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Your search keyword '"Strategies for educational intervention"' showing total 3 results
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3 results on '"Strategies for educational intervention"'

1. Asthma Hospitalizations Among Homeless Children in New York State.

Author

Sakai-Bizmark R, Chang RR, Mena LA, Webber EJ, Marr EH, and Kwong KY

Subjects
Adolescent, Asthma diagnosis, Asthma therapy, Child, Child, Preschool, Female, Humans, Infant, Infant, Newborn, Male, New York epidemiology, Asthma epidemiology, Databases, Factual trends, Homeless Youth, Hospitalization trends
Abstract

Background and Objectives: Asthma is widely prevalent among US children, particularly in homeless children, who often lack proper medication storage or the ability to avoid environmental triggers. In this study, we assess asthma-attributed health care use among homeless youth. We hypothesize that asthma hospitalization rates, symptom severity, and admission through the emergency department (ED) will be higher among homeless youth compared with nonhomeless youth., Methods: This secondary data analysis identified homeless and nonhomeless pediatric patients (<18 years old) with a primary diagnosis of asthma from New York statewide inpatient databases between 2009 and 2014. Hospitalization rate, readmission rate, admission through the ED, ventilation use, ICU admittance, hospitalization cost, and length of stay were measured., Results: We identified 71 837 asthma hospitalizations, yielding 73.8 and 2.3 hospitalizations per 1000 homeless and nonhomeless children, respectively. Hospitalization rates varied by nonhomeless income quartile, with low-income children experiencing higher rates (5.4) of hospitalization. Readmissions accounted for 16.0% of homeless and 12.5% of nonhomeless hospitalizations. Compared with nonhomeless patients, homeless patients were more likely to be admitted from the ED (odds ratio 1.96; 95% confidence interval: 1.82-2.12; P < .01), and among patients >5 years old, homeless patients were more likely to receive ventilation (odds ratio 1.45; 95% confidence interval: 1.01-2.09; P = .04). No significant differences were observed in ICU admittance, cost, or length of stay., Conclusions: Homeless youth experience an asthma hospitalization rate 31 times higher than nonhomeless youth, with higher rates of readmission. Homeless youth live under uniquely challenging circumstances. Tailored asthma control strategies and educational intervention could greatly reduce hospitalizations., Competing Interests: POTENTIAL CONFLICT OF INTEREST: The authors have indicated they have no potential conflicts of interest to disclose., (Copyright © 2019 by the American Academy of Pediatrics.)

Published
2019
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2. Asthma Hospitalizations Among Homeless Children in New York State

Author

Sakai-Bizmark, Rie, Chang, Ruey-Kang R, Mena, Laurie A, Webber, Eliza J, Marr, Emily H, and Kwong, Kenny Y

Subjects
Male, Pediatric, Pediatric Research Initiative, Adolescent, Psychology and Cognitive Sciences, New York, Infant, Homelessness, Health Services, Newborn, Medical and Health Sciences, Pediatrics, Asthma, Hospitalization, Databases, Homeless Youth, Clinical Research, Behavioral and Social Science, Respiratory, Humans, Female, Child, Preschool, Lung, Factual
Abstract

Asthma is widely prevalent among US children, particularly in homeless children, who often lack proper medication storage or the ability to avoid environmental triggers. In this study, we assess asthma-attributed health care use among homeless youth. We hypothesize that asthma hospitalization rates, symptom severity, and admission through the emergency department (ED) will be higher among homeless youth compared with nonhomeless youth. This secondary data analysis identified homeless and nonhomeless pediatric patients (5 years old, homeless patients were more likely to receive ventilation (odds ratio 1.45; 95% confidence interval: 1.01-2.09; P = .04). No significant differences were observed in ICU admittance, cost, or length of stay. Homeless youth experience an asthma hospitalization rate 31 times higher than nonhomeless youth, with higher rates of readmission. Homeless youth live under uniquely challenging circumstances. Tailored asthma control strategies and educational intervention could greatly reduce hospitalizations.

Published
2019

3. 'Housing First' for Optimal Child Health

Author

J. Blakely Amati and Kerry Sease

Subjects
medicine.medical_specialty, Housing First, business.industry, MEDLINE, Child Health, New York, Disease, Articles, medicine.disease, Asthma, Hospitalization, Homeless Youth, Urban planning, Family medicine, Pediatrics, Perinatology and Child Health, Agency (sociology), Health care, Housing, Medicine, Humans, Healthcare Cost and Utilization Project, business, Child
Abstract

[Figure: see text] BACKGROUND AND OBJECTIVES: Asthma is widely prevalent among US children, particularly in homeless children, who often lack proper medication storage or the ability to avoid environmental triggers. In this study, we assess asthma-attributed health care use among homeless youth. We hypothesize that asthma hospitalization rates, symptom severity, and admission through the emergency department (ED) will be higher among homeless youth compared with nonhomeless youth. METHODS: This secondary data analysis identified homeless and nonhomeless pediatric patients (5 years old, homeless patients were more likely to receive ventilation (odds ratio 1.45; 95% confidence interval: 1.01–2.09; P = .04). No significant differences were observed in ICU admittance, cost, or length of stay. CONCLUSIONS: Homeless youth experience an asthma hospitalization rate 31 times higher than nonhomeless youth, with higher rates of readmission. Homeless youth live under uniquely challenging circumstances. Tailored asthma control strategies and educational intervention could greatly reduce hospitalizations.

Published
2019

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