Research Investigates Medical and Socio-Demographic Risk Factors for Intensive Care Unit Admission for Asthma

The Annals of the American Thoracic Society published an article in May, 2016, looking to “characterize medical and socio-demographic risk factors among children who required admission to the intensive care unit for asthma.” In order to do this, the researches obtained data from the Greater Cincinnati Asthma Risk Study, which is “a population based, prospective, observational cohort of children admitted for treatment of acute asthma or bronchodilator responsive wheezing.” The data covered 774 children, and included “race, socioeconomic status, allergen sensitization, environmental exposures, psychosocial strain and financial hardship.” The data then compared children admitted to inpatient units and intensive care units.

Of the participants, 161 “children required admission to intensive care. There was no difference in sex, race, insurance status, caregiver educational level, income, financial strain, psychological distress, or marital status between the ICU and non-ICU cohorts.” In addition, “risk for medication nonadherence assessed by parent report was not different between groups.” The results did show that children who were admitted to the intensive care unit were more likely to have been previously admitted to the intensive care unit. Also, “children requiring intensive care admission were more likely to be sensitized to multiple aeroallergens.”

The researchers concluded that “social and economic risk factors typically predictive of increased asthma morbidity, including exposure to tobacco smoke, were not associated with intensive care unit admission among a population of children admitted to the hospital for treatment of acute asthma.”

To view the full abstract for the article, click here.

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