Risk factors associated with hospital readmission in pediatric asthma

J Pediatr Nurs. Mar-Apr 2015;30(2):364-84. doi: 10.1016/j.pedn.2014.09.005. Epub 2014 Sep 28.

Abstract

Asthma is a leading cause of hospitalization among children, and about 15-50% of pediatric patients are readmitted after an index admission. The purpose of this integrative review is to explore contemporary scientific findings on the association between pediatric asthma readmission and various demographic, environmental, psychosocial and clinical risk factors. An electronic database search resulted in a sample of 29 studies. African American, public or no insurers, previous admission and complex chronic comorbidity were identified as risk factors associated with pediatric asthma readmission. However, more interdisciplinary and well-designed investigations are warranted to further explicate the spectrum of environmental and psychosocial correlates.

Keywords: Asthma; Children; Pediatric; Readmission; Risk factor.

Publication types

  • Review

MeSH terms

  • Adolescent
  • Asthma / diagnosis
  • Asthma / drug therapy*
  • Asthma / epidemiology
  • Child
  • Child, Preschool
  • Comorbidity*
  • Disease Progression*
  • Environmental Exposure / adverse effects
  • Female
  • Hospitalization / statistics & numerical data
  • Humans
  • Incidence
  • Length of Stay / statistics & numerical data
  • Male
  • Patient Readmission / statistics & numerical data*
  • Prognosis
  • Psychology
  • Risk Factors
  • Severity of Illness Index