儿科急诊科哮喘就诊患者的家庭住址及社区特征
Patient, home residence, and neighborhood characteristics in pediatric emergency department visits for asthma.
作者信息
Wang Helen C, McGeady Stephen J, Yousef Ejaz
机构信息
Division of Allergy and Immunology. Alfred I. duPont Hospital for Children, Nemours Children's Clinic, Wilmington, Delaware 19803, USA.
出版信息
J Asthma. 2007 Mar;44(2):95-8. doi: 10.1080/02770900601180610.
OBJECTIVE
To identify patient, home residence, and neighborhood characteristics of children with asthma-related emergency department visits.
METHODS
Medical records of children with one (group A) or more than one (group B) asthma-related pediatric emergency department visit were reviewed.
RESULTS
A significantly higher percentage of group B had Medicaid insurance (p = 0.04), history of asthma-related hospitalizations (p = 0.04), and passive tobacco smoke exposure (p = 0.03). Neighborhood characteristics were similar between the two groups.
CONCLUSIONS
Smoking cessation counseling and close monitoring of patients with a history of asthma-related hospitalizations and patients with Medicaid insurance may be helpful in decreasing emergency department visits.
目的
确定与哮喘相关的急诊科就诊儿童的患者、家庭住址及社区特征。
方法
回顾了有一次（A组）或多次（B组）与哮喘相关的儿科急诊科就诊经历的儿童的病历。
结果
B组中拥有医疗补助保险（p = 0.04）、有哮喘相关住院史（p = 0.04）以及有被动吸烟暴露经历（p = 0.03）的比例显著更高。两组的社区特征相似。
结论
对有哮喘相关住院史的患者以及拥有医疗补助保险的患者进行戒烟咨询和密切监测，可能有助于减少急诊科就诊次数。
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