Tobacco Smoke Exposure–Related Illnesses Among Pediatric Emergency Department Patients
Abstract Introduction This study aimed to determine the relationship between patients presenting to the pediatric emergency department (PED) and potential tobacco smoke exposure (TSE)–related illnesses. Methods A retrospective review of electronic medical records of pediatric emergency department pa...
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| Veröffentlicht in: | Journal of pediatric health care 2017-03, Vol.31 (2), p.161-166 |
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| creator | Merianos, Ashley L., PhD, CHES Dixon, Cinnamon A., DO, MPH Mahabee-Gittens, E. Melinda, MD, MS |
| description | Abstract Introduction This study aimed to determine the relationship between patients presenting to the pediatric emergency department (PED) and potential tobacco smoke exposure (TSE)–related illnesses. Methods A retrospective review of electronic medical records of pediatric emergency department patients ( N = 116,084) was conducted. Sociodemographic characteristics, TSE-related illnesses, and TSE documentation were extracted. Logistic regression analyses were performed. Results More than one fifth (21.7%) of patients had TSE-related illnesses. Patients who were younger, male, non-White, or Hispanic; had Medicaid/Medicare insurance, had low triage acuity; or were admitted to any non–intensive care unit or intensive care unit were significantly more likely to have TSE-related illnesses. Twenty-eight percent of patients with TSE documentation had positive TSE status. Although regression models for positive TSE indicated similar findings, no difference was found based on ethnicity. Discussion Pediatric emergency departments, especially those that care for large numbers of children, should offer tobacco interventions that target at-risk populations and caregivers who are most likely not receiving interventions in other health care settings. |
| doi_str_mv | 10.1016/j.pedhc.2016.07.001 |
| format | Article |
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Melinda, MD, MS</creator><creatorcontrib>Merianos, Ashley L., PhD, CHES ; Dixon, Cinnamon A., DO, MPH ; Mahabee-Gittens, E. Melinda, MD, MS</creatorcontrib><description>Abstract Introduction This study aimed to determine the relationship between patients presenting to the pediatric emergency department (PED) and potential tobacco smoke exposure (TSE)–related illnesses. Methods A retrospective review of electronic medical records of pediatric emergency department patients ( N = 116,084) was conducted. Sociodemographic characteristics, TSE-related illnesses, and TSE documentation were extracted. Logistic regression analyses were performed. Results More than one fifth (21.7%) of patients had TSE-related illnesses. Patients who were younger, male, non-White, or Hispanic; had Medicaid/Medicare insurance, had low triage acuity; or were admitted to any non–intensive care unit or intensive care unit were significantly more likely to have TSE-related illnesses. Twenty-eight percent of patients with TSE documentation had positive TSE status. Although regression models for positive TSE indicated similar findings, no difference was found based on ethnicity. Discussion Pediatric emergency departments, especially those that care for large numbers of children, should offer tobacco interventions that target at-risk populations and caregivers who are most likely not receiving interventions in other health care settings.</description><identifier>ISSN: 0891-5245</identifier><identifier>EISSN: 1532-656X</identifier><identifier>DOI: 10.1016/j.pedhc.2016.07.001</identifier><identifier>PMID: 27542562</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Adolescent ; Advanced Practice Nursing ; Child ; Child, Preschool ; Cross-Sectional Studies ; Directive Counseling - methods ; Electronic Health Records ; Emergency department ; Emergency Service, Hospital - utilization ; Female ; Hospitals, Pediatric ; Humans ; Infant ; Infant, Newborn ; Male ; Medicaid ; Nursing ; Parents - education ; Pediatrics ; Respiratory Tract Diseases - chemically induced ; Respiratory Tract Diseases - epidemiology ; Respiratory Tract Diseases - therapy ; Retrospective Studies ; secondhand smoke ; Smoking Cessation ; Socioeconomic Factors ; Tobacco Smoke Pollution - adverse effects ; tobacco use ; United States - epidemiology</subject><ispartof>Journal of pediatric health care, 2017-03, Vol.31 (2), p.161-166</ispartof><rights>National Association of Pediatric Nurse Practitioners</rights><rights>2016 National Association of Pediatric Nurse Practitioners</rights><rights>Copyright © 2016 National Association of Pediatric Nurse Practitioners. Published by Elsevier Inc. All rights reserved.