Hospitalizations with primary versus secondary discharge diagnoses of asthma: implications for pediatric asthma surveillance.
Asthma-related hospitalizations are sentinel events in pediatric asthma surveillance. Little is known about hospitalizations that are assigned a secondary discharge diagnosis of asthma (SDDA). The National Hospital Discharge Survey (NHDS) was analyzed to compare hospitalizations with primary versus secondary discharge diagnoses of asthma. Most hospitalizations with SDDA had primary diagnoses of respiratory origin. Surveillance systems tracking the hospitalization burden of pediatric asthma should consider including selected hospitalizations with a secondary diagnosis of asthma.
Bundy
David G
DG
Center for Health Care Quality, Cincinnati Children's Hospital Medical Center, Chapel Hill, North Carolina, USA. dbundy@jhmi.edu
D000293:Adolescent; D017677:Age Distribution; D001249:Asthma / Q000175:diagnosis* / Q000453:epidemiology* / Q000628:therapy; D001988:Bronchiolitis / Q000453:epidemiology; D002648:Child; D002675:Child, Preschool; D015897:Comorbidity; D003440:Croup / Q000453:epidemiology; D005260:Female; D006760:Hospitalization / Q000706:statistics & numerical data*; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D016015:Logistic Models; D008297:Male; D010033:Otitis Media / Q000453:epidemiology; D010351:Patient Discharge / Q000706:statistics & numerical data; D011014:Pneumonia / Q000453:epidemiology; D015995:Prevalence; D012128:Respiratory Distress Syndrome / Q000453:epidemiology; D012141:Respiratory Tract Infections / Q000453:epidemiology; D014481:United States / Q000453:epidemiology