{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,4]],"date-time":"2026-08-04T16:23:38Z","timestamp":1785860618775,"version":"3.56.0"},"reference-count":43,"publisher":"Wiley","issue":"11","license":[{"start":{"date-parts":[[2024,11,11]],"date-time":"2024-11-11T00:00:00Z","timestamp":1731283200000},"content-version":"vor","delay-in-days":10,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100006459","name":"Children's Hospital Los Angeles","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100006459","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Pediatric Allergy Immunology"],"published-print":{"date-parts":[[2024,11]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Current knowledge of the impact of socioeconomic factors on the risk of admission to the pediatric intensive care unit (PICU) for asthma is limited. Using composite measures of social vulnerability\u2014Social Vulnerability Index (SVI) and Child Opportunity Index (COI) 2.0\u2014we compared patients admitted for status asthmaticus to the PICU and pediatric ward at Children's Hospital Los Angeles (CHLA). We hypothesized patients with a high SVI and low COI are at higher risk for PICU admission.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Patients were identified using ICD\u201010 codes for asthma. Primary outcome was admission to PICU versus ward for status asthmaticus. Patient\u2010registered residential street addresses were geocoded and spatially joined to SVI and COI 2.0 data at the census tract level. Univariate and regression analyses using the patient's SVI, COI 2.0, and admission location were conducted.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>From January 2017 to March 2022, there were 2458 admissions matched to addresses from 1983 distinct patients. The overall median SVI for all patients was 0.86 (IQR 0.6, 0.9). Overall median COI was 25.0 (IQR 10, 50). There was no difference in SVI or COI for admission to the PICU versus the ward. However, children requiring multiple hospital admissions for asthma were associated with higher SVI and lower COI.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Children admitted to CHLA for asthma had an elevated SVI and low COI. There was no difference between admission locations based on SVI or COI scores. This indicates we care for children at increased socioeconomic risk, but this did not increase PICU use for asthma.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/pai.14278","type":"journal-article","created":{"date-parts":[[2024,11,11]],"date-time":"2024-11-11T09:24:11Z","timestamp":1731317051000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":8,"title":["The association between composite measures of social vulnerability and\n                    <scp>PICU<\/scp>\n                    admission for status asthmaticus"],"prefix":"10.1111","volume":"35","author":[{"ORCID":"https:\/\/orcid.org\/0009-0002-9231-050X","authenticated-orcid":false,"given":"Justin","family":"Jones","sequence":"first","affiliation":[{"name":"Children's Hospital Los Angeles  Los Angeles California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Margaret J.","family":"Klein","sequence":"additional","affiliation":[{"name":"Children's Hospital Los Angeles  Los Angeles California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alicia","family":"Adiwidjaja","sequence":"additional","affiliation":[{"name":"Children's Hospital Los Angeles  Los Angeles California USA"},{"name":"University of Southern California Spatial Sciences Institute  Los Angeles California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Patrick","family":"Ross","sequence":"additional","affiliation":[{"name":"Children's Hospital Los Angeles  Los Angeles California USA"},{"name":"University of Southern California Keck School of Medicine  Los Angeles California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Matthew","family":"Keefer","sequence":"additional","affiliation":[{"name":"Children's Hospital Los Angeles  Los Angeles California USA"},{"name":"University of Southern California Keck School of Medicine  Los Angeles California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jonathan M.","family":"Tan","sequence":"additional","affiliation":[{"name":"Children's Hospital Los Angeles  Los Angeles California USA"},{"name":"University of Southern California Spatial Sciences Institute  Los Angeles California USA"},{"name":"University of Southern California Keck School of Medicine  Los Angeles