Loading...
Please wait, while we are loading the content...
Similar Documents
Impact of Obesity on Clinical Outcomes in Urban Children Hospitalized for Status Asthmaticus.
| Content Provider | Semantic Scholar |
|---|---|
| Author | Aragona, Elena El-Magbri, Eussra Wang, Jichuan Scheckelhoff, Tessa Scheckelhoff, Trevor Hyacinthe, Assata Nair, Suja J. Khan, Amina Kausar Nino, G. Pillai, Dinesh K. |
| Copyright Year | 2016 |
| Abstract | BACKGROUND AND OBJECTIVE The prevalence of both childhood asthma and obesity remain at historically high levels and disproportionately affect urban children. Asthma is a common and costly cause for pediatric hospitalization. Our objective was to determine the effect of obesity on outcomes among urban children hospitalized with status asthmaticus. METHODS A retrospective cohort study was performed by using billing system data and chart review to evaluate urban children admitted for asthma. Demographics, asthma severity, reported comorbidities, and outcomes were assessed. Obesity was defined by BMI percentile (lean<85%, overweight 85%-95%, obeseā„95%). Outcomes were length of stay, hospitalization charges, ICU stay, repeat admissions, and subsequent emergency department (ED) visits. Bivariate analysis assessed for differences between overweight/obese and lean children. Multivariable regression assessed the relationship between overweight status and primary outcomes while controlling for other variables. Post hoc age-stratified analysis was also performed. RESULTS The study included 333 subjects; 38% were overweight/obese. Overweight/obese children admitted with asthma were more likely than lean children to have subsequent ED visits (odds ratio 1.6, 95% confidence interval 1.0-2.6). When stratified by age, overweight/obese preschool-age children (<5 years) were >2 times as likely to have repeat ED visits than lean preschool-age children (odds ratio 2.3, 95% confidence interval 1.0-5.6). There were no differences in the other outcomes between overweight/obese and lean individuals within the entire cohort or within other age groups. |
| Starting Page | 333 |
| Ending Page | 338 |
| Page Count | 6 |
| File Format | PDF HTM / HTML |
| Alternate Webpage(s) | http://hosppeds.aappublications.org/content/hosppeds/6/4/211.full.pdf |
| PubMed reference number | 27012614v1 |
| Alternate Webpage(s) | https://doi.org/10.1542/hpeds.2015-0094 |
| DOI | 10.1542/hpeds.2015-0094 |
| Journal | Hospital pediatrics |
| Volume Number | 6 |
| Issue Number | 4 |
| Language | English |
| Access Restriction | Open |
| Subject Keyword | Accident and Emergency department Admission activity Confidence Intervals Demography Erectile dysfunction Hospital admission Hospitalization Large Obesity Odds Ratio Overweight Status Epilepticus childhood asthma intensive care unit |
| Content Type | Text |
| Resource Type | Article |
