595 - Role of Social Confounders on Readmission Time for Asthma Exacerbation in Children of Non-English-Primary-Language Households at a Children’s Hospital

Poster Number: 595
Publication Number: 595.411

Adenike Animasaun, Cohen Children's Medical Center, Glen Oaks, NY, United States; Anisha Kesarwani, Cohen Children's Medical Center, Manhasset, NY, United States; Chisom Chigozie-Nwosu, Donald and Barbara Zucker School of Medicine at Hofstra/Northwell, Uniondale, NY, United States; Brittany P. Brown, Cohen Children's Medical Center, Glen Oaks, NY, United States; Joanna Fishbein, Northwell Health, Plainview, NY, United States; Ronak Patel, Cohen Children's Medical Center, New Hyde Park, NY, United States; Anita Pillai, Cohen Children's Medical Center, New Hyde Park, NY, United States; Pratichi Goenka, Cohen Children's Medical Center - Northwell Health, Jericho, NY, United States; Kelly Murphy, Donald and Barbara Zucker School of Medicine at Hofstra/Northwell, New Hyde Park, NY, United States

Background: Asthma, a leading chronic disease among children, has a higher prevalence among minorities and those from low-income backgrounds. Little is known about health disparities for children in non-English-primary-language households.  Preferred language and socioeconomic status (SES) of these often-marginalized groups could play a role in asthma management and rate of hospital admission. Children from non-English primary language households may be at risk of increased readmission for asthma exacerbation

Objective: To evaluate which social confounders play a role in time to readmission among those admitted for asthma exacerbation who are from non-English-primary language households versus those who are from primarily English-speaking households

Design/Methods: Patients admitted to the inpatient units at a pediatric tertiary hospital from 1/1/2016 – 3/1/2020 for asthma exacerbation were identified. Demographics identified included age, race, ethnicity, and sex. Factors evaluated for association with risk of readmission included median income, insurance type, religion, and language preference. Readmission rate at 14 days, 30 days, and 1 year were computed. Given the variability in follow up for the cohort, Kaplan-Meier curves were used to estimate the relationship between each SES factor on risk of/time to readmission. A result from the log-rank test was considered statistically significant with an alpha level of 5%

Results: Of the 478 subjects, 57% are male and 42% are female. Age ranged from 2-17 years old with a median age of 5 years old. 42% of subjects are African American, 21% Caucasian and 24% identified as other/multiracial. For ethnicity, 19% of subjects identified as Hispanic/Latino. Overall, 9% of subjects preferred a language other than English as their primary language. Overall, 2% of subjects were readmitted within 14 days, 4% were readmitted within 30 days, and 17% were readmitted within 1 year. Ethnicity had a statistically significant role on time to readmission (p=0.0032). The predicted readmission rate for those identifying as Hispanic/Latino at 1 year was 24.8% (95% CI: 16.9 to 35.6%) compared to 16.9% (95% CI: 13.4 to 21.3%) for non-Hispanic/Latino patients. No other variable was found to be significantly associated with time of readmission

Conclusion(s): Those of Hispanic/Latino background were found to have a higher readmission rate compared to non-Hispanic/Latino subjects. Identified social confounders were not found to have a statistically significant role in readmission. Additional research is needed to further analyze role of preferred language and social confounders on readmission rate