California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2024,11,11]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2019-0748"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1097\/PCC.0000000000003191"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jaip.2021.10.065"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.15585\/mmwr.mm6705e1"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.1001\/archpediatrics.2010.100"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.1177\/003335490512000203"},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamapediatrics.2022.1446"},{"key":"e_1_2_11_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jaci.2018.11.022"},{"key":"e_1_2_11_10_1","doi-asserted-by":"publisher","DOI":"10.1080\/02770903.2019.1609981"},{"key":"e_1_2_11_11_1","doi-asserted-by":"publisher","DOI":"10.3109\/02770903.2014.930479"},{"key":"e_1_2_11_12_1","doi-asserted-by":"publisher","DOI":"10.1097\/aci.0b013e3283292207"},{"key":"e_1_2_11_13_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2008-2233H"},{"key":"e_1_2_11_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jaci.2017.01.036"},{"key":"e_1_2_11_15_1","doi-asserted-by":"publisher","DOI":"10.1002\/ppul.20847"},{"key":"e_1_2_11_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpeds.2016.02.018"},{"key":"e_1_2_11_17_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12940-016-0184-2"},{"key":"e_1_2_11_18_1","doi-asserted-by":"publisher","DOI":"10.1289\/ehp.0900916"},{"key":"e_1_2_11_19_1","doi-asserted-by":"publisher","DOI":"10.1164\/rccm.200908-1201OC"},{"key":"e_1_2_11_20_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0037044"},{"key":"e_1_2_11_21_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11882-020-0899-6"},{"key":"e_1_2_11_22_1","doi-asserted-by":"publisher","DOI":"10.3390\/healthcare6020062"},{"key":"e_1_2_11_23_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jaci.2022.07.024"},{"key":"e_1_2_11_24_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2013-2437"},{"key":"e_1_2_11_25_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamapediatrics.2016.0269"},{"key":"e_1_2_11_26_1","unstructured":"Agency for Toxic Substances and Disease Registry.CDC's Social Vulnerability Index (SVI).Www.atsdr.cdc.gov2020."},{"key":"e_1_2_11_27_1","unstructured":"Child opportunity index (COI).diversitydatakids.org. Accessed January 22 2024.https:\/\/www.diversitydatakids.org\/child\u2010opportunity\u2010index"},{"key":"e_1_2_11_28_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpeds.2017.08.007"},{"key":"e_1_2_11_29_1","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCULATIONAHA.121.054516"},{"key":"e_1_2_11_30_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10995-019-02792-7"},{"key":"e_1_2_11_31_1","doi-asserted-by":"publisher","DOI":"10.1002\/uog.24863"},{"key":"e_1_2_11_32_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2020-039933"},{"key":"e_1_2_11_33_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2017-2309"},{"key":"e_1_2_11_34_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.acap.2021.12.015"},{"key":"e_1_2_11_35_1","doi-asserted-by":"publisher","DOI":"10.1097\/PCC.0000000000001695"},{"key":"e_1_2_11_36_1","doi-asserted-by":"publisher","DOI":"10.1111\/ina.12009"},{"key":"e_1_2_11_37_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM199705083361904"},{"key":"e_1_2_11_38_1","doi-asserted-by":"publisher","DOI":"10.1377\/hlthaff.2014.0496"},{"key":"e_1_2_11_39_1","doi-asserted-by":"publisher","DOI":"10.1007\/BF02350962"},{"key":"e_1_2_11_40_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.chest.2016.11.027"},{"key":"e_1_2_11_41_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.rmed.2015.05.011"},{"key":"e_1_2_11_42_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11524-012-9679-5"},{"key":"e_1_2_11_43_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamapsychiatry.2021.2877"},{"key":"e_1_2_11_44_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.socscimed.2010.04.008"}],"container-title":["Pediatric Allergy and Immunology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/pai.14278","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,12,3]],"date-time":"2024-12-03T08:57:38Z","timestamp":1733216258000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/pai.14278"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,11]]},"references-count":43,"journal-issue":{"issue":"11","published-print":{"date-parts":[[2024,11]]}},"alternative-id":["10.1111\/pai.14278"],"URL":"https:\/\/doi.org\/10.1111\/pai.14278","archive":["Portico"],"relation":{"has-review":[{"id-type":"doi","id":"10.1111\/PAI.14278\/v1\/review1","asserted-by":"object"},{"id-type":"doi","id":"10.1111\/PAI.14278\/v2\/decision1","asserted-by":"object"},{"id-type":"doi","id":"10.1111\/PAI.14278\/v2\/response1","asserted-by":"object"},{"id-type":"doi","id":"10.1111\/PAI.14278\/v1\/review2","asserted-by":"object"},{"id-type":"doi","id":"10.1111\/PAI.14278\/v1\/review3","asserted-by":"object"},{"id-type":"doi","id":"10.1111\/PAI.14278\/v1\/decision1","asserted-by":"object"}]},"ISSN":["0905-6157","1399-3038"],"issn-type":[{"value":"0905-6157","type":"print"},{"value":"1399-3038","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,11]]},"assertion":[{"value":"2024-06-03","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-10-30","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-11-11","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e14278"}}