Recommended follow-up after exacerbation ( quality measure) was higher for limited English proficiency (aOR, 1.8 95% CI, 1.4-2.3) and bilingual (aOR, 1.6 95% CI, 1.3-2.1), compared with English-only patients. Compared with English-only patients, bilingual patients had higher odds of ever having an exacerbation visit (morbidity measure) (adjusted odds ratio, 1.4 95% confidence interval, 1.2-1.6) but lower odds of admission to intensive care (morbidity measure) (aOR, 0.3 95% CI, 0.2-0.7), while patients with limited English proficiency did not differ on either factor. Pulmonary function testing ( quality measure) and multiple exacerbation visits (morbidity measure) did not differ by language group.
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The study included 15 352 (84%) English-only patients, 1744 (10%) patients with limited English proficiency, and 1147 (6%) bilingual patients. Five asthma outcomes-two quality and three morbidity measures-were modeled using generalized estimating equations. By using chi-square and t-tests, patients with limited English proficiency and bilingual English-speaking patients were compared with English-only patients. Community-level demographics were included from U.S. We used electronic health records for asthma patients aged 2-17 years from a regional, urban, children's hospital in Ohio during 2011-2015.
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This study examines whether pediatric patients in Ohio with limited English proficiency experience lower asthma care quality or higher morbidity. Limited English proficiency can be a barrier to asthma care and is associated with poor outcomes. Montgomery, Martha P Allen, Elizabeth D Thomas, Olivia Robinson, Byron F Clark, Donnie Connelly, Ann Mott, Joshua A Conrey, Elizabeth
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Association between pediatric asthma care quality and morbidity and English language proficiency in Ohio.