ArticlePublic health reports (Washington, D.C. : 1974)
Hospital readmissions for childhood asthma: the role of individual and neighborhood factors.
Article in Public health reports (Washington, D.C. : 1974). The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 1 of them a synthesis that pooled it.
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The trial behind it
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Who cites it
26 citing papers in PubMed, 1 synthesis or guideline pooled it, 86 citations in OpenAlex.
- Predictors of repeated acute hospital attendance for asthma in children: A systematic review and meta-analysis.Pediatric pulmonology · 2018Pooled it
- Practice-tailored facilitation to improve pediatric preventive care delivery: a randomized trial.Pediatrics · 2014Trial
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- Inhaled Corticosteroids Rarely Prescribed at Emergency Department Discharge Despite Low Rates of Follow-Up Care.The Journal of emergency medicine · 2023Article
- Area deprivation and respiratory morbidities in children with bronchopulmonary dysplasia.Pediatric pulmonology · 2022Article
- The association of area deprivation and state child health with respiratory outcomes of pediatric patients with cystic fibrosis in the United States.Pediatric pulmonology · 2021Observational
- Combined Effect of Race/Ethnicity and Type of Insurance on Reuse of Urgent Hospital-Based Services in Children Discharged with Asthma.Children (Basel, Switzerland) · 2020Article
- Effect of Ambient Air Pollution on Hospital Readmissions among the Pediatric Asthma Patient Population in South Texas: A Case-Crossover Study.International journal of environmental research and public health · 2020Article
- The impact of cumulative stress on asthma outcomes among urban adolescents.Journal of adolescence · 2020Article
- Neighborhood Risk and Hospital Use for Pediatric Asthma, Rhode Island, 2005-2014.Preventing chronic disease · 2019Article
- Individual and Neighborhood Factors Associated with Undiagnosed Asthma in a Large Cohort of Urban Adolescents.Journal of urban health : bulletin of the New York Academy of Medicine · 2019Article
- Article
- Is a Patient's Current Address of Record a Reasonable Measure of Neighborhood Deprivation Exposure? A Case for the Use of Point in Time Measures of Residence in Clinical Care.Health equity · 2018Article
- Sociomarkers and biomarkers: predictive modeling in identifying pediatric asthma patients at risk of hospital revisits.NPJ digital medicine · 2018Article
- Community-level characteristics and environmental factors of child respiratory illnesses in Southern Arizona.BMC public health · 2017Article
- Explaining Racial Disparities in Child Asthma Readmission Using a Causal Inference Approach.JAMA pediatrics · 2016Observational
- Housing code violation density associated with emergency department and hospital use by children with asthma.Health affairs (Project Hope) · 2014Article
- Caregiver Asthma Knowledge, Aptitude, and Practice in High Healthcare Utilizing Children: Effect of an Educational Intervention.Pediatric allergy, immunology, and pulmonology · 2013Article
- Inequalities in neighborhood child asthma admission rates and underlying community characteristics in one US county.The Journal of pediatrics · 2013Article
Corrections and comments
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Authors and funding
2 authors at 1 institution in 1 country.
Funding
Abstract
objectivesThis study used a Cox proportional hazards model to determine whether neighborhood characteristics are associated with risk of readmission for childhood asthma independently of individual characteristics.
methodsRhode Island Hospital Discharge Data from 2001 to 2005 were used to identify children younger than 19 years of age at the time of the index (i.e., first) asthma admission, defined as a primary diagnosis of asthma or a primary diagnosis of respiratory illness with a secondary or tertiary diagnosis of asthma (n=2,919). Hazard ratios of repeat hospitalizations for childhood asthma from 2001 to 2005 were estimated, controlling for individual- and neighborhood-level variables.
resultsDuring the study period, 15% of the sample was readmitted for asthma (n=451). In the unadjusted cumulative hazard curves, children residing in the census tracts with the highest proportion of crowded housing conditions, racial minority residents, or neighborhood-level poverty had higher cumulative hospital readmission rates as compared with children who resided in less disadvantaged neighborhoods. In the fully adjusted models, children insured by Medicaid at the time of their index admission had readmission rates that were 33% higher than children who were privately insured.
conclusionOur findings suggest that differences in health-care coverage are associated with higher readmission rates for pediatric asthma, but the relationship between neighborhood inequality and repeat hospitalizations for pediatric asthma requires further exploration. Social indicators such as minority race, Medicaid health insurance, and neighborhood markers of economic disadvantage are tightly interwoven in the U.S. and teasing these relationships apart is important in asthma disparities research.
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