Being Specific About Being Special

Davis, Matthew M.; Brosco, Jeffrey P.

doi:10.1001/archpedi.161.10.1003

Cited by 19 publications

(6 citation statements)

References 14 publications

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“…The non-categorical approach is well-accepted; however, analytically combining common conditions with varying levels of severity, such as asthma and seasonal allergies, with more severe conditions may obscure the effects of more severe childhood chronic illness. 1, 14–16 …”

Section: Introductionmentioning

confidence: 99%

Young Adult Outcomes of Children Growing Up With Chronic Illness

Maslow

Haydon²,

Ford³

et al. 2011

Arch Pediatr Adolesc Med

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Section: Introductionmentioning

confidence: 99%

Young Adult Outcomes of Children Growing Up With Chronic Illness

Maslow

Haydon²,

Ford³

et al. 2011

Arch Pediatr Adolesc Med

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“…Some researchers have suggested the use of a non-categorical approach when studying the social or educational impact of illness for young people ( Perrin et al, 1993 ; Stein, Bauman, Westbrook, Coupey, & Ireys, 1993 ), meaning that all students have many common life experiences, despite the actual diagnosis involved ( Davis & Brosco, 2007 ; Perrin et al, 1993 ; Stein et al, 1993 ; Stein & Jessop, 1989 ). Thus, different disease processes may have different mechanisms of impact, but the resulting challenges in a school setting look similar across populations.…”

mentioning

confidence: 99%

Adolescents With Chronic Medical Conditions and High School Completion: The Importance of Perceived School Belonging

Kirkpatrick¹

2020

Continuity in Education

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Students with chronic medical conditions often experience barriers to academic progress, including impact of disease and treatment, increased school absence, and altered expectations of teachers and parents. School belonging is an important element of academic success and can be promoted by positive relationships, structure, and support in the school environment. One aim of this study was to explore group differences in perceived school belonging and rate of on-time high school completion for students with chronic medical conditions as compared to their healthy peers. The second goal was to analyze relations between belonging, health status, and on-time completion of high school. Restricted data from Add Health was used to answer the study questions. Results showed that students with chronic medical conditions reported lower levels of perceived school belonging than their healthy peers (t (1056) = 3.69, p < .001, d = 0.23). Students with chronic medical conditions also attained lower levels of on-time high school graduation than their healthy peers (t (1056) = 2.60, p = .005, d = 0.16). Perceived school belonging had a different impact for students with chronic medical conditions than for those who had no health concerns. Each unit increase in belonging for students with health impairment was related to a 63% increased likelihood of on-time high school graduation (OR = 1.629, p = .003). School belonging is especially important for students living with chronic medical conditions. Finding ways to facilitate a stronger sense of school belonging may be a way to support desired academic outcomes.

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“…No formal definition of a chronic pediatric disorder is available. [ 12 , 13 ] However, the most useful definitions are based on the presence of any functional impairment. [ 12 ] Therefore, we defined a chronic pediatric disorder as a medical diagnosis with functional impairment in childhood that persists for ≥1 year and requires continuing medical care.…”

Section: Methodsmentioning

confidence: 99%

“…[ 12 , 13 ] However, the most useful definitions are based on the presence of any functional impairment. [ 12 ] Therefore, we defined a chronic pediatric disorder as a medical diagnosis with functional impairment in childhood that persists for ≥1 year and requires continuing medical care. [ 14 ] Chronic pediatric disorders were categorized into 23 chronic disorders according to the consensus of pediatric emergency specialists and a previous study.…”

Section: Methodsmentioning

confidence: 99%

Transition patients

Park

Kim²,

Kwak³

et al. 2018

Medicine

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The primary objective was to evaluate the characteristics of adults (≥18 years old) with chronic pediatric disorders (transition patients) who visited the pediatric emergency department (PED). The secondary objective was to determine the associated factors for their admission.This study was a retrospective chart review of transition patients seen at a large, urban PED in Korea from 2010 to 2015. Epidemiologic and clinical data were used to identify the characteristics of transition patients compared with those of pediatric patients in the PED. A multivariable logistic regression model was used to calculate odds ratios (ORs) for the factors associated with hospitalization.Transition patients accounted for 2776 (2.4%) of the total encounters. A total of 463 (38.9%) of the transition patients had >1 visit. Congenital heart disease was the most common (23.2%) chronic pediatric disorder. Most encounters (94.5%) were related to an underlying disorder, and 34.4% of the encounters required consultations with other pediatric subspecialties. Diagnostic procedures were performed in 90.1% of the encounters. Transition patients were hospitalized more than pediatric patients (35.3% vs 15.3%; P < .001). The associated factors for admission in the transition patients were chronic gastrointestinal disorder (adjusted odds ratio [AOR]: 3.76 [95% confidence interval, CI, 2.29–6.16]), complaints related to an underlying disorder (AOR: 3.13 [95% CI, 1.94–5.05]), respiratory complaints (AOR: 2.02 [95% CI, 1.33–3.08]), and infectious complaints (AOR: 1.97 [95% CI, 1.40–2.76]).A substantial number of transition patients used the PED, and they required a larger amount of resources in the PED. Chronic gastrointestinal disorder, respiratory symptoms, or complaints related to an underlying disorder were the related factors for admission of transition patients.

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Being Specific About Being Special

Cited by 19 publications

References 14 publications

Young Adult Outcomes of Children Growing Up With Chronic Illness

Young Adult Outcomes of Children Growing Up With Chronic Illness

Adolescents With Chronic Medical Conditions and High School Completion: The Importance of Perceived School Belonging

Transition patients

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