Document Detail


Outcome of long-term hospitalization for asthma in children.
MedLine Citation:
PMID:  2913136     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Children whose asthma continues to be poorly controlled with outpatient management are often referred to a long-term hospital program for care. Although these programs have been in existence since the 1950s, there has been no systematic study of their effectiveness. The purpose of the present study was to determine outcome in 103 children discharged consecutively after a long-term hospitalization. These children had both severe asthma and significant psychologic problems. Eighty-three of the 103 children had required continuous or frequent intermittent steroids for asthma control. In the year before admission, they had been hospitalized for asthma a mean of 2.6 times for 11.8 days and had had 4.6 visits to emergency rooms and 6.6 visits to physician offices for acute wheezing. Use of medical resources for asthma decreased significantly in the year after long-term hospitalization compared to the year before hospitalization (hospitalization: -34%, p less than 0.0001; hospital days: -39%, p less than 0.0002; emergency room visits: -46%, p less than 0.00001; physician office visits for acute asthma, -42%; p less than 0.00001; and a composite score giving increasing weight to more intensive and costly care: -30%, p less than 0.0001). Long-term hospitalization for children with asthma not responsive to outpatient management is associated with improvement in their use of medical resources.
Authors:
R C Strunk; J T Fukuhara; J F LaBrecque; D A Mrazek
Related Documents :
1270766 - The therapeutic milieu and the older depressed patient.
15110426 - Geographical variation in acute psychiatric admissions within new york city 1990-2000: ...
8141696 - Managing asthma in accident and emergency departments: an assessment in non teaching ho...
15141796 - Unplanned hospital admission in children undergoing day-case surgery.
24029796 - Patterns of initial antibiotic therapy for community-acquired pneumonia in u.s. hospita...
10683226 - Separation of lipooligosaccharides by linear gradient gel electrophoresis.
Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't; Research Support, U.S. Gov't, P.H.S.    
Journal Detail:
Title:  The Journal of allergy and clinical immunology     Volume:  83     ISSN:  0091-6749     ISO Abbreviation:  J. Allergy Clin. Immunol.     Publication Date:  1989 Jan 
Date Detail:
Created Date:  1989-03-09     Completed Date:  1989-03-09     Revised Date:  2007-11-14    
Medline Journal Info:
Nlm Unique ID:  1275002     Medline TA:  J Allergy Clin Immunol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  17-25     Citation Subset:  AIM; IM    
Affiliation:
Department of Pediatrics, National Jewish Center for Immunology and Respiratory Medicine, Denver, Colo.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:
Adolescent
Asthma / physiopathology,  psychology,  therapy*
Child
Child Behavior
Colorado
Drug Administration Schedule
Family
Female
Forced Expiratory Volume
Hospitals, Special / utilization
Humans
Length of Stay*
Male
Neuropsychological Tests
Outcome and Process Assessment (Health Care)*
Patient Readmission
Prednisone / administration & dosage
Prospective Studies
Regression Analysis
Grant Support
ID/Acronym/Agency:
KO1-MH 00430/MH/NIMH NIH HHS; KO7-AI 00543/AI/NIAID NIH HHS
Chemical
Reg. No./Substance:
53-03-2/Prednisone

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


Previous Document:  Immunodeficiency in patients with hemophilia: an underlying deficiency and lack of correlation with ...
Next Document:  Isolation and characterization of heat-stable allergens from shrimp (Penaeus indicus).