■环境和社会因素,包括缺乏哮喘治疗,导致历史上处于边缘地位的小鼠群体的哮喘结局持续不平等.远程医疗,在2019年冠状病毒病(COVID-19)大流行期间迅速扩大,可能是增加儿童哮喘治疗的一种方法。
■我们试图描述患有哮喘的儿科(0-17岁)远程医疗用户的特征,并描述整个COVID-19大流行的使用趋势。
我们使用在加州大学看到的哮喘患儿的电子健康记录数据进行了回顾性分析,洛杉矶,医疗中心在2019年3月至2022年3月之间描述远程医疗用户特征,与哮喘相关的远程医疗使用趋势,以及用户特征与远程医疗访问之间的关联。
■在6,777名哮喘患者中,与哮喘相关的远程医疗访问的百分比在大流行的早期达到顶峰,占访问量的74.3%,前下降至2022年的13.6%。与白人患者相比,黑人患者哮喘远程医疗就诊的几率较低(优势比[OR],0.49;95%置信区间[CI],0.26、0.94)。那些有公共保险的人(或者,1.7;95%CI,1.19,2.43),重度持续性哮喘(OR,3.03;95%CI,1.70,5.42),或合并症(或,1.59;95%CI,1.08,2.33)的赔率较高。将至少有一次远程医疗就诊的患者与没有远程医疗就诊的患者进行首次急诊科就诊和住院的时间相似。
■自COVID-19大流行以来,更多的小儿哮喘患者正在使用远程医疗,特别是那些有医疗复杂性和合并症的人,结果似乎相似。然而,我们机构的黑人患者使用远程医疗的几率较低。
UNASSIGNED: Environmental and social factors, including lack of access to asthma care, contribute to persistent inequities in asthma outcomes among children from historically marginalized ethnoracial groups. Telemedicine, which expanded rapidly during the coronavirus disease 2019 (COVID-19) pandemic, may be an approach to augment access to pediatric asthma care.
UNASSIGNED: We sought to describe characteristics of pediatric (0-17 years) telemedicine users with asthma and characterize use trends throughout the COVID-19 pandemic.
UNASSIGNED: We conducted a retrospective analysis using electronic health record data of pediatric patients with asthma seen at University of California, Los Angeles, Medical Center between March 2019 to March 2022 describing telemedicine user characteristics, trends of asthma-related telemedicine use, and associations between user characteristics and having a telemedicine visit.
UNASSIGNED: Among 6,777 patients with asthma, the percentage of asthma-related telemedicine visits peaked early in the pandemic, comprising 74.3% of visits, before decreasing to 13.6% in 2022. Compared to White patients, Black patients had lower odds of an asthma telemedicine visit (odds ratio [OR], 0.49; 95% confidence interval [CI], 0.26, 0.94). Those with public insurance (OR, 1.7; 95% CI, 1.19, 2.43), severe persistent asthma (OR, 3.03; 95% CI, 1.70, 5.42), or comorbidities (OR, 1.59; 95% CI, 1.08, 2.33) had higher odds. Time to first emergency department visit and hospitalization comparing those with at least one telemedicine visit to those with none were similar.
UNASSIGNED: More pediatric asthma patients are using telemedicine since the COVID-19 pandemic, particularly those with medical complexity and comorbidities, and outcomes appear similar. However, Black patients at our institution have lower odds of using telemedicine.