Asthma Exacerbations in North American Adults

Griswold, Sharon; Nordstrom, Carla R.; Clark, Sunday; Gaeta, Theodore J.; Price, Michelle L.; Camargo, Carlos A.

doi:10.1378/chest.127.5.1579

Cited by 126 publications

(53 citation statements)

References 18 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Independent variables were selected based on their known association with ED visits, such as demographic characteristics (age, gender, race, ethnicity, insurance status), asthma characteristics (medications, having an action plan, smoking status, asthma-related quality of life, and environmental triggers), and prior resource utilization (specific number of ED visits and hospitalizations in the past 12 months). 7,14 Whether the patient was hospitalized for the index visit also was included in the model.…”

Section: Methodsmentioning

confidence: 99%

“…7,8 Currently, repeat visits to the ED and repeat hospitalizations for asthma and other chronic conditions are major public health and health policy issues. 9 This is due in part to new federal legislation which considers repeat presentations to acute-based hospital care settings as possible indicators of poor quality of care and discontinuity of care.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Characteristics of asthmatic patients with and without repeat emergency department visits at an inner city hospital

et al. 2014

View full text Add to dashboard Cite

Objective The objective of this study was to document the frequency and clinical characteristics associated with repeat emergency department (ED) visits for asthma in an inner city population with a high burden of asthma. Methods During an ED visit for asthma in an inner city hospital (‘index visit’), patients completed a valid survey addressing disease and behavioral factors. Hospital records were reviewed for information about ED visits and hospitalizations for asthma during the 12 months before and the 90 days after the index visit. Results 192 patients were enrolled; the mean age was 42 years, 69% were women, 36% were black, 54% were Latino, 69% had Medicaid, and 17% were uninsured. 100 patients (52%) were treated and released from the ED, 88 patients (46%) were hospitalized, and 4 patients (2%) left against medical advice. During the subsequent 90 days, 64 patients (33%) had at least one repeat ED visit for asthma and 27 (14%) were hospitalized for asthma. In a multivariate model, more past ED visits (OR 1.7, 95% CI 1.4, 2.1; p<.0001) and male gender (OR 2.5, 95% CI 1.2, 5.4; p=.02) remained associated with having a repeat ED visit. Most patients had the first repeat ED visit within 30 days and 18 returned within only 7 days. Among all patients with a repeat visit, those who were not hospitalized for the index visit were more likely to have a repeat visit within 7 days (37%) compared to those who were hospitalized (17%) (p=.05 in multivariate analysis). Conclusions Repeat ED visits were prevalent among inner city asthma patients and most occurred shortly after the index visit. The strongest predictors of repeat visits were male gender and more ED visits in the 12 months before the index visit.

show abstract

Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Characteristics of asthmatic patients with and without repeat emergency department visits at an inner city hospital

et al. 2014

View full text Add to dashboard Cite

show abstract

“…Возраст Среди пожилых пациентов (≥65 лет) с астмой на-блюдаются более высокие показатели смертности [30], частота госпитализаций и осложнений, связанных с астмой по сравнению с более молодыми пациентами [31,32]. Причинами этого может быть специфически протекающее воспаление у пожилых (Inflamm-aging), снижение функции легких вследствие снижения эла-стической тяги легких и силы дыхательных мышц [33][34][35][36][37][38].…”

Section: Introductionunclassified

Natural Course of Bronchial Asthma: Factors That Don’t Allow to Achieve the Control in a Long-Term Perspective

Kobyakova¹,

Деев²,

Kulikov³

et al. 2017

SMR

View full text Add to dashboard Cite

“…5–10 The costs of an ED visit can be devastating to these patients, who already face financial and social hardships that limit their access to care and ability to pay. For instance, the 16% of Americans who are uninsured often wait for symptoms to deteriorate due to financial barriers to care, and eventually must seek urgent care in the ED.…”

mentioning

confidence: 99%

Emergency Department Charges for Asthma-Related Outpatient Visits by Insurance Status

Wang¹,

Srebotnjak²,

Brownell³

et al. 2014

hpu

View full text Add to dashboard Cite

Though Americans make 1.8 million asthma-related outpatient visits to the emergency department (ED) annually, little is known about the episodic charges for asthma care in the ED. We therefore sought to assess the bills patients could face for acute asthma incidents by examining hospital charges for asthma-related outpatient ED visits. We performed a nationwide, cross-sectional study of 2.9 million weighted asthma-related outpatient ED visits from 2006–2008 using data from the Medical Expenditure Panel Survey. We found that the average charge for an outpatient ED visit was $1,502 (95% CI $1,493–$1,511). The charges did not vary significantly by insurance group but did increase significantly with age. Our results indicate that the financial burden of ED care for asthma may take a severe toll on low-income populations who have limited ability to pay, especially patients who must pay undiscounted charges, including the uninsured and those on high-deductible health plans.

show abstract

Asthma Exacerbations in North American Adults

Cited by 126 publications

References 18 publications

Characteristics of asthmatic patients with and without repeat emergency department visits at an inner city hospital

Characteristics of asthmatic patients with and without repeat emergency department visits at an inner city hospital

Natural Course of Bronchial Asthma: Factors That Don’t Allow to Achieve the Control in a Long-Term Perspective

Emergency Department Charges for Asthma-Related Outpatient Visits by Insurance Status

Contact Info

Product

Resources

About