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lization, more prolonged lengths of stay, and higher costs, with no significant differences in risk of transfer or readmission. Marked variation exists in rates of asthmonia diagnosis, and the hospital of admission is one of the strongest predictors of diagnosis. Efforts to reduce rates of unwarranted asthmonia diagnosis are needed, particularly at small, rural, non-teaching hospitals with minimal pediatric specialty support. Marked variation exists in rates of asthmonia diagnosis, and the hospital of admission is one of the strongest p