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c514t-f158a986d47b5163791d3cf7616c0a5cfcbbc602a81549b07d4194ce8dc4d57d3</citedby><cites>FETCH-LOGICAL-c514t-f158a986d47b5163791d3cf7616c0a5cfcbbc602a81549b07d4194ce8dc4d57d3</cites><orcidid>0000-0002-5640-7227</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.pedhc.2016.07.001$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>230,314,780,784,885,3550,27924,27925,45995</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/27542562$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Merianos, Ashley L., PhD, CHES</creatorcontrib><creatorcontrib>Dixon, Cinnamon A., DO, MPH</creatorcontrib><creatorcontrib>Mahabee-Gittens, E. Melinda, MD, MS</creatorcontrib><title>Tobacco Smoke Exposure–Related Illnesses Among Pediatric Emergency Department Patients</title><title>Journal of pediatric health care</title><addtitle>J Pediatr Health Care</addtitle><description>Abstract Introduction This study aimed to determine the relationship between patients presenting to the pediatric emergency department (PED) and potential tobacco smoke exposure (TSE)–related illnesses. Methods A retrospective review of electronic medical records of pediatric emergency department patients ( N = 116,084) was conducted. Sociodemographic characteristics, TSE-related illnesses, and TSE documentation were extracted. Logistic regression analyses were performed. Results More than one fifth (21.7%) of patients had TSE-related illnesses. Patients who were younger, male, non-White, or Hispanic; had Medicaid/Medicare insurance, had low triage acuity; or were admitted to any non–intensive care unit or intensive care unit were significantly more likely to have TSE-related illnesses. Twenty-eight percent of patients with TSE documentation had positive TSE status. Although regression models for positive TSE indicated similar findings, no difference was found based on ethnicity. Discussion Pediatric emergency departments, especially those that care for large numbers of children, should offer tobacco interventions that target at-risk populations and caregivers who are most likely not receiving interventions in other health care settings.</description><subject>Adolescent</subject><subject>Advanced Practice Nursing</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Cross-Sectional Studies</subject><subject>Directive Counseling - methods</subject><subject>Electronic Health Records</subject><subject>Emergency department</subject><subject>Emergency Service, Hospital - utilization</subject><subject>Female</subject><subject>Hospitals, Pediatric</subject><subject>Humans</subject><subject>Infant</subject><subject>Infant, Newborn</subject><subject>Male</subject><subject>Medicaid</subject><subject>Nursing</subject><subject>Parents - education</subject><subject>Pediatrics</subject><subject>Respiratory Tract Diseases - chemically induced</subject><subject>Respiratory Tract Diseases - epidemiology</subject><subject>Respiratory Tract Diseases - therapy</subject><subject>Retrospective Studies</subject><subject>secondhand smoke</subject><subject>Smoking Cessation</subject><subject>Socioeconomic Factors</subject><subject>Tobacco Smoke Pollution - adverse effects</subject><subject>tobacco use</subject><subject>United States - epidemiology</subject><issn>0891-5245</issn><issn>1532-656X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFUstu1DAUtRCIDoUvQEJZskmw40eSBZWqMkClSlS0SN1ZzvXN1NMkntpJxez4B_6QL8HDlArYsLqyfB5X51xCXjJaMMrUm3WxQXsNRZkeBa0KStkjsmCSl7mS6uoxWdC6YbkshTwgz2JcU0pVVYqn5KCspCilKhfk6tK3BsBnF4O_wWz5dePjHPDHt--fsTcT2uy070eMEWN2PPhxlZ2jdWYKDrLlgGGFI2yzd7gxYRpwnLJzM7k043PypDN9xBf385B8eb-8PPmYn336cHpyfJaDZGLKOyZr09TKiqqVTPGqYZZDVymmgBoJHbQtKFqamknRtLSygjUCsLYgrKwsPyRHe93N3A5oIXkH0-tNcIMJW-2N03__jO5ar_ydlpxxXldJ4PW9QPC3M8ZJDy4C9r0Z0c9Rs5pLpaSUIkH5HgrBxxiwe7BhVO860Wv9qxO960TTSqdOEuvVnxs-cH6XkABv9wBMOd05DDpCyhBS0AFh0ta7_xgc_cOH3o0OTH-DW4xrP4cxVaCZjqWm-mJ3FrurSHFTJhXlPwHUULXy</recordid><startdate>20170301</startdate><enddate>20170301</enddate><creator>Merianos, Ashley L., PhD, CHES</creator><creator>Dixon, Cinnamon A., DO, MPH</creator><creator>Mahabee-Gittens, E. Melinda, MD, MS</creator><general>Elsevier Inc</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><scope>5PM</scope><orcidid>https://orcid.org/0000-0002-5640-7227</orcidid></search><sort><creationdate>20170301</creationdate><title>Tobacco Smoke