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Titolo:
Hospital admissions and readmissions for asthma in the age group 0-4 years
Autore:
Wever-Hess, J; Hermans, J; Kouwenberg, JM; Duiverman, EJ; Wever, AMJ;
Indirizzi:
Red Cross Hosp, Dept Pediat Resp Med, NL-2566 MJ The Hague, Netherlands Red Cross Hosp The Hague Netherlands NL-2566 MJ J The Hague, Netherlands Juliana Childrens Hosp, Dept Pediat Resp Med, The Hague, Netherlands Juliana Childrens Hosp The Hague Netherlands ed, The Hague, Netherlands Leiden Univ, Med