are less likely to receive inhaled corticosteroids and asthma education after admission for exacerbation.

Author information

1
Medical University of South Carolina, Charleston, SC, USA. lintzeni@musc.edu

Abstract

BACKGROUND:

Recommended care prior to discharge from an asthma hospitalization includes prescribing controller medications, providing asthma education, and scheduling a follow-up appointment.

OBJECTIVE:

To identify factors associated with receipt of recommended preventive care among children hospitalized for asthma.

METHODS:

Retrospective chart review of patients 2-18 years with primary diagnosis of asthma admitted to MUSC Children's Hospital in 2005. Gender, race, age (2-6 yrs v. 7-18 yrs), primary payer, and season of admission were recorded. Outcome variables were: prescription for inhaled corticosteroids (ICS), asthma education, and scheduling a follow-up appointment.

RESULTS:

Of the 146 subjects analyzed, 59% were male, 69% non-white, 64% 2-6 years old, 73% Medicaid/other, and 66% were admitted between Oct-March. 73% were prescribed ICS, 71% got asthma education, and 66% had a follow-up appointment scheduled. Bivariate analyses showed that 2-6 year olds were less likely to get ICS (65% v. 88% p < .01) and asthma education (64% v. 84% p < .05). Multivariable analyses demonstrated that younger children were less likely to get ICS (OR= 0.27 95% CI 0.10 - 0.70), younger children were less likely to get asthma education (OR 0.29 95% CI 0.11- 0.74), and commercial payer patients were less likely to get follow-up appointments scheduled (OR 0.39 95% CI 0.18 -0.87) (all models, p < .05).

CONCLUSIONS:

Among children hospitalized for asthma at our institution, younger patients are significantly less likely to receive inhaled steroids and asthma education. Targeting younger asthmatics may be a way to efficiently and effectively improve delivery of recommended preventive care in the hospital.

PMID:
20724325
DOI:
10.1177/0009922810378038
[Indexed for MEDLINE]

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