Publications by authors named "Anna M Cushing"

Asthma, the most common chronic disease in children, affects more than 4 million children in the United States, disproportionately affecting those who are economically disadvantaged and racial and ethnic minorities. Studies have shown that the racial and ethnic disparities in asthma outcomes can be largely explained by environmental, socioeconomic and other social determinants of health (SDoH). Utilizing new approaches to stratify disease severity and risk, which focus on the underlying SDoH that lead to asthma disparity, provides an opportunity to disentangle race and ethnicity from its confounding social determinants.

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Importance: Pediatric emergency department (ED) visits for mental health crises are increasing. Patients who frequently use the ED are of particular concern, as pediatric mental health ED visits are commonly repeat visits. Better understanding of trends and factors associated with mental health ED revisits is needed for optimal resource allocation and targeting of prevention efforts.

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Objective: The objective of this scoping review is to identify and describe the literature on the use of geospatial data in pediatric asthma research.

Introduction: Asthma is one of the most common pediatric chronic diseases in the United States, disproportionately affecting low-income patients. Asthma exacerbations may be triggered by local environmental factors, such as air pollution or exposure to indoor allergens.

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Objectives: The relationship between pediatrician availability and emergency department (ED) attendance is uncertain. We determined whether children in counties with more pediatricians had fewer ED visits.

Methods: We conducted a cross-sectional study of all ED visits among children younger than 18 years from 6 states.

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Objectives: We sought to evaluate trends in pediatric inpatient unit capacity and access and to measure pediatric inpatient unit closures across the United States.

Methods: We performed a retrospective study of 4720 US hospitals using the 2008-2018 American Hospital Association survey. We used linear regression to describe trends in pediatric inpatient unit and PICU capacity.

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Article Synopsis
  • A study analyzed changes in definitive care for pediatric patients with asthma, croup, and gastroenteritis in U.S. emergency departments from 2008 to 2016.
  • Referral rates for these conditions increased significantly, especially in hospitals with lower pediatric patient volumes, indicating more patients were being transferred rather than treated on-site.
  • The rise in referrals was consistent across demographics and patient characteristics, suggesting a trend towards regionalizing inpatient care and a decline in the provision of definitive treatment.
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