Trends in Neighborhood Opportunity, Hospitalizations, and Costs for Pediatric Asthma.

ABSTRACT:

Objective

To evaluate changes in (1) admissions and (2) costs of hospitalization over time relative to Child Opportunity Index (COI) levels for pediatric patients with asthma exacerbations.

Study design

We conducted a retrospective study using the PHIS database from 2016 to 2024 for children aged 2 to 18 years who presented to children's hospitals with an asthma exacerbation. Outcomes were odds of admission and costs (per hospitalization) over time relative to COI levels. Mixed-effects regression models with interaction terms were used for analyses.

Results

We identified 777,370 encounters, of which 208,415 (26.8%) were admitted. In adjusted models, odds of admission were significantly higher across all COI levels relative to encounters from very high COI levels for m

SUBMITTER: Gabbay JM 

PROVIDER: S-EPMC12392338 | biostudies-literature | 2025 Jul

REPOSITORIES: biostudies-literature