title: Race/ethnicity and asthma management among adults presenting to the emergency department.
abstract: We investigated whether racial/ethnic disparities exist in asthma management among 1785 adults requiring emergency department (ED) treatment. In this multicentre study, non-Hispanic blacks with increased chronic asthma severity were only as likely (P > 0.05) as non-Hispanic whites or Hispanics to utilize controller medications or see asthma specialists before ED presentation and to be prescribed recommended inhaled corticosteroids at ED discharge. Improved ED education on evidence-based chronic disease management is needed to address continuing race/ethnicity-based asthma disparities.
authors.affiliation: Department of Emergency Medicine, Allegheny Health Network, Pittsburgh, Pennsylvania, USA.
authors.forename: Arvind
authors.initials: A
authors.lastname: Venkat
authors.affiliation: Department of Emergency Medicine, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts, USA.
authors.forename: Kohei
authors.initials: K
authors.lastname: Hasegawa
authors.affiliation: Department of Emergency Medicine, Buffalo General Medical Center, University at Buffalo, Buffalo, New York, USA.
authors.forename: Jeanne M
authors.initials: JM
authors.lastname: Basior
authors.affiliation: Department of Emergency Medicine, University of New Mexico Health Sciences Center, Albuquerque, New Mexico, USA.
authors.forename: Cameron
authors.initials: C
authors.lastname: Crandall
authors.affiliation: Department of Emergency Medicine, Temple University Hospital, Philadelphia, Pennsylvania, USA.
authors.forename: Megan
authors.initials: M
authors.lastname: Healy
authors.affiliation: Department of Emergency Medicine, Truman Medical Center Hospital, Kansas City, Missouri, USA.
authors.forename: P Charles
authors.initials: PC
authors.lastname: Inboriboon
authors.affiliation: Department of Emergency Medicine, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts, USA.
authors.forename: Ashley F
authors.initials: AF
authors.lastname: Sullivan
authors.affiliation: Department of Emergency Medicine, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts, USA.
authors.forename: Carlos A
authors.initials: CA
authors.lastname: Camargo
mesh_terms: D000305:Adrenal Cortex Hormones / Q000627:therapeutic use; D000328:Adult; D001741:Black or African American / Q000706:statistics & numerical data; D001249:Asthma / Q000188:drug therapy / Q000208:ethnology*; D002908:Chronic Disease; D018450:Disease Progression; D004636:Emergency Service, Hospital; D054625:Healthcare Disparities / Q000208:ethnology*; D006630:Hispanic or Latino / Q000706:statistics & numerical data; D006801:Humans; D008297:Male; D012189:Retrospective Studies; D044465:White People / Q000706:statistics & numerical data
chemical_list: D000305:Adrenal Cortex Hormones
keywords: adults; asthma exacerbation; emergency department; quality of care; race/ethnicity