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首页> 外文期刊>The journal of asthma >Predicting future emergency department visits and hospitalizations for asthma using the Pediatric Asthma Control and Communication Instrument - Emergency Department version (PACCI-ED)
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Predicting future emergency department visits and hospitalizations for asthma using the Pediatric Asthma Control and Communication Instrument - Emergency Department version (PACCI-ED)

机译：使用小儿哮喘控制和通讯工具-急诊科版本（PACCI-ED）预测未来的急诊科就诊和哮喘住院

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Objective: Emergency departments (EDs) are potential settings for interventions to improve asthma outcomes. Screening tools can identify children at risk of future morbidity. Our objective was to determine the predictive validity of the Pediatric Asthma Control and Communication Instrument - Emergency Department version (PACCI-ED) for future asthma-related ED visits and hospitalizations. Methods: This was a retrospective cohort study of 108 children 1-17 years old who visited an ED for asthma and completed the PACCI-ED. The PACCI-ED queries parents about prior 12-month ED visits, hospitalizations, steroid use, perceived asthma morbidity and burden, and asthma control (over prior 1-2 weeks). The primary outcome was subsequent ED visits and hospitalizations within 1 year of enrollment. Poisson regression was used to model PACCI-ED questions for future ED visits controlling for age and socioeconomic status. Results: Reported ED visits predicted future ED visits (adjusted incidence rate ratio (aIRR) 3.1, 95% confidence interval (CI): 1.3-7.2) but not future hospitalizations. Reported hospitalizations predicted future ED visits (aIRR 3.3; 95% CI 1.7-6.3) and hospitalizations (aIRR 6.4; 95% CI 2.3-17.6). The remaining PACCI-ED questions did not predict future ED visits or hospitalizations. Conclusions: The PACCI-ED risk domain was the only domain that predicted future asthma ED visits and hospitalizations. Questions about previous ED visits and hospitalizations are the most effective questions when screening children with asthma in EDs for the risk of future health-care use.
机译：目的：急诊科是改善哮喘预后的干预措施的潜在环境。筛查工具可以识别有未来发病风险的儿童。我们的目标是确定小儿哮喘控制和通讯工具-急诊科版本（PACCI-ED）在未来与哮喘相关的ED访视和住院治疗中的预测有效性。方法：这是一项回顾性队列研究，研究对象为108名1-17岁的儿童，他们因哮喘而接受急诊就诊并完成了PACCI-ED。 PACCI-ED向父母询问以前的12个月ED访视，住院，类固醇使用，哮喘的发病率和负担感以及哮喘控制（在1-2周内）。主要结果是入组后1年内随后的ED访问和住院治疗。使用Poisson回归对未来的ED访问进行PACCI-ED问题建模，以控制年龄和社会经济状况。结果：报告的急诊就诊预测了未来的急诊就诊（调整后的发病率比率（aIRR）3.1，95％置信区间（CI）：1.3-7.2），但未预测将来的住院治疗。报告的住院预测了未来的急诊就诊（aIRR 3.3; 95％CI 1.7-6.3）和住院（aIRR 6.4; 95％CI 2.3-17.6）。剩下的PACCI-ED问题不能预测将来的ED访视或住院情况。结论：PACCI-ED风险域是预测未来哮喘ED访视和住院的唯一域。在筛查急诊室中患有哮喘的儿童以了解将来使用医疗保健的风险时，有关先前急诊室就诊和住院的问题是最有效的问题。

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