Acute Asthma Among Adults Presenting to the Emergency Department

Boudreaux, Edwin D.; Emond, Stephen D.; Clark, Sunday; Camargo, Carlos A.

doi:10.1378/chest.124.3.803

Cited by 102 publications

(66 citation statements)

References 61 publications

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“…Asthma self-management skills and use of acute medical services for asthma have been linked to various sociodemographic factors (18,19,(53)(54)(55)(56). In particular, fewer years of education completed has been implicated as an important risk factor in patients with asthma for cigarette smoking, worse MDI technique, and higher rates of emergency room visits, hospitalization, and mortality (19,(53)(54)(55)(56)(57)(58).…”

Section: Table 4 Predictors Of Better Asthma Medication Knowledge Atmentioning

confidence: 99%

“…We recruited an inner-city predominately African-American patient population hospitalized for asthma exacerbations, a group at high risk for low health literacy and a two-to threefold risk of death from asthma exacerbations (18)(19)(20). We hypothesized that inadequate health literacy is associated with lower knowledge of asthma medications, improper use of MDI technique, as well as difficulty learning and retaining instructions about discharge medications and proper MDI technique.…”

mentioning

confidence: 99%

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Tailored Education May Reduce Health Literacy Disparities in Asthma Self-Management

Paasche‐Orlow

Riekert

Bilderback

et al. 2005

Am J Respir Crit Care Med

239

202

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Health literacy is "the degree to which individuals have the capacity to obtain, process, and understand basic health information and services needed to make appropriate health decisions" (1-4) and is most often measured by reading comprehension of health-related information (5, 6). Multiple studies indicate that inadequate health literacy is associated with worse health status and higher rates of hospitalization across a number of patient populations (4,7,8), including patients with diabetes mellitus, patients with HIV infection, and the elderly (9-12). However, there are relatively few data about the effects of inadequate health literacy in patients with asthma, a common chronic respiratory disorder affecting 5 to 10% of the U.S. population (13).

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Section: Table 4 Predictors Of Better Asthma Medication Knowledge Atmentioning

confidence: 99%

mentioning

confidence: 99%

Tailored Education May Reduce Health Literacy Disparities in Asthma Self-Management

Paasche‐Orlow

Riekert

Bilderback

et al. 2005

Am J Respir Crit Care Med

239

202

View full text Add to dashboard Cite

show abstract

“…5 First, we note that the analyses were not adjusted for socio-economic status. Low socio-economic status has been linked in many studies to worse asthma control 12 and…”

mentioning

confidence: 99%

Can dietary interventions improve asthma control?

Varraso

Camargo

2012

Primary Care Respiratory Journal

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“…4,5 In Canada, socially disadvantaged asthmatic children were found to have greater asthma morbidity and more ED visits, 6 much like adults in the US. 7 Socioeconomic disadvantages associated with specific demographic labels have been shown to affect the delivery of health care for adults. 5,8 Although the influence of patient demographics is well studied, the demography of parents who accompany children to pediatric emergency departments (PEDs) is not.…”

Section: Introductionmentioning

confidence: 99%

Demography of pediatric emergency care in Halifax, Canada

2006

CJEM

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Objectives: Demography affects emergency department (ED) utilization and influences the health care needs of patients, yet the demographics of the caregivers who accompany children to pediatric EDs are not well described. The objective of this study was to provide a demographic description of this population. The hypothesis was that single parent status, annual income less than $20 000, and education no greater than high school constitute a social triad that might reduce the ability to provide health care for a sick child. Methods: Over a 1-month period, a convenience survey of caregivers who brought children to a pediatric ED was conducted. Twelve hundred surveys were distributed to 1733 eligible subjects. Social and economic determinants were captured, including age, gender, visible minority status, income group, employment, single parent status and education level. Results: In total, 1018 (85%) of 1200 surveys were returned -a population response rate of 59%. Single parent status, income less than $20 000/yr, and education no greater than high school were found to be risk factors for altered delivery of health care. Overall, 40.9% of caregivers had at least one risk factor, including 43.2% of women, 63.4% of those under 30 years of age, 65.1% of those with visible minority status, and 71.6% of women who were from a visible minority. In addition, 41.7% of single parents had no more than a high school education, and 75.7% of single parent families had incomes of less than $40 000 per year. Conclusions: It was found that a high level of educational, social and financial disadvantage in our population. These factors may adversely affect parental capability to provide health care at home for their child. The extent of this problem in other regions is not well defined and should be a focus of future research. It is recommended that inquiry into parental income, education and single parent status be a routine part of the history in pediatric emergency populations. RÉSUMÉObjectifs : La démographie a une incidence sur l'utilisation du service des urgences et influence les besoins en soins de santé des patients. Or, les données démographiques des fournisseurs de soins qui accompagnent les enfants aux services d'urgence pédiatrique sont mal connues. Notre objectif était de donner une description démographique de cette population. Notre hypothèse était que ORIGINAL RESEARCH • RECHERCHE ORIGINALE PEDIATRICS

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Acute Asthma Among Adults Presenting to the Emergency Department

Cited by 102 publications

References 61 publications

Tailored Education May Reduce Health Literacy Disparities in Asthma Self-Management

Tailored Education May Reduce Health Literacy Disparities in Asthma Self-Management

Can dietary interventions improve asthma control?

Demography of pediatric emergency care in Halifax, Canada

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