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Titolo:
Risk factors for hospitalization among adults with asthma: the influence of sociodemographic factors and asthma severity
Autore:
Eisner, MD; Katz, PP; Yelin, EH; Shiboski, SC; Blanc, PD;
Indirizzi:
Univ Calif San Francisco, Dept Med, Div Environm & Occupat Med, San Francisco, CA 94117 USA Univ Calif San Francisco San Francisco CA USA 94117 ancisco, CA 94117 USA Univ Calif San Francisco, Dept Med, Div Pulm & Crit Care Med, San Francisco, CA 94117 USA Univ Calif San Francisco San Francisco CA USA 94117 ancisco, CA 94117 USA Univ Calif San Francisco, Inst Hlth Policy Studies, San Francisco, CA 94117 USA Univ Calif San Francisco San Francisco CA USA 94117 ancisco, CA 94117 USA Univ Calif San Francisco, Dept Epidemiol & Biostat, San Francisco, CA 94117 USA Univ Calif San Francisco San Francisco CA USA 94117 ancisco, CA 94117 USA Univ Calif San Francisco, Cardiovasc Res Inst, San Francisco, CA 94117 USAUniv Calif San Francisco San Francisco CA USA 94117 ancisco, CA 94117 USA
Titolo Testata:
RESPIRATORY RESEARCH
fascicolo: 1, volume: 2, anno: 2001,
pagine: 53 - 60
SICI:
1465-993X(2001)2:1<53:RFFHAA>2.0.ZU;2-Z
Fonte:
ISI
Lingua:
ENG
Soggetto:
QUALITY-OF-LIFE; SMALL-AREA ANALYSIS; NEW-YORK-CITY; GASTROESOPHAGEAL REFLUX; AFRICAN-AMERICANS; HEALTH OUTCOMES; ADMISSIONS; CARE; ASSOCIATIONS; MORTALITY;
Keywords:
asthma; asthma epidemiology; hospitalization;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
48
Recensione:
Indirizzi per estratti:
Indirizzo: Eisner, MD Univ Calif San Francisco, Dept Med, Div Environm & Occupat Med,350 Parnassus Ave,Suite 609, San Francisco, CA 94117 USA Univ Calif San Francisco 350 Parnassus Ave,Suite 609 San Francisco CA USA 94117
Citazione:
M.D. Eisner et al., "Risk factors for hospitalization among adults with asthma: the influence of sociodemographic factors and asthma severity", RESPIR RES, 2(1), 2001, pp. 53-60

Abstract

Background: The morbidity and mortality from asthma have markedly increased since the late 1970s. The hospitalization rate, an important marker of asthma severity, remains substantial. Methods: In adults with health care access, we prospectively studied 242 with asthma, aged 18-50 years, recruited from a random sample of allergy andpulmonary physician practices in Northern California to identify risk factors for subsequent hospitalization. Results: Thirty-nine subjects (16%) reported hospitalization for asthma during the 18-month follow-up period. On controlling for asthma severity in multiple logistic regression analysis, non-white race (odds ratio [OR], 3.1;95% confidence interval [CI], 1.1-8.8) and lower income (OR, 1.1 per $10,000 decrement; 95% CI, 0.9-1.3) were associated with a higher risk of asthmahospitalization. The severity-of-asthma score (OR, 3.4 per 5 points; 95%, CI 1.7-6.8) and recent asthma hospitalization (OR, 8.3; 95%, CI, 2.1-33.4) were also related to higher risk, after adjusting for demographic characteristics. Reliance on emergency department services for urgent asthma care was also associated with a greater likelihood of hospitalization (OR, 3.2; 95% CI, 1.0-9.8). In multivariate analysis not controlling for asthma severity, low income was even more strongly related to hospitalization (OR, 1.2 per $10,000 decrement; 95% CI, 1.02-1.4). Conclusion: In adult asthmatics with access to health care, non-white race, low income, and greater asthma severity were associated with a higher risk of hospitalization. Targeted interventions applied to high-risk asthma patients may reduce asthma morbidity and mortality.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 19/01/20 alle ore 09:43:51