{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,19]],"date-time":"2026-10-19T22:38:50Z","timestamp":1792449530251,"version":"4.5.0"},"reference-count":56,"publisher":"American Academy of Pediatrics (AAP)","issue":"4","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2016,4,1]]},"abstract":"<jats:sec>\n                  <jats:title>BACKGROUND AND OBJECTIVE:<\/jats:title>\n                  <jats:p>The prevalence of both childhood asthma and obesity remain at historically high levels and disproportionately affect urban children. Asthma is a common and costly cause for pediatric hospitalization. Our objective was to determine the effect of obesity on outcomes among urban children hospitalized with status asthmaticus.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>METHODS:<\/jats:title>\n                  <jats:p>A retrospective cohort study was performed by using billing system data and chart review to evaluate urban children admitted for asthma. Demographics, asthma severity, reported comorbidities, and outcomes were assessed. Obesity was defined by BMI percentile (lean &amp;lt;85%, overweight 85%\u201395%, obese \u226595%). Outcomes were length of stay, hospitalization charges, ICU stay, repeat admissions, and subsequent emergency department (ED) visits. Bivariate analysis assessed for differences between overweight\/obese and lean children. Multivariable regression assessed the relationship between overweight status and primary outcomes while controlling for other variables. Post hoc age-stratified analysis was also performed.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>RESULTS:<\/jats:title>\n                  <jats:p>The study included 333 subjects; 38% were overweight\/obese. Overweight\/obese children admitted with asthma were more likely than lean children to have subsequent ED visits (odds ratio 1.6, 95% confidence interval 1.0\u20132.6). When stratified by age, overweight\/obese preschool-age children (&amp;lt;5 years) were &amp;gt;2 times as likely to have repeat ED visits than lean preschool-age children (odds ratio 2.3, 95% confidence interval 1.0\u20135.6). There were no differences in the other outcomes between overweight\/obese and lean individuals within the entire cohort or within other age groups.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1542\/hpeds.2015-0094","type":"journal-article","created":{"date-parts":[[2016,4,1]],"date-time":"2016-04-01T08:41:36Z","timestamp":1459500096000},"page":"211-218","source":"Crossref","is-referenced-by-count":33,"title":["Impact of Obesity on Clinical Outcomes in Urban Children Hospitalized for Status Asthmaticus"],"prefix":"10.1542","volume":"6","author":[{"given":"Elena","family":"Aragona","sequence":"first","affiliation":[{"name":"Pediatric Hospital Medicine, Tufts Floating Hospital for Children, Boston, Massachusetts;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eussra","family":"El-Magbri","sequence":"additional","affiliation":[{"name":"Pediatric Pulmonary Medicine, anddPediatric Hospital Medicine, Children\u2019s National Health System, Washington, District of Columbia; and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Justin","family":"Wang","sequence":"additional","affiliation":[{"name":"Pediatric Pulmonary Medicine, anddPediatric Hospital Medicine, Children\u2019s National Health System, Washington, District of Columbia; and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tessa","family":"Scheckelhoff","sequence":"additional","affiliation":[{"name":"Pediatric Pulmonary Medicine, anddPediatric Hospital Medicine, Children\u2019s National Health System, Washington, District of Columbia; and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Trevor","family":"Scheckelhoff","sequence":"additional","affiliation":[{"name":"Pediatric Pulmonary Medicine, anddPediatric Hospital Medicine, Children\u2019s National Health System, Washington, District of Columbia; and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Assata","family":"Hyacinthe","sequence":"additional","affiliation":[{"name":"Pediatric Pulmonary Medicine, anddPediatric Hospital Medicine, Children\u2019s National Health System, Washington, District of Columbia; and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Suja","family":"Nair","sequence":"additional","affiliation":[{"name":"Pediatric Pulmonology, University of Texas Southwestern Medical Center, Dallas, Texas"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amina","family":"Khan","sequence":"additional","affiliation":[{"name":"Pediatric Hospital Medicine, Tufts Floating Hospital for Children, Boston, Massachusetts;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gustavo","family":"Nino","sequence":"additional","affiliation":[{"name":"Pediatric Pulmonary Medicine, anddPediatric Hospital Medicine, Children\u2019s National Health System, Washington, District of Columbia; and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dinesh K.","family":"Pillai","sequence":"additional","affiliation":[{"name":"Pediatric Pulmonary Medicine, anddPediatric Hospital Medicine, Children\u2019s National Health System, Washington, District of Columbia; and"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"417","published-online":{"date-parts":[[2016,4,1]]},"reference":[{"key":"2021120817455001000_B1","doi-asserted-by":"crossref","first-page":"S131","DOI":"10.1542\/peds.2008-2233C","article-title":"Status of childhood asthma in the United States, 1980\u20132007","volume":"123","author":"Akinbami","year":"2009","journal-title":"Pediatrics"},{"key":"2021120817455001000_B2","volume-title":"2011: With Special Features on Socioeconomic Status and Health","author":"National Center for Health Statistics","year":"2012"},{"issue":"5","key":"2021120817455001000_B3","doi-asserted-by":"crossref","first-page":"483","DOI":"10.1001\/jama.2012.40","article-title":"Prevalence of obesity and trends in body mass index among US children and adolescents, 1999\u20132010","volume":"307","author":"Ogden","year":"2012","journal-title":"JAMA"},{"issue":"12","key":"2021120817455001000_B4","doi-asserted-by":"crossref","first-page":"1155","DOI":"10.1001\/archpediatrics.2012.1266","article-title":"Prioritization of comparative effectiveness research topics in hospital pediatrics","volume":"166","author":"Keren","year":"2012","journal-title":"Arch Pediatr Adolesc Med"},{"key":"2021120817455001000_B5","unstructured":"Healthcare Cost and Utilization Project (HCUP). 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