Impact of Obesity on Clinical Outcomes in Urban Children Hospitalized for Status Asthmaticus.
Publication/Presentation Date
4-1-2016
Abstract
BACKGROUND AND OBJECTIVE: The prevalence of both childhood asthma and obesity remain at historically high levels and disproportionately affect urban children. Asthma is a common and costly cause for pediatric hospitalization. Our objective was to determine the effect of obesity on outcomes among urban children hospitalized with status asthmaticus.
METHODS: A retrospective cohort study was performed by using billing system data and chart review to evaluate urban children admitted for asthma. Demographics, asthma severity, reported comorbidities, and outcomes were assessed. Obesity was defined by BMI percentile (lean
RESULTS: The study included 333 subjects; 38% were overweight/obese. Overweight/obese children admitted with asthma were more likely than lean children to have subsequent ED visits (odds ratio 1.6, 95% confidence interval 1.0-2.6). When stratified by age, overweight/obese preschool-age children (<5 >years) were >2 times as likely to have repeat ED visits than lean preschool-age children (odds ratio 2.3, 95% confidence interval 1.0-5.6). There were no differences in the other outcomes between overweight/obese and lean individuals within the entire cohort or within other age groups.
Volume
6
Issue
4
First Page
211
Last Page
218
ISSN
2154-1663
Published In/Presented At
Aragona, E., El-Magbri, E., Wang, J., Scheckelhoff, T., Scheckelhoff, T., Hyacinthe, A., Nair, S., Khan, A., Nino, G., & Pillai, D. K. (2016). Impact of Obesity on Clinical Outcomes in Urban Children Hospitalized for Status Asthmaticus. Hospital pediatrics, 6(4), 211–218. https://doi.org/10.1542/hpeds.2015-0094
Disciplines
Medicine and Health Sciences
PubMedID
27012614
Department(s)
Fellows and Residents
Document Type
Article