Twenty year trends in hospital discharges for asthma among members of a health maintenance organization

William M. Vollmer, A (Sonia) Buist, Molly Osborne

Research output: Contribution to journalArticle

27 Citations (Scopus)

Abstract

We examined trends in hospitalizations for asthma from 1967 to 1987 among members of a large health maintenance organization. During this time asthma discharges increased significantly among children, and especially among boys under the age of 5 years. Ninety-five percent of the increase in discharges among boys was explained by a corresponding increase in the number of boys who were hospitalized. Increased readmissions did not account for the rise. Changes in the International Classification of Diseases coding of asthma and diagnostic shift by physicians accounted for only part of the increase. A decline in hospitalizations since 1984 may reflect changes in the management of asthma in the emergency room and not a decline in severe asthma episodes.

Original languageEnglish (US)
Pages (from-to)999-1006
Number of pages8
JournalJournal of Clinical Epidemiology
Volume45
Issue number9
DOIs
StatePublished - 1992

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Health Maintenance Organizations
Asthma
Hospitalization
International Classification of Diseases
Hospital Emergency Service
Physicians

Keywords

  • Asthma
  • Children
  • Epidemiology
  • Health maintenance organization
  • Hospital discharge
  • Longitudinal trends

ASJC Scopus subject areas

  • Medicine(all)
  • Epidemiology
  • Public Health, Environmental and Occupational Health

Cite this

Twenty year trends in hospital discharges for asthma among members of a health maintenance organization. / Vollmer, William M.; Buist, A (Sonia); Osborne, Molly.

In: Journal of Clinical Epidemiology, Vol. 45, No. 9, 1992, p. 999-1006.

Research output: Contribution to journalArticle

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