ArticleJournal of racial and ethnic health disparities2026
Improving Spanish-Speaking Caregivers' Experience with Standardized Discharge Instructions for Asthma Exacerbation in the Pediatric Emergency Department.
Article in Journal of racial and ethnic health disparities, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
backgroundPediatric asthma is a leading cause of emergency department (ED) utilization, with higher rates among minority populations. Families with limited English proficiency, particularly Spanish-speaking caregivers, may face discharge communication barriers that contribute to outcome disparities.
objectiveTo describe Spanish-speaking caregiver-reported experiences with discharge communication and follow-up support after receipt of a standardized Spanish-language asthma discharge protocol and to explore 72-hour ED revisit rates among participating patients.
methodsWe conducted a prospective observational study of Spanish-speaking caregivers of children presenting with asthma exacerbations to a tertiary pediatric ED between April 2023 and March 2025. Caregivers completed a REDCap survey assessing demographics, language preferences, interpreter use, discharge communication, and follow-up support. The primary outcome was return ED visits for asthma exacerbation within 72 h, compared with a pediatric ED population using Fisher's exact test.
resultsFifty-four Spanish-speaking caregivers were included. Most preferred discharge instructions in Spanish (94.4%); 30% reported effective English communication. Although satisfaction with interpreter services (92.0%) and provider explanations of asthma (92.6%) was high, 61.1% needed help scheduling follow-up appointments. Contributors to discharge confusion included provider time (23.1%), terminology (15.4%), and language barriers (15.4%). The surveyed group had a significantly higher 72-hour ED revisit rate than the control population (7.7% vs. 2.1%, p = 0.039).
conclusionsDespite high satisfaction with interpreter services and provider explanations, gaps remained in follow-up support. The participating group also had a higher 72-hour revisit rate; however, the observational design cannot determine whether discharge communication or the standardized protocol contributed to this difference.
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