scholarly journals Prevalence of Selected Chronic Conditions Among Children, Adolescents, and Young Adults in Acute Care Settings in Hawai‘i

2020 ◽  
Vol 17 ◽  
Author(s):  
Tetine Sentell ◽  
So Yung Choi ◽  
Lance Ching ◽  
Michelle Quensell ◽  
L. Brooke Keliikoa ◽  
...  
Keyword(s):  
Young Adults ◽  
Acute Care ◽  
Chronic Conditions ◽  
Adolescents And Young Adults ◽  
Acute Care Settings

Transition to adult health care for adolescents and young adults with chronic conditions

2003 ◽  
Vol 33 (4) ◽  
pp. 309-311 ◽  
Author(s):  
David S Rosen ◽  
Robert W Blum ◽  
Maria Britto ◽  
Susan M Sawyer ◽  
David M Siegel
Keyword(s):  
Health Care ◽  
Young Adults ◽  
Chronic Conditions ◽  
Adolescents And Young Adults ◽  
Adult Health ◽  
Adult Health Care

scholarly journals Improving acute care for adolescents and young adults on medical admission units: The interventions that matter

2016 ◽  
Vol 15 (3) ◽  
pp. 157-160
Author(s):  
CA Whicher ◽  
◽  
Rajiv Shah ◽  
H Gleeson ◽  
Louella Vaughan ◽  
...  
Keyword(s):  
Young Adults ◽  
Diabetic Ketoacidosis ◽  
Acute Care ◽  
Adolescents And Young Adults ◽  
Medical Admission ◽  
Specialist Nurse ◽  
Diabetes Specialist ◽  
Nurse Visit

It had become a familiar routine. My seventh admission with diabetic ketoacidosis (DKA) in a year. Each time I was admitted it was the same; a DKA protocol, a diabetes specialist nurse visit, and a few questions from the doctors checking if “everything is okay?” On each admission, I would be discharged home after a couple of days. We all knew I’d be back again within a month or two.

scholarly journals Chronic conditions among children, adolescents, and young adults in acute care settings

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
T Sentell ◽  
S Y Choi ◽  
L Ching ◽  
M Quensell ◽  
L B Keliikoa ◽  
...  
Keyword(s):  
Young People ◽  
Acute Care ◽  
Chronic Conditions ◽  
Chronic Condition ◽  
The United States ◽  
Pacific Islanders ◽  
Native Hawaiians ◽  
Support Programs ◽  
Acute Care Settings ◽  
Epidemiological Trends

Abstract Background Despite a growing prevalence of chronic disease risk factors, such as obesity, among young people in the United States and other countries, little is known about actual disease prevalence in this population. Almost nothing is known about this topic in many racial/ethnic groups that are rapidly growing in the United States, including Native Hawaiians, Other Pacific Islanders, and Filipinos. Yet these understudied groups are at high risk. The study goal was to determine the statewide prevalence of chronic disease in acute care for those aged 5-29 years, including Native Hawaiians, Filipinos, and Pacific Islanders. Methods Using Hawai'i statewide inpatient and emergency department (ED) data across all payers from 2015-2016, we considered the presence of at least one of five target chronic conditions (asthma, hypertension, chronic kidney disease, diabetes, stroke) from 13,514 inpatient stays by 9,467 unique individuals and 228,548 ED visits by 127,854 individuals. Results Twenty-eight percent of youth who were hospitalized and 12% with an ED visit had at least one chronic condition. In both inpatient and ED settings, race/ethnicity, age group, and payer varied significantly when comparing those with a chronic condition to those without a chronic condition. Notably, those with a chronic condition were disproportionately Native Hawaiian, Filipino, and Pacific Islander; 32.3% percent of those with an inpatient chronic condition and 34.9% of those with an ED chronic condition were Native Hawaiian. Conclusions Chronic diseases, including those more often seen in adulthood, are prevalent in young people in acute care settings in the state of Hawai'i with notable disparities. This data can help justify, guide, and support programs urgently needed to address these changing epidemiological trends, which may be of particular interest for Medicaid. Key messages We show that chronic conditions are prevalent in young people in acute care settings in the state of Hawai‘i with notable disparities. This can help justify, guide, and support programs to address these troubling epidemiological trends.

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