{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T00:52:29Z","timestamp":1782867149755,"version":"3.54.5"},"reference-count":43,"publisher":"American Academy of Pediatrics (AAP)","issue":"7","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,7,1]]},"abstract":"<jats:sec>\n                    <jats:title>BACKGROUND\/OBJECTIVE<\/jats:title>\n                    <jats:p>Prior disparity research has focused on evaluating patient outcomes in freestanding children\u2019s hospitals, rather than identifying potential drivers of these disparities. Our objective was to evaluate drivers of disparities in respiratory illness care quality and outcomes in a national sample of general hospitals.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>METHODS<\/jats:title>\n                    <jats:p>This retrospective study used pretrial data from hospitals in the SIP trial (Simultaneously Implementing Pathways for Improving Asthma, Pneumonia, and Bronchiolitis Care for Hospitalized Children, NCT05206695). Patients were eligible if they had a primary diagnosis of asthma, pneumonia, or bronchiolitis and were admitted during 3 winter periods (2019\u20132022). We evaluated quality measures\/adherence to evidence-based practices and patient outcomes (length of stay, intensive care unit [ICU] transfer, and hospital readmission\/emergency department [ED] revisit within 30\u00a0days). Multilevel regression models were used to evaluate disparities by race and ethnicity, primary insurance, and preferred language.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>RESULTS<\/jats:title>\n                    <jats:p>A total of 3188 admissions from 33 hospitals were analyzed. Quality measure adherence was 30% to 89%. Children with asthma on public insurance were more likely to receive recommended discharge prescriptions of inhaled corticosteroids than those on private insurance (77% vs 70%; odds ratio [OR], 1.87 [95% CI, 1. 12\u20133.12]). Children with public insurance admitted for asthma had higher risk of ICU transfer (adjusted OR [AOR], 1.93 [95% CI, 1.01\u20133.72]) and 30-day readmissions\/ED revisits (AOR, 2.72 [95% CI, 1.37\u20135.39]). Hispanic children admitted for asthma had higher risk of 30-day readmissions\/ED revisits compared with white children (AOR, 2.37 [95% CI, 1.08\u20135.22]).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>CONCLUSIONS<\/jats:title>\n                    <jats:p>In this national analysis of children admitted to general hospitals, we found disparities in outcomes for children with asthma who were on public insurance or Hispanic.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1542\/hpeds.2025-008951","type":"journal-article","created":{"date-parts":[[2026,6,11]],"date-time":"2026-06-11T00:03:06Z","timestamp":1781136186000},"page":"592-599","source":"Crossref","is-referenced-by-count":0,"title":["Examining Disparities in Pediatric Asthma, Pneumonia, and Bronchiolitis Care in General Hospitals"],"prefix":"10.1542","volume":"16","author":[{"given":"Adria K.","family":"Bowles","sequence":"first","affiliation":[{"name":"1University of California, San Francisco, San Francisco, California"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jonathan","family":"Rodean","sequence":"additional","affiliation":[{"name":"2Independent Researcher, Overland Park, Kansas"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elana J.","family":"Siegel","sequence":"additional","affiliation":[{"name":"3Icahn School of Medicine at Mount Sinai, New York, New York"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sarah","family":"Gray","sequence":"additional","affiliation":[{"name":"4University of California, San Diego, San Diego, California"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Swetha","family":"Vanja","sequence":"additional","affiliation":[{"name":"5Baylor Scott and White McLane Children\u2019s, Temple, Texas"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Laura O.","family":"Howard","sequence":"additional","affiliation":[{"name":"6Tallahassee Memorial Healthcare, Tallahassee, Florida"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gboluwaga","family":"Orebiyi","sequence":"additional","affiliation":[{"name":"7HCA HealthONE Sky Ridge, Lone Tree, Colorado"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Corrie E.","family":"McDaniel","sequence":"additional","affiliation":[{"name":"8University of Washington School of Medicine, Seattle, Washington"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joanne C.","family":"Mendoza","sequence":"additional","affiliation":[{"name":"9Eastern Virginia Medical School, Old Dominion University, Norfolk, Virginia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yeelen","family":"Edwards","sequence":"additional","affiliation":[{"name":"1University of California, San Francisco, San Francisco, California"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Charles E.","family":"McCulloch","sequence":"additional","affiliation":[{"name":"1University of California, San Francisco, San Francisco, California"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ralph","family":"Gonzales","sequence":"additional","affiliation":[{"name":"1University of California, San Francisco, San Francisco, California"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrew D.","family":"Auerbach","sequence":"additional","affiliation":[{"name":"1University of California, San Francisco, San Francisco, California"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sunitha V.","family":"Kaiser","sequence":"additional","affiliation":[{"name":"1University of California, San Francisco, San Francisco, California"},{"name":"10Philip R. 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