Minkovitz et al1 report that hospital readmissions for asthma occur in children with greater disease severity. Now that's a "dog bites man" headline if I've ever heard one! The very occurrence of rehospitalization and perhaps even initial hospitalizations should be considered de facto evidence for more severe asthma. The issue then is, what prevents both hospitalization and relapse from asthma? Minkovitz et al go on to speculate that "targeted case management" and "adoption and implementation of critical pathways" would improve outcome.1(p730) They state that it is "possible that standardized forms and protocols contribute to improved medical documentation and discharge planning" and look to "managed care plans . . . emphasis on preventive care and decreased costs to reduce asthma admissions."1(p730) Unfortunately, these platitudes are accompanied by no specifics and are not supported by any references to actual data.
Weinberger M. What Prevents Hospitalizations and Relapse From Asthma?. Arch Pediatr Adolesc Med. 2000;154(1):92. doi: