Impact of Obesity on Clinical Outcomes in Urban Children Hospitalized for Status Asthmaticus

Elena Aragona, Eussra El-Magbri, Justin Wang, Tessa Scheckelhoff, Trevor Scheckelhoff, Assata Hyacinthe, Suja Nair, Amina Khan, Gustavo Nino, Dinesh K. Pillai

Research output: Contribution to journalArticle

8 Citations (Scopus)

Abstract

BACKGROUND AND OBJECTIVE: The prevalence of both childhood asthma and obesity remain at historically high levels and disproportionately affect urban children. Asthma is a common and costly cause for pediatric hospitalization. Our objective was to determine the effect of obesity on outcomes among urban children hospitalized with status asthmaticus.

METHODS: A retrospective cohort study was performed by using billing system data and chart review to evaluate urban children admitted for asthma. Demographics, asthma severity, reported comorbidities, and outcomes were assessed. Obesity was defined by BMI percentile (lean<85%, overweight 85%-95%, obese≥95%). Outcomes were length of stay, hospitalization charges, ICU stay, repeat admissions, and subsequent emergency department (ED) visits. Bivariate analysis assessed for differences between overweight/obese and lean children. Multivariable regression assessed the relationship between overweight status and primary outcomes while controlling for other variables. Post hoc age-stratified analysis was also performed.

RESULTS: The study included 333 subjects; 38% were overweight/obese. Overweight/obese children admitted with asthma were more likely than lean children to have subsequent ED visits (odds ratio 1.6, 95% confidence interval 1.0-2.6). When stratified by age, overweight/obese preschool-age children (<5 years) were >2 times as likely to have repeat ED visits than lean preschool-age children (odds ratio 2.3, 95% confidence interval 1.0-5.6). There were no differences in the other outcomes between overweight/obese and lean individuals within the entire cohort or within other age groups.

Original languageEnglish (US)
Pages (from-to)211-218
Number of pages8
JournalHospital pediatrics
Volume6
Issue number4
DOIs
StatePublished - Apr 1 2016

Fingerprint

Status Asthmaticus
Hospitalized Child
Asthma
Obesity
Pediatric Obesity
Preschool Children
Information Systems
Comorbidity
Hospitalization
Cohort Studies
Retrospective Studies
Age Groups
Odds Ratio
Demography
Confidence Intervals
Pediatrics

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Medicine(all)
  • Pediatrics

Cite this

Aragona, E., El-Magbri, E., Wang, J., Scheckelhoff, T., Scheckelhoff, T., Hyacinthe, A., ... Pillai, D. K. (2016). Impact of Obesity on Clinical Outcomes in Urban Children Hospitalized for Status Asthmaticus. Hospital pediatrics, 6(4), 211-218. https://doi.org/10.1542/hpeds.2015-0094

Impact of Obesity on Clinical Outcomes in Urban Children Hospitalized for Status Asthmaticus. / Aragona, Elena; El-Magbri, Eussra; Wang, Justin; Scheckelhoff, Tessa; Scheckelhoff, Trevor; Hyacinthe, Assata; Nair, Suja; Khan, Amina; Nino, Gustavo; Pillai, Dinesh K.

In: Hospital pediatrics, Vol. 6, No. 4, 01.04.2016, p. 211-218.

Research output: Contribution to journalArticle

Aragona, E, El-Magbri, E, Wang, J, Scheckelhoff, T, Scheckelhoff, T, Hyacinthe, A, Nair, S, Khan, A, Nino, G & Pillai, DK 2016, 'Impact of Obesity on Clinical Outcomes in Urban Children Hospitalized for Status Asthmaticus', Hospital pediatrics, vol. 6, no. 4, pp. 211-218. https://doi.org/10.1542/hpeds.2015-0094
Aragona E, El-Magbri E, Wang J, Scheckelhoff T, Scheckelhoff T, Hyacinthe A et al. Impact of Obesity on Clinical Outcomes in Urban Children Hospitalized for Status Asthmaticus. Hospital pediatrics. 2016 Apr 1;6(4):211-218. https://doi.org/10.1542/hpeds.2015-0094
Aragona, Elena ; El-Magbri, Eussra ; Wang, Justin ; Scheckelhoff, Tessa ; Scheckelhoff, Trevor ; Hyacinthe, Assata ; Nair, Suja ; Khan, Amina ; Nino, Gustavo ; Pillai, Dinesh K. / Impact of Obesity on Clinical Outcomes in Urban Children Hospitalized for Status Asthmaticus. In: Hospital pediatrics. 2016 ; Vol. 6, No. 4. pp. 211-218.
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