- Children with asthma who have anxiety, depression, or both are more likely than their counterparts without psychiatric diagnoses to use the emergency department (ED).
Why this matters
- Anxiety and depression have already been linked to increased health care use in adults.
- Asthma as well as psychiatric conditions can impose heavy cognitive burdens, eroding management and adherence.
- ED visits per 100 child-years (95% CIs):
- Overall: 17.1 (16.7-17.5);
- Patients with anxiety: 18.6 (16.6-20.6);
- With depression: 24.8 (20.7-28.8);
- With both: 30.5 (27.5-33.5); and
- With neither: 15.2 (14.1-16.3).
- All unadjusted comparisons, P<.001.>
- Similar results after adjustment for age, sex, insurance status, chronic illness.
- Retrospective cohort study of children and young adults aged 6-21 years in a Massachusetts statewide claims database comprising both public and private payers (n=65,342).
- Outcome: rate of asthma-related ED visits.
- Funding: Agency for Healthcare Research and Quality.
- Coded data.
- May not generalize to other states.
- No data on race, ethnicity.