{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,15]],"date-time":"2025-12-15T19:34:28Z","timestamp":1765827268425,"version":"build-2065373602"},"reference-count":35,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2014,12,2]],"date-time":"2014-12-02T00:00:00Z","timestamp":1417478400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Journal of Hospital Medicine"],"published-print":{"date-parts":[[2015,3]]},"abstract":"<jats:sec><jats:title>OBJECTIVE<\/jats:title><jats:p>To examine the relationship between pediatric obesity and inpatient length of stay (LOS), resource utilization, readmission rates, and total billed charges for in\u2010hospital status asthmaticus.<\/jats:p><\/jats:sec><jats:sec><jats:title>DESIGN\/METHODS<\/jats:title><jats:p>We conducted a cross\u2010sectional study of patients 5 to 17 years old hospitalized with status asthmaticus to 1 free\u2010standing children's hospital system over 12 months. Only hospitalized patients initially treated in the hospital's emergency department were included to ensure all therapies\/charges were examined. Patients with complex chronic conditions, pneumonia, or lacking recorded body mass index (BMI) were excluded. The primary exposure was BMI percentile for age. The primary outcome was LOS (in hours). Secondary outcomes were 90\u2010day readmission rate, billed charges, and resource utilization: number of albuterol treatments, chest radiographs, intravenous fluids, intravenous or intramuscular steroids, and intensive care unit admission. Bivariate, adjusted Poisson and logistic regression model analyses were performed.<\/jats:p><\/jats:sec><jats:sec><jats:title>RESULTS<\/jats:title><jats:p>Five hundred eighteen patients met inclusion criteria. Most had a normal BMI (59.7%); 36.7% were overweight or obese. LOS, readmissions, and resource utilization outcomes were not associated with BMI category on bivariate analyses. After adjustment for demographic\/clinical characteristics, LOS decreased by 2% for each decile increase in BMI percentile for age. BMI percentile for age was not associated with billed charges, readmissions, or other measures of resource utilization.<\/jats:p><\/jats:sec><jats:sec><jats:title>CONCLUSIONS<\/jats:title><jats:p>Although BMI decile for age is inversely associated with LOS for in\u2010hospital pediatric status asthmaticus, the effect likely is not clinically meaningful. <jats:italic>Journal of Hospital Medicine<\/jats:italic> 2015;10:160\u2013164. \u00a9 2014 Society of Hospital Medicine<\/jats:p><\/jats:sec>","DOI":"10.1002\/jhm.2296","type":"journal-article","created":{"date-parts":[[2014,12,2]],"date-time":"2014-12-02T05:47:31Z","timestamp":1417499251000},"page":"160-164","source":"Crossref","is-referenced-by-count":20,"title":["Childhood obesity and in\u2010hospital asthma resource utilization"],"prefix":"10.1002","volume":"10","author":[{"given":"Jessica","family":"Bettenhausen","sequence":"first","affiliation":[{"name":"Department of Pediatrics Children's Mercy Hospitals and Clinics, University of Missouri\u2013Kansas City School of Medicine Kansas City Missouri"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Henry","family":"Puls","sequence":"additional","affiliation":[{"name":"Department of Pediatrics Children's Mercy Hospitals and Clinics, University of Missouri\u2013Kansas City School of Medicine Kansas City Missouri"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mary Ann","family":"Queen","sequence":"additional","affiliation":[{"name":"Department of Pediatrics Children's Mercy Hospitals and Clinics, University of Missouri\u2013Kansas City School of Medicine Kansas City Missouri"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christina","family":"Peacock","sequence":"additional","affiliation":[{"name":"Department of Pediatrics Children's Mercy Hospitals and Clinics, University of Missouri\u2013Kansas City School of Medicine Kansas City Missouri"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Stephanie","family":"Burrus","sequence":"additional","affiliation":[{"name":"Department of Pediatrics Children's Mercy Hospitals and Clinics, University of Missouri\u2013Kansas City School of Medicine Kansas City Missouri"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christopher","family":"Miller","sequence":"additional","affiliation":[{"name":"Department of Pediatrics Children's Mercy Hospitals and Clinics, University of Missouri\u2013Kansas City School of Medicine Kansas City Missouri"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ashley","family":"Daly","sequence":"additional","affiliation":[{"name":"Department of Pediatrics Children's Mercy Hospitals and Clinics, University of Missouri\u2013Kansas City School of Medicine Kansas City Missouri"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jeffrey D.","family":"Colvin","sequence":"additional","affiliation":[{"name":"Department of Pediatrics Children's Mercy Hospitals and Clinics, University of Missouri\u2013Kansas City School of Medicine Kansas City Missouri"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2014,12,2]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa1309753"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamapediatrics.2014.21"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1377\/hlthaff.28.4.w751"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamapediatrics.2013.13"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpedsurg.2006.12.040"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1097\/BCR.0b013e3181d0f549"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpedsurg.2005.10.012"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1038\/oby.2007.224"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.1002\/jhm.388"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.1001\/archpedi.161.1.11"},{"key":"e_1_2_8_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jaci.2010.12.010"},{"key":"e_1_2_8_13_1","doi-asserted-by":"publisher","DOI":"10.1164\/rccm.200801-076OC"},{"key":"e_1_2_8_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jaci.2009.04.005"},{"key":"e_1_2_8_15_1","doi-asserted-by":"publisher","DOI":"10.1097\/ACI.0b013e32834eca41"},{"key":"e_1_2_8_16_1","doi-asserted-by":"publisher","DOI":"10.1136\/thx.2007.086819"},{"key":"e_1_2_8_17_1","doi-asserted-by":"publisher","DOI":"10.3109\/02770900903338494"},{"key":"e_1_2_8_18_1","doi-asserted-by":"publisher","DOI":"10.1080\/02770900600859123"},{"key":"e_1_2_8_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpeds.2011.01.049"},{"key":"e_1_2_8_20_1","unstructured":"OwensPL ThompsonJ ElixhauserA RyanK.Care of Children and Adolescents in U.S. Hospitals. 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