Acute severe asthma: Outcome and Medicaid insurance

Pediatric Critical Care Medicine : a Journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies
Susan L BrattonMichael D Cabana

Abstract

OBJECTIVE: Economically disadvantaged children receive less preventive asthma care and more inpatient care. Studies have not evaluated the association of insurance status on children with severe exacerbations. We evaluated differences in severity of illness, resource use, and outcome associated with Medicaid insurance among children receiving intensive care for asthma. DESIGN: Retrospective cohort study. SETTING: Fourteen American pediatric intensive care units participating in the Pediatric Intensive Care Evaluations database. Methods: Patients with a primary diagnosis of asthma treated from May 1995 to February 2000 were identified. Demographic information and clinical data were evaluated to determine whether there was an association between Medicaid insurance, severity of illness, and length of stay. RESULTS: Twenty-six percent of the children had Medicaid insurance; 22% of children with Medicaid insurance received mechanical ventilation compared with 15% of those with commercial insurance and 16% in a health maintenance organization. After adjustment for severity of illness (Pediatric Risk of Mortality III and use of invasive therapies), Medicaid insurance was significantly associated with increased length of stay in the in...Continue Reading

References

Nov 1, 1982·The Journal of Allergy and Clinical Immunology·H MakR C Talamo
Aug 9, 1995·JAMA : the Journal of the American Medical Association·P LozanoT D Koepsell
Apr 1, 1993·The Journal of Allergy and Clinical Immunology·B B GerstmanD K Tomita
May 1, 1996·Critical Care Medicine·M M PollackU E Ruttimann
Dec 2, 1998·Pediatrics·J R MeurerP M Layde
Jan 14, 1999·Intensive Care Medicine·J P MarcinU E Ruttimann
Nov 7, 1999·The Journal of Allergy and Clinical Immunology·P LozanoK B Weiss
Feb 9, 2000·Archives of Pediatrics & Adolescent Medicine·J R MeurerP Layde
Jun 13, 2000·Archives of Pediatrics & Adolescent Medicine·J A FinkelsteinR Platt
Sep 16, 2000·American Journal of Respiratory and Critical Care Medicine·C A AligneM Weitzman

❮ Previous
Next ❯

Citations

Nov 10, 2011·Pediatric Critical Care Medicine : a Journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies·Susan L BrattonUNKNOWN Eunice Kennedy Shriver National Institute of Child Health and Human Development Collaborative Pediatric Critical Care Resear
May 2, 2012·Journal of Neurosurgery. Pediatrics·Cydni WilliamsSusan L Bratton
Sep 20, 2005·The Journal of Asthma : Official Journal of the Association for the Care of Asthma·Esther Y YoonMichael D Cabana
Feb 13, 2016·The Journal of Allergy and Clinical Immunology. in Practice·Jane M GarbuttRobert C Strunk
Mar 16, 2006·Chest·Melissa ValerioSusan L Bratton
Jan 5, 2011·Pediatric Pulmonology·Brian H WuNgoc P Ly
Sep 27, 2005·The Journal of Pediatrics·Susan L BrattonHeather T Keenan
Jul 1, 2015·Annals of Allergy, Asthma & Immunology : Official Publication of the American College of Allergy, Asthma, & Immunology·Kohei HasegawaUNKNOWN MARC-37 Investigators
Jul 22, 2016·Health Marketing Quarterly·Luceta McRoyMeredith Kilgore
Feb 26, 2010·Journal of Burn Care & Research : Official Publication of the American Burn Association·Lina PatelNoreen Felich
Apr 2, 2010·Journal of Pediatric Orthopedics·Jeffrey R SawyerS Terry Canale
May 15, 2007·American Journal of Health-system Pharmacy : AJHP : Official Journal of the American Society of Health-System Pharmacists·Carlos A CamargoAntonio P Legorreta
May 18, 2016·Pediatric Critical Care Medicine : a Journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies·Brandon W KirklandSusan L Bratton
Sep 9, 2005·Critical Care Medicine·Brahm Goldstein
Jan 11, 2018·Hospital Pediatrics·Flory L NkoyLucy A Savitz
Aug 10, 2021·The Lancet Child & Adolescent Health·Hannah K MitchellNadir Yehya
Jul 8, 2016·Pediatrics·Jeffrey H SilberOrit Even-Shoshan

❮ Previous
Next ❯

Related Feeds

Asthma

This feed focuses in Asthma in which your airways narrow and swell. This can make breathing difficult and trigger coughing, wheezing and shortness of breath.

Allergy and Asthma

Allergy and asthma are inflammatory disorders that are triggered by the activation of an allergen-specific regulatory t cell. These t cells become activated when allergens are recognized by allergen-presenting cells. Here is the latest research on allergy and asthma.

Related Papers

Journal of Pediatric Oncology Nursing : Official Journal of the Association of Pediatric Oncology Nurses
Jennifer R MaddenNicholas K Foreman
Archives of Disease in Childhood
Rina TriasihColin F Robertson
The Journal of Pediatrics
Susan L BrattonHeather T Keenan
The Journal of Pediatrics
Christopher J L NewthEunice Kennedy Shriver National Institute of Child Health and Human Development Collaborative Pediatric Critical Care Resear
© 2022 Meta ULC. All rights reserved