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Risk Factors for Pediatric Asthma Readmissions: A Systematic Review.

Authors :
Hogan AH
Carroll CL
Iverson MG
Hollenbach JP
Philips K
Saar K
Simoneau T
Sturm J
Vangala D
Flores G
Source :
The Journal of pediatrics [J Pediatr] 2021 Sep; Vol. 236, pp. 219-228.e11. Date of Electronic Publication: 2021 May 13.
Publication Year :
2021

Abstract

Objective: To systematically review the literature on pediatric asthma readmission risk factors.<br />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.<br />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).<br />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.<br />Trial Registration: CRD42018107601.<br /> (Copyright © 2021 Elsevier Inc. All rights reserved.)

Details

Language :
English
ISSN :
1097-6833
Volume :
236
Database :
MEDLINE
Journal :
The Journal of pediatrics
Publication Type :
Academic Journal
Accession number :
33991541
Full Text :
https://doi.org/10.1016/j.jpeds.2021.05.015