The purpose of this study was to identify risk factors for pediatric asthma emergency department (ED) visits. A cross-sectional sample of 307 families (24%) responded to a mailed survey. Respondents were similar to the target population of 2487 children with asthma. Thirty-seven percent of respondents had two or more asthma ED visits in the past year. Asthma ED use was associated with persistent asthma symptoms, parents without high school diplomas, age under 4 years, African-American race/ethnicity, use of written care plans, and use of spacers at school. The latter two variables were associated with severe asthma. High-risk children can be targeted for office-based medical care.
Bibliographical noteFunding Information:
We are grateful to the Children’s Hospital of Wisconsin Foundation for providing grant support for this research. We thank Cindy P. Helstad, Ph.D., R.N., and Mary Bowers at the State Medical Society of Wisconsin Pediatric Asthma Outcomes Research Project for sustaining our state-local partnership. We deeply appreciate the collaboration and advice of physicians, nurses, administrators, data managers, and parents at the participating clinics. We also thank Earnestine Willis, M.D., M.P.H., for useful advice regarding the design and implementation of this project. This article was presented, in abstract form, at meetings of the American Academy of Allergy, Asthma & Immunology, the Ambulatory Pediatric Association, and the Wisconsin Network for Health Services Research.
- Emergency service
- Healthcare surveys
- Risk factors