All issues > Volume 43(4); 2000

Original Article

J Korean Pediatr Soc. 2000;43(4):556-560. Published online April 15, 2000.

Analysis of Risk Factors of Readmission to Hospital for Pediatric Asthma

Kyung Lim KL Yoon¹, Young Ho YH Rah¹, Chong-Woo CW Bae¹, Sa Jun SJ Chung¹

¹Department of Pediatrics, College of Medicine, Kyung-Hee University, Seoul, Korea

Abstract

Purpose
: The admission rates for pediatric asthma are increasing annually and are partially responsible for the increased rates of readmission. Selections of children with a high-risk of readmission and aggressive treatments of them may improve treatment outcome and cost- effectiveness. The purpose of this study is to evaluate the risk factors affecting readmission in cases of bronchial asthma in children.
Methods
: We reviewed the medical records of 95 cases under 14 years of age who were admitted to the Department of Pediatrics, Kyung-Hee University, from March 1996 to February 1997 and divided them into readmission and first admission group.
Results
: Readmission cases were 52(55%). Age, sex, duration of admission, duration of oxygen therapy, serum IgE concentration, duration of symptoms prior to admission and severity of asthma were not statistically significant compared with those of the control group (t-test) (P>0.05). Use of prophylactic agents, family history of allergic diseases and past history of bronchiolitis were significant(P<0.05), but age under 4 years and sex were not significant(χ2- test). Age under 4 years, history of bronchiolitis, and history of previous hospital admission for asthma were significant(P<0.05), but sex, severity of asthma, history of frequent upper respiratory tract infection, family history, and the use of prophylactic agents were not statistically significant(P>0.05) as independent risk factors.
Conclusion
: Age under 4 years, past history of bronchiolitis, and history of previous hospital admission for asthma were significant risk factors for hospital readmission. Further study needs to be done to decrease the readmission rates.

Keywords :Asthma, Readmissions, Risk factors, Children