Journal of Family & Community Medicine
Home About us Editorial board Search Ahead of print Current issue Archives Submit article Instructions Subscribe Contact us Login 

Users Online: 277 Home Print this page Email this page Small font sizeDefault font sizeIncrease font size

Year : 2005  |  Volume : 12  |  Issue : 1  |  Page : 11-17

Predictors of short-term hospital readmissions of Asthmatic children

1 Department of Pediatrics, College of Medicine, King Khalid University, Abha, Saudi Arabia
2 Department of Pediatrics, King Faisal Specialist Hospital, Jeddah, Saudi Arabia
3 Department of Pediatrics, College of Medicine, King Saud University, Riyadh, Saudi Arabia

Correspondence Address:
Mohammed A Alshehri
Pediatrician Consultant, Pulmonologist, Associate Professor, Department of Pediatrics & Chairman of Pharmacology Department, College of Medicine, King Khalid University, P.O. Box 641, Abha
Saudi Arabia
Login to access the Email id

Source of Support: None, Conflict of Interest: None

PMID: 23012067

Rights and PermissionsRights and Permissions

Background: The admission rate for bronchial asthma has increased dramatically all over the world. Part of this increase in hospital admissions is due to patient readmission. Objective: To determine the risk factors associated with short-term hospital readmission of pediatric patients with asthma within two months of the last hospital admission. Methods and setting: A retrospective case-control study using the registration books of both admissions and discharges to identify patient groups. All hospital records of patients admitted from August 1998 through December 2002 at Aseer Central Hospital, southwestern Saudi Arabia were reviewed. Patients who were admitted during this period of study and readmitted to hospital within two months were used as the study group (n=28) and those patients admitted within the same period but not readmitted within two months constituted the control group (n=45). Demographic variables, route of admission, patient's previous medical history, clinical assessment, hospital treatment as well as discharge treatment were obtained and entered for analysis. Results: Twenty-eight patients were readmitted within two months of their discharge from hospital (17 boys and 11 girls). Seventy percent of these were less than four years of age. Significant predictors of readmission were: prior history of asthma admission (adjusted OR 2.21,95% CI 1.08-9.10), neonatal intensive care graduate (adjusted OR 4.44,95% CI 1.67-9.34), bronchopulmonary dysplasia (adjusted OR 3.06,95% CI 2.01-7.95), recurrent aspiration (adjusted OR 1.96,95% CI 1.08-4.27), duration of asthma symptoms more than five days (adjusted OR 0.15,95% CI 0.03-0.42), moderate to severe clinical assessment (adjusted OR 1.12,95% CI 1.01-2.94), positive X-ray findings (adjusted OR 0.04,95%CI 0.011-0.230), intensive care admission (adjusted OR 1.96,95%CI 1.08-4.63), mechanical ventilation (adjusted OR 0.010,95%CI 0.002-0.130), intravenous steroids (adjusted OR 0.104 ,95%CI 0.016-0.321). Conclusion: Prior neonatal intensive care unit admission, bronchopulmonary dysplasia, history of previous asthma admissions, recurrent aspirations, intensive care unit admission, intravenous steroids, positive X-ray findings and mechanical ventilation were significant predictors of asthma short-term hospital readmissions.

Print this article     Email this article
 Next article
 Previous article
 Table of Contents

 Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
 Related articles
 Citation Manager
 Access Statistics
 Reader Comments
 Email Alert *
 Add to My List *
 * Requires registration (Free)

 Article Access Statistics
    PDF Downloaded201    
    Comments [Add]    

Recommend this journal


Advertise | Sitemap | What's New | Feedback | Disclaimer
Journal of Family and Community Medicine | Published by Wolters Kluwer - Medknow
Online since 05th September, 2010