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. 1995 Sep;50(9):934–936. doi: 10.1136/thx.50.9.934

Effect of readmissions on increasing hospital admissions for asthma in children.

A Senthilselvan 1
PMCID: PMC1021304  PMID: 8539671

Abstract

BACKGROUND--Previous studies have reported increases in the number of hospital admissions for asthma in children. The aim of the present study was to examine the effect of readmissions on these increased hospital admissions and to investigate gender differences in asthma readmissions. METHODS--The Provincial Government of Saskatchewan provides universal health care to its residents. Hospital admissions data for asthma were obtained from the Saskatchewan Health Department for all 134 hospitals in the province between 1980 and 1989. Age-specific and sex-specific hospital admission rates for asthma were calculated for each calendar year using first admissions and all admissions. The ratio between the number of readmissions and all admissions in a year was defined as the readmission rate for that year. RESULTS--Although rates based on all admissions for asthma were greater than rates based on first admissions, trends and sex differences were similar for the two rates. Despite the higher hospital admission rates for boys aged 10-14 years, girls in this age group had higher readmission rates for asthma from 1981 to 1989 (odds ratio (OR) 1.6 for girls; 95% confidence intervals (CI) 1.3 to 1.9). Similar increases were observed in readmission rates for asthma among children aged 5-9 years from 1985 to 1989 (OR 1.3 for girls; 95% CI 1.1 to 1.5). CONCLUSIONS--Readmissions for asthma do not seem to explain the increasing trend in hospital admissions for asthma in children. In children aged 10-14 years girls had higher hospital readmission rates for asthma than boys, and further studies are required to find factors related to the increased readmissions among girls in this age group.

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Selected References

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  1. Anderson H. R. Increase in hospital admissions for childhood asthma: trends in referral, severity, and readmissions from 1970 to 1985 in a health region of the United Kingdom. Thorax. 1989 Aug;44(8):614–619. doi: 10.1136/thx.44.8.614. [DOI] [PMC free article] [PubMed] [Google Scholar]
  2. Anderson H. R. Increase in hospitalisation for childhood asthma. Arch Dis Child. 1978 Apr;53(4):295–300. doi: 10.1136/adc.53.4.295. [DOI] [PMC free article] [PubMed] [Google Scholar]
  3. Carman P. G., Landau L. I. Increased paediatric admissions with asthma in Western Australia--a problem of diagnosis? Med J Aust. 1990 Jan 1;152(1):23–26. doi: 10.5694/j.1326-5377.1990.tb124423.x. [DOI] [PubMed] [Google Scholar]
  4. Carr W., Zeitel L., Weiss K. Variations in asthma hospitalizations and deaths in New York City. Am J Public Health. 1992 Jan;82(1):59–65. doi: 10.2105/ajph.82.1.59. [DOI] [PMC free article] [PubMed] [Google Scholar]
  5. Evans D. I. Severe aplastic anaemia. Arch Dis Child. 1985 Apr;60(4):295–296. doi: 10.1136/adc.60.4.295. [DOI] [PMC free article] [PubMed] [Google Scholar]
  6. Mitchell E. A., Bland J. M., Thompson J. M. Risk factors for readmission to hospital for asthma in childhood. Thorax. 1994 Jan;49(1):33–36. doi: 10.1136/thx.49.1.33. [DOI] [PMC free article] [PubMed] [Google Scholar]
  7. Mitchell E. A., Jackson R. T. Recent trends in asthma mortality, morbidity, and management in New Zealand. J Asthma. 1989;26(6):349–354. doi: 10.3109/02770908909073277. [DOI] [PubMed] [Google Scholar]
  8. Skobeloff E. M., Spivey W. H., St Clair S. S., Schoffstall J. M. The influence of age and sex on asthma admissions. JAMA. 1992 Dec 23;268(24):3437–3440. [PubMed] [Google Scholar]
  9. Vollmer W. M., Buist A. S., Osborne M. L. Twenty year trends in hospital discharges for asthma among members of a health maintenance organization. J Clin Epidemiol. 1992 Sep;45(9):999–1006. doi: 10.1016/0895-4356(92)90115-4. [DOI] [PubMed] [Google Scholar]
  10. Wever-Hess J., Wever A. M., Yntema J. L. Mortality and morbidity from respiratory diseases in childhood in The Netherlands, 1980-1987. Eur Respir J. 1991 Apr;4(4):429–433. [PubMed] [Google Scholar]
  11. Wilkins K., Mao Y. Trends in rates of admission to hospital and death from asthma among children and young adults in Canada during the 1980s. CMAJ. 1993 Jan 15;148(2):185–190. [PMC free article] [PubMed] [Google Scholar]

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