| Asthma presentations by children to emergency departments in a Canadian province: a population-based study. | |
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MedLine Citation:
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PMID: 20632409 Owner: NLM Status: In-Process |
Abstract/OtherAbstract:
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BACKGROUND: Asthma has a high prevalence in North American children and exacerbations presenting to the emergency department (ED) setting are common. OBJECTIVE: Describe the epidemiology of asthma presentations to EDs by children residing in a large geographic area (Alberta, Canada). METHODS: Data were extracted from provincial administrative databases for children <18 years of age from April 1999 to March 2005. Information extracted included demographics, ED visit timing, and subsequent visits to non-ED settings. Analysis included summaries and rates. RESULTS: A total of 94,187 ED visits for asthma (45,385 children) were obtained. Visits were more common by boys (61.3%); after age 14, more females presented. The standardized rates remained stable over time; 21.1/1,000 in 1999/2000 compared to 19.8/1,000 in 2004/2005. Welfare recipients and Aboriginals had higher rates than other groups. Important daily, weekly, and monthly trends were seen. Approximately 10% were admitted; 5.4% of those discharged had a repeat ED visit within 7 days and 71% had not completed a non-ED follow-up visit within 7 days. The median time to the first follow-up visit was 26 days. CONCLUSIONS: Acute asthma is an important and relatively common ED presentation in childhood. Despite guidelines and improved treatments, this study failed to identify decreased presentation rates over time; disparities were based on age, sex, and socio-economic/cultural status. Few children were reassessed within a week of their ED visit. Further study is required to understand the factors associated with these variations and the effectiveness of interventions targeted at specific groups to reduce the asthma-related ED visits. |
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Authors:
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Rhonda J Rosychuk; Donald C Voaklander; Terry P Klassen; Ambikaipakan Senthilselvan; Thomas J Marrie; Brian H Rowe |
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Publication Detail:
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Type: Journal Article; Research Support, Non-U.S. Gov't |
Journal Detail:
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Title: Pediatric pulmonology Volume: 45 ISSN: 1099-0496 ISO Abbreviation: Pediatr. Pulmonol. Publication Date: 2010 Oct |
Date Detail:
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Created Date: 2010-09-27 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 8510590 Medline TA: Pediatr Pulmonol Country: United States |
Other Details:
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Languages: eng Pagination: 985-92 Citation Subset: IM |
Copyright Information:
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© 2010 Wiley-Liss, Inc. |
Affiliation:
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Department of Pediatrics, University of Alberta, Edmonton, Alberta, Canada. rhonda.rosychuk@ualberta.ca |
Export Citation:
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Descriptor/Qualifier:
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| Grant Support | |
ID/Acronym/Agency:
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//Canadian Institutes of Health Research |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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