Hirshon Jon Mark, Weiss Sheila R, LoCasale Robert, Levine Elissa, Blaisdell Carol J
Division of Emergency Medicine, Department of Surgery, University of Maryland School of Medicine, MD, USA.
J Asthma. 2006 May;43(4):301-6. doi: 10.1080/02770900600623255.
Asthma causes pediatric morbidity throughout the US with substantial regional variability. Emergency department (ED) utilization data were studied to determine if geographic variability of pediatric asthma cases exists within a state. Records for non-neonatal Maryland children less than 18 years of age seen and discharged from Maryland EDs from April 1997 through March 2001 were analyzed. While Baltimore City had the highest rates of asthma visits, adjusted odds ratios identified the wealthiest suburban county to have a higher risk of an asthma ED visit. Children from rural counties, for the most part, had fewer ED asthma visits than children from urban and suburban counties.
在美国，哮喘导致儿童发病，且存在显著的地区差异。对急诊部门（ED）的使用数据进行了研究，以确定一个州内儿童哮喘病例是否存在地理差异。分析了1997年4月至2001年3月期间在马里兰州急诊部门就诊并出院的18岁以下非新生儿儿童的记录。虽然巴尔的摩市哮喘就诊率最高，但调整后的优势比显示，最富裕的郊区县哮喘急诊就诊风险更高。在很大程度上，农村县的儿童急诊哮喘就诊次数少于城市和郊区县的儿童。
