Looking Beyond Urban/Rural Differences: Emergency Department Utilization by Asthmatic Children
Asthma causes pediatric morbidity throughout the US with substantial regional variability. Emergency department (ED) utilization data were studied to determine if geographic variability of pediatric asthma cases exists within a state. Records for non-neonatal Maryland children less than 18 years of...
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Veröffentlicht in: | The Journal of asthma 2006-05, Vol.43 (4), p.301-306 |
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container_title | The Journal of asthma |
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creator | Hirshon, Jon Mark Weiss, Sheila R. LoCasale, Robert Levine, Elissa Blaisdell, Carol J. |
description | Asthma causes pediatric morbidity throughout the US with substantial regional variability. Emergency department (ED) utilization data were studied to determine if geographic variability of pediatric asthma cases exists within a state. Records for non-neonatal Maryland children less than 18 years of age seen and discharged from Maryland EDs from April 1997 through March 2001 were analyzed. While Baltimore City had the highest rates of asthma visits, adjusted odds ratios identified the wealthiest suburban county to have a higher risk of an asthma ED visit. Children from rural counties, for the most part, had fewer ED asthma visits than children from urban and suburban counties. |
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Emergency department (ED) utilization data were studied to determine if geographic variability of pediatric asthma cases exists within a state. Records for non-neonatal Maryland children less than 18 years of age seen and discharged from Maryland EDs from April 1997 through March 2001 were analyzed. While Baltimore City had the highest rates of asthma visits, adjusted odds ratios identified the wealthiest suburban county to have a higher risk of an asthma ED visit. 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Emergency department (ED) utilization data were studied to determine if geographic variability of pediatric asthma cases exists within a state. Records for non-neonatal Maryland children less than 18 years of age seen and discharged from Maryland EDs from April 1997 through March 2001 were analyzed. While Baltimore City had the highest rates of asthma visits, adjusted odds ratios identified the wealthiest suburban county to have a higher risk of an asthma ED visit. Children from rural counties, for the most part, had fewer ED asthma visits than children from urban and suburban counties.</description><subject>Adolescent</subject><subject>Age Distribution</subject><subject>asthma</subject><subject>Asthma - diagnosis</subject><subject>Asthma - economics</subject><subject>Asthma - epidemiology</subject><subject>Asthma - therapy</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>children</subject><subject>Confidence Intervals</subject><subject>Cost of Illness</subject><subject>Cross-Sectional Studies</subject><subject>emergency departments</subject><subject>Emergency Service, Hospital - economics</subject><subject>Emergency Service, Hospital - utilization</subject><subject>Female</subject><subject>geographic variability</subject><subject>Hospital Costs</subject><subject>Humans</subject><subject>Incidence</subject><subject>Infant</subject><subject>Logistic Models</subject><subject>Male</subject><subject>Maryland</subject><subject>Maryland - epidemiology</subject><subject>Odds Ratio</subject><subject>Respiratory Function Tests</subject><subject>Risk Assessment</subject><subject>Rural Population</subject><subject>Severity of Illness Index</subject><subject>Sex Distribution</subject><subject>Urban Population</subject><issn>0277-0903</issn><issn>1532-4303</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2006</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kF9rFDEUxYModlv9AL5Innyb9s7cmdkZ9aVu6x9YEKR9NWSSm27qTLImGWT89KbsgohQuJCb5HcOh8PYqxLOS-jgAqr1GnqANk-FVdM8YauywaqoEfApWz38FxnAE3Ya4z1AfoD2OTsp2w76qq5X7PvW-x_W3fEPtHin-W0YpLv4Ngc58itrDAVyiuJbfj1RuMv7wq9oL0OayCV-m-xof8tkvePDwi9j2k35pvhmZ0edpS_YMyPHSC-P5xm7-Xh9s_lcbL9--rK53BaqhjoVUld1R1XbajU00EqFoKmvEYm0Jo2Y4xKoasBOD2jM0JlG92ssAUEOJZ6xNwfbffA_Z4pJTDYqGkfpyM9RtF3TI9aQwfIAquBjDGTEPthJhkWUIB46Ff91mjWvj-bzMJH-qziWmIH3B8A648Mkf_kwapHkMvpggnTKRoGP-b_7R74jOaadkoHEvZ-Dy709ku4Pc2uXxQ</recordid><startdate>20060501</startdate><enddate>20060501</enddate><creator>Hirshon, Jon Mark</creator><creator>Weiss, Sheila R.</creator><creator>LoCasale, Robert</creator><creator>Levine, Elissa</creator><creator>Blaisdell, Carol J.</creator><general>Informa UK Ltd</general><general>Taylor & Francis</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20060501</creationdate><title>Looking Beyond Urban/Rural Differences: Emergency Department Utilization by Asthmatic Children</title><author>Hirshon, Jon Mark ; 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Emergency department (ED) utilization data were studied to determine if geographic variability of pediatric asthma cases exists within a state. Records for non-neonatal Maryland children less than 18 years of age seen and discharged from Maryland EDs from April 1997 through March 2001 were analyzed. While Baltimore City had the highest rates of asthma visits, adjusted odds ratios identified the wealthiest suburban county to have a higher risk of an asthma ED visit. Children from rural counties, for the most part, had fewer ED asthma visits than children from urban and suburban counties.</abstract><cop>England</cop><pub>Informa UK Ltd</pub><pmid>16809244</pmid><doi>10.1080/02770900600623255</doi><tpages>6</tpages></addata></record> |
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subjects | Adolescent Age Distribution asthma Asthma - diagnosis Asthma - economics Asthma - epidemiology Asthma - therapy Child Child, Preschool children Confidence Intervals Cost of Illness Cross-Sectional Studies emergency departments Emergency Service, Hospital - economics Emergency Service, Hospital - utilization Female geographic variability Hospital Costs Humans Incidence Infant Logistic Models Male Maryland Maryland - epidemiology Odds Ratio Respiratory Function Tests Risk Assessment Rural Population Severity of Illness Index Sex Distribution Urban Population |
title | Looking Beyond Urban/Rural Differences: Emergency Department Utilization by Asthmatic Children |
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