EPIDEMIOLOGY OF PEDIATRIC ASTHMA HOSPITALIZATION

小儿哮喘住院的流行病学

• 批准号: 2229219
• 负责人: DAVID C. GOODMAN
• 金额: $ 10.85万
• 依托单位: DARTMOUTH COLLEGE
• 依托单位国家: 美国
• 财政年份: 1994
• 资助国家: 美国
• 起止时间: 1994-04-01 至 1998-03-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/2229219
• 关键词: asthma; bronchodilators; chemoprevention; child (0-11); epidemiology; geographic site; health care professional practice; health care quality; health care service; hospital utilization; human data; human ecology; longitudinal human study; patient care management; public health; respiratory disorder chemotherapy; respiratory disorder diagnosis; socioeconomics

Recent research has shown that asthma admission rates for children vary widely across geographic areas and have increased nationally for the past decade. The overall goals of this FIRST award research plan are to study three possible, but yet unproved, influences of pediatric asthma hospitalization rates - diagnostic substitution, different systems of medical care, and asthma medication use. Specific hypotheses regarding these factors will be tested in two different data sets: (1) ecologic studies of trends and area variations of the children residing in the contiguous states of Maine, New Hampshire, and Vermont for 1980 - 1994 (2) retrospective cohort analyses of children enrolled at a staff model HMO, Group Health Cooperative of Puget Sound for 1977 - 1994. These studies will utilized detailed information regarding area and individual "exposure" to differing systems of health care and asthma medications, controlling for socioeconomic status. The results from these studies will have direct relevance to the clinical care and development of public policy for children with asthma.

最近的研究表明，儿童哮喘入院率各不相同 在地理区域广泛分布，过去在全国范围内增加 十年这个第一奖研究计划的总体目标是研究 三种可能的，但尚未证实的，影响儿童哮喘的因素 住院率-诊断替代，不同的 医疗保健和哮喘药物的使用。具体假设： 这些因素将在两个不同的数据集进行测试：（1）生态 关于居住在农村地区的儿童的趋势和地区变化的研究 1980 - 1994年缅因州、新罕布什尔州和佛蒙特州的毗连州（2） 回顾性队列分析的儿童登记在工作人员模型HMO， 1977 - 1994年普吉湾集体保健合作社。这些研究 将使用有关区域和个人的详细信息 “暴露”于不同的医疗保健系统和哮喘药物， 控制社会经济地位。这些研究的结果将 直接关系到临床护理和公众的发展 儿童哮喘的政策。