Using an asthma control questionnaire and administrative data to predict health-care utilization

Dawn Peters, Chuhe Chen, Leona E. Markson, Felicia C. Allen-Ramey, William M. Vollmer

Research output: Contribution to journalArticle

57 Scopus citations

Abstract

Objective: To examine the merits of the Asthma Therapy Assessment Questionnaire (ATAQ) control index together with prior asthma health-care utilization from administrative data in predicting future acute asthma health-care utilization. Design: Prospective cohort study. Population: A total of 4,788 adult asthma patients aged 17 to 93 years who completed a baseline evaluation and had at least 6 months of follow-up data. Statistical methods: Classification and regression tree methodology to predict future risk of acute health-care utilization events. Results: These results show that the ATAQ control index and administrative data are jointly useful for predicting future health-care utilization. The utility of the ATAQ control index in the presence of information about prior health-care utilization is to further stratify risk among the subset of younger individuals who did not have any prior acute health-care utilization. While administrative health-care utilization data served as the strongest predictor of future health-care utilization, the ATAQ control index helped to identify 1% of individuals without recent acute care that had approximately a sixfold elevated risk (95% confidence interval, 4.2 to 8.4) of future acute health-care utilization. This is an important result since only a small fraction of individuals with acute events in a given year will have had acute events in the previous year. Conclusion: These findings should assist the practicing clinician and organizations interested in population-based asthma disease management.

Original languageEnglish (US)
Pages (from-to)918-924
Number of pages7
JournalCHEST
Volume129
Issue number4
DOIs
StatePublished - Apr 2006

Keywords

  • Asthma
  • Asthma disease management
  • Health-care utilization
  • Level of control
  • Severity

ASJC Scopus subject areas

  • Pulmonary and Respiratory Medicine
  • Critical Care and Intensive Care Medicine
  • Cardiology and Cardiovascular Medicine

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