Risk Factors for Pediatric Asthma Readmissions: A Systematic Review
| Autor: | Alexander H. Hogan, Marissa G. Iverson, Jesse J. Sturm, Jessica P. Hollenbach, Katarzyna Saar, Divya Vangala, Glenn Flores, Kaitlyn Philips, Tregony Simoneau, Christopher L. Carroll |
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| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
Adolescent Scopus MEDLINE Patient characteristics PsycINFO CINAHL 03 medical and health sciences 0302 clinical medicine Risk Factors 030225 pediatrics Medicine Humans 030212 general & internal medicine Child Pediatric asthma Asthma business.industry Clinical study design medicine.disease Hospitalization Child Preschool Pediatrics Perinatology and Child Health Emergency medicine business |
| Zdroj: | The Journal of pediatrics. 236 |
| ISSN: | 1097-6833 |
| Popis: | Objective To systematically review the literature on pediatric asthma readmission risk factors. Study design We searched PubMed/MEDLINE, CINAHL, Scopus, PsycINFO, and Cochrane Central Register of Controlled Trials for published articles (through November 2019) on pediatric asthma readmission risk factors. Two authors independently screened titles and abstracts and consensus was reached on disagreements. Full-text articles were reviewed and inclusion criteria applied. For articles meeting inclusion criteria, authors abstracted data on study design, patient characteristics, and outcomes, and 4 authors assessed bias risk. Results Of 5749 abstracts, 74 met inclusion criteria. Study designs, patient populations, and outcome measures were highly heterogeneous. Risk factors consistently associated with early readmissions (≤30 days) included prolonged length of stay (OR range, 1.1-1.6) and chronic comorbidities (1.7-3.2). Risk factors associated with late readmissions (>30 days) included female sex (1.1-1.6), chronic comorbidities (1.5-2), summer discharge (1.5-1.8), and prolonged length of stay (1.04-1.7). Across both readmission intervals, prior asthma admission was the most consistent readmission predictor (1.3-5.4). Conclusions Pediatric asthma readmission risk factors depend on the readmission interval chosen. Prior hospitalization, length of stay, sex, and chronic comorbidities were consistently associated with both early and late readmissions. Trial registration CRD42018107601. |
| Databáze: | OpenAIRE |
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