Exposure–Related Illnesses Among Pediatric Emergency Department Patients</title><author>Merianos, Ashley L., PhD, CHES ; Dixon, Cinnamon A., DO, MPH ; Mahabee-Gittens, E. Melinda, MD, MS</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c514t-f158a986d47b5163791d3cf7616c0a5cfcbbc602a81549b07d4194ce8dc4d57d3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2017</creationdate><topic>Adolescent</topic><topic>Advanced Practice Nursing</topic><topic>Child</topic><topic>Child, Preschool</topic><topic>Cross-Sectional Studies</topic><topic>Directive Counseling - methods</topic><topic>Electronic Health Records</topic><topic>Emergency department</topic><topic>Emergency Service, Hospital - utilization</topic><topic>Female</topic><topic>Hospitals, Pediatric</topic><topic>Humans</topic><topic>Infant</topic><topic>Infant, Newborn</topic><topic>Male</topic><topic>Medicaid</topic><topic>Nursing</topic><topic>Parents - education</topic><topic>Pediatrics</topic><topic>Respiratory Tract Diseases - chemically induced</topic><topic>Respiratory Tract Diseases - epidemiology</topic><topic>Respiratory Tract Diseases - therapy</topic><topic>Retrospective Studies</topic><topic>secondhand smoke</topic><topic>Smoking Cessation</topic><topic>Socioeconomic Factors</topic><topic>Tobacco Smoke Pollution - adverse effects</topic><topic>tobacco use</topic><topic>United States - epidemiology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Merianos, Ashley L., PhD, CHES</creatorcontrib><creatorcontrib>Dixon, Cinnamon A., DO, MPH</creatorcontrib><creatorcontrib>Mahabee-Gittens, E. Melinda, MD, MS</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Journal of pediatric health care</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Merianos, Ashley L., PhD, CHES</au><au>Dixon, Cinnamon A., DO, MPH</au><au>Mahabee-Gittens, E. Melinda, MD, MS</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Tobacco Smoke Exposure–Related Illnesses Among Pediatric Emergency Department Patients</atitle><jtitle>Journal of pediatric health care</jtitle><addtitle>J Pediatr Health Care</addtitle><date>2017-03-01</date><risdate>2017</risdate><volume>31</volume><issue>2</issue><spage>161</spage><epage>166</epage><pages>161-166</pages><issn>0891-5245</issn><eissn>1532-656X</eissn><abstract>Abstract Introduction This study aimed to determine the relationship between patients presenting to the pediatric emergency department (PED) and potential tobacco smoke exposure (TSE)–related illnesses. Methods A retrospective review of electronic medical records of pediatric emergency department patients ( N = 116,084) was conducted. Sociodemographic characteristics, TSE-related illnesses, and TSE documentation were extracted. Logistic regression analyses were performed. Results More than one fifth (21.7%) of patients had TSE-related illnesses. Patients who were younger, male, non-White, or Hispanic; had Medicaid/Medicare insurance, had low triage acuity; or were admitted to any non–intensive care unit or intensive care unit were significantly more likely to have TSE-related illnesses. Twenty-eight percent of patients with TSE documentation had positive TSE status. Although regression models for positive TSE indicated similar findings, no difference was found based on ethnicity. Discussion Pediatric emergency departments, especially those that care for large numbers of children, should offer tobacco interventions that target at-risk populations and caregivers who are most likely not receiving interventions in other health care settings.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>27542562</pmid><doi>10.1016/j.pedhc.2016.07.001</doi><tpages>6</tpages><orcidid>https://orcid.org/0000-0002-5640-7227</orcidid><oa>free_for_read</oa></addata></record> |
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| subjects | Adolescent Advanced Practice Nursing Child Child, Preschool Cross-Sectional Studies Directive Counseling - methods Electronic Health Records Emergency department Emergency Service, Hospital - utilization Female Hospitals, Pediatric Humans Infant Infant, Newborn Male Medicaid Nursing Parents - education Pediatrics Respiratory Tract Diseases - chemically induced Respiratory Tract Diseases - epidemiology Respiratory Tract Diseases - therapy Retrospective Studies secondhand smoke Smoking Cessation Socioeconomic Factors Tobacco Smoke Pollution - adverse effects tobacco use United States - epidemiology |
| title | Tobacco Smoke Exposure–Related Illnesses Among Pediatric Emergency Department Patients |
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