期刊
JOURNAL OF PEDIATRICS
卷 166, 期 1, 页码 101-+出版社
MOSBY-ELSEVIER
DOI: 10.1016/j.jpeds.2014.07.046
关键词
-
类别
资金
- Thrasher Foundation [NR-0048]
- Cincinnati Children's Hospital Medical Center (CCHMC)
- Bureau of Health Professions (BHPr)
- Health Resources and Services Administration (HRSA)
- Department of Health and Human Services (DHHS) (under CCHMC NRSA Primary Care Research Fellowship in Child and Adolescent Health) [T32HP10027]
- Robert Wood Johnson Foundation (Clinical Scholars Program)
Objective To characterize factors associated with readmission for acute asthma exacerbation, particularly around caregiver asthma knowledge, beliefs, and reported adherence to prescribed medication regimens. Study design We enrolled 601 children (aged 1-16 years) who had been hospitalized for asthma. Caregivers completed a face-to-face survey regarding their asthma knowledge, beliefs, and medication adherence. Caregivers also reported demographic data, child's asthma severity, exposure to triggers, access to primary care, and financial strains. We prospectively identified asthma readmission events via billing data over a 1-year minimum follow-up period. We examined time to readmission with Cox proportional hazards. Results The study cohort's median age was 5 years, 53% were African American, and 57% were covered by Medicaid. At 1 year, 22% had been readmitted for asthma. In the multivariate analysis, a caregiver's demonstration of increased asthma knowledge was associated with increased readmission risk. In addition, children whose caregivers reported less-than-perfect adherence to daily medication regimens had increased readmission risk. Likewise, having previously been admitted for asthma, decreased medical home access, and black race were associated with increased readmission risk. Conclusion In a multifactorial assessment of risk factors for asthma readmission, greater asthma knowledge and decreased medication adherence were associated with readmission. Inpatient efforts to prevent readmission might best target medication adherence rather than continuing to primarily provide asthma education.
作者
我是这篇论文的作者
点击您的名字以认领此论文并将其添加到您的个人资料中。
推荐
暂无数据