The purpose of this study was to describe patterns of health care use by inner-city patients with asthma and to identify patients at risk for hospitalisation.
We performed a retrospective cohort study of 1788 patients with asthma aged 5 to 34 years from a large hospital-based multi-specialty practice in inner-city Indianapolis from 1985 to 1992.
Compared with 633 white patients, 1155 African-American patients had fewer outpatient encounters including primary care visits, urgent visits to the emergency department and urgent care centers, and prescription refills.
Emergency department use was greater flit African-American males compared with white males.
With patients 30 years of age as the referent, survival analysis revealed three to sixfold greater relative risk of hospitalization for asthma flit younger patient age groups, and greatest risk among young African-American males.
Adolescent patients had the highest cumulative percentage hospitalization and the longest lengths of stay.
We conclude that inadequate routine primary care among African-American patients may increase their risk of asthma exacerbation revisiting hospitalization Age, gender, and race are all important predictors of hospitalization for asthma.
Further studies are needed to explore the relation between sources of care and asthma exacebation.
Mots-clés Pascal : Asthme, Allergie, Epidémiologie, Utilisation, Service santé, Milieu urbain, Rétrospective, Etude cohorte, Enfant, Homme, Adolescent, Adulte jeune, Age, Sexe, Indiana, Etats Unis, Amérique du Nord, Amérique, Appareil respiratoire pathologie, Bronchopneumopathie obstructive, Immunopathologie, Race, Risque, Hospitalisation
Mots-clés Pascal anglais : Asthma, Allergy, Epidemiology, Use, Health service, Urban environment, Retrospective, Cohort study, Child, Human, Adolescent, Young adult, Age, Sex, Indiana, United States, North America, America, Respiratory disease, Obstructive pulmonary disease, Immunopathology, Race, Risk, Hospitalization
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 97-0238674
Code Inist : 002B11B. Création : 11/06/1997.