Table 5.
Health Care Visits by Study Group
| Asthma Coach n=120 | Usual Care n=121 | Relative Risk (95% CI) | |
|---|---|---|---|
| ED Visit for Asthma | |||
| Children with ≥ 1 visit, number (%) | 71 (59%) | 76 (63%) | 0.94 (0.77–1.15) |
| Total number of visits, median (range) | 1 (0–11) | 1 (0–9) | |
| Time until first visit, mean months | 4.4 (0.13–22.0) | 5.9 (0.03–21.8) | |
| ED visit for Any Reason | |||
| Children with ≥ 1 visit, number (%) | 92 (77%) | 95 (79%) | 0.98 (0.85–1.12) |
| Total number of visits, median (range) | 2 (0–24) | 2 (0–14) | |
| Hospitalization for Asthma | |||
| Children with ≥ 1 hospitalization, number (%) | 29 (24%) | 32 (26%) | 0.91 (0.59–1.41) |
| Total number of hospitalizations, median (range) | 0 (0–6) | 0 (0–4) | |
| Time until first hospitalization, mean months | 6.0 (0.79–22.1) | 7.9 (0.16–23.4) | |
| Asthma Monitoring (AM) Visit * | |||
| Children with ≥ 1 visit, number (%) | 97 (81%) | 81 (67%) | 1.21 (1.04–1.41) |
| Children with ≥ 4 visits, number (%) | 24 (20%) | 12 (10%) | 2.02 (1.06–3.84) |
| Total number of visits, median (range) | 2 (0–10) | 1 (0–11) | |
| AM Visit with Controller Medication Documentation | |||
| Children with ≥ 1 visit, number (%) | 70 (58%) | 52 (43%) | 1.36 (1.05–1.75) |
| Total number of visits, median (range) | 1 (0–5) | 0 (0–4) | |
| PCP Visit with Asthma Action Plan Documentation | |||
| Children with ≥ 1 visit, number (%) | 12 (10%) | 13 (11%) | 0.93 (0.44–1.96) |
| Total number of visits, median (range) | 0 (0–3) | 0 (0–2) | |
| PCP Visit for Acute Asthma Symptoms | |||
| Treatment Documented | |||
| Children with ≥ 1 visit, number (%) | 27 (23%) | 17 (14%) | 1.60 (0.92–2.78) |
| Total number of visits, median (range) | 0 (0–7) | 0 (0–3) | |
| No Treatment Documented | |||
| Children with ≥ 1 visit, number (%) | 39 (32%) | 28 (23%) | 1.40 (0.93–2.13) |
| Total number of visits, median (range) | 0 (0–10) | 0 (0–4) | |
| PCP Well-Child Visit without Asthma Documentation | |||
| Children with ≥ 1 visit, number (%) | 16 (13%) | 14 (12%) | 1.15 (0.59–2.26) |
| Total number of visits, median (range) | 0 (0–2) | 0 (0–2) | |
| PCP Non-Asthma Visit | |||
| Children with ≥ 1 visit, number (%) | 51 (43%) | 35 (29%) | 1.47 (1.04–2.08) |
| Total number of visits, median (range) | 0 (0–5) | 0 (0–7) |
Data represent visits occurring during the two years following enrollment; n=241; per protocol analysis
ED = emergency department, PCP = primary care provider.
Medians compared using Wilcoxon rank sum test.
*
Asthma Monitoring visit = non-acute visit focused on asthma care; included PCP well-child visits with asthma documented and hospital asthma clinic visits. [similar proportions per group with ≥ 1 asthma clinic visit; Asthma Coach= 22%, Usual Care=15%, p=0.19, Jonckheere-Terpstra test].