title: A matched-cohort evaluation of a bedside asthma intervention for patients hospitalized at a large urban children's hospital.
abstract: Emergency care and hospitalizations account for 36% of asthma-related medical expenses for children. National asthma guidelines emphasize the need for asthma self-management education at multiple points of care, including the hospital, to help prevent acute exacerbations. The integration of a bedside asthma education program into discharge planning at a busy urban children's hospital aimed to reduce repeat emergency department (ED) visits and hospitalizations by educating the community's highest-risk children and their families about asthma. A trained respiratory professional provided 45 minutes of individualized bedside education to families at the hospital and one follow-up support phone call within 3 weeks after discharge. Children receiving the intervention were matched to a control group of children not receiving the intervention by age and 2 markers of past utilization using data obtained from hospital records. Repeat ED utilization was analyzed using a Cox proportional hazards model controlling for sex, residence, race or ethnicity, and year. Compared to 698 matched controls, no significant improvement was observed in the 698 intervention participants or any subgroups followed for 12 months after the intervention.
authors.affiliation: Children's Hospital & Research Center Oakland, Oakland, CA, USA. addavis@mail.cho.org
authors.forename: Adam M
authors.initials: AM
authors.lastname: Davis
authors.forename: Mindy
authors.initials: M
authors.lastname: Benson
authors.forename: Darryl
authors.initials: D
authors.lastname: Cooney
authors.forename: Brian
authors.initials: B
authors.lastname: Spruell
authors.forename: Jean
authors.initials: J
authors.lastname: Orelian
mesh_terms: D000293:Adolescent; D001249:Asthma / Q000628:therapy*; D002140:California; D017028:Caregivers / Q000193:education*; D002648:Child; D002675:Child, Preschool; D004636:Emergency Service, Hospital; D005260:Female; D006776:Hospitals, Pediatric; D006786:Hospitals, Urban; D006801:Humans; D007223:Infant; D008297:Male; D010351:Patient Discharge / Q000592:standards; D010353:Patient Education as Topic / Q000379:methods* / Q000592:standards; D010359:Patient Readmission / Q000706:statistics & numerical data; D016016:Proportional Hazards Models; D012648:Self Care / Q000379:methods / Q000592:standards*