Time to Asthma-Related Readmission in Children Admitted to the ICU for Asthma*

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Abstract

Objectives:

To compare the time to asthma-related readmissions between children with a previous ICU hospitalization for asthma and those with a non-ICU hospitalization and to explore predictors of time to readmission in children admitted to the ICU.

Design:

Retrospective cohort study using a pan-Canadian administrative inpatient database from April 1, 2008, to March 31, 2014.

Setting:

All adult and pediatric Canadian hospitals.

Subjects:

Children 2–17 years old with a hospitalization for asthma.

Interventions:

None.

Measurements and Main Results:

A total of 26,168 children were hospitalized 33,304 times during the study period. The time to readmission was shorter in the ICU group compared with the non-ICU group (median time to readmission 27 mo in ICU vs 35 mo in non-ICU group). Preschool-aged children (hazard ratio, 1.48; 95% CI, 1.02–2.14) and increased length of stay (hazard ratio, 1.63; 95% CI, 1.17–2.27) were associated with a shorter time to readmission.

Conclusions:

Children previously admitted to the ICU for asthma had a shorter time to asthma-related readmission, compared with children who did not require intensive care, underlining the importance of targeted long-term postdischarge follow-up of these children. Children of preschool age and who have a lengthier hospital stay are particularly at risk for future morbidity.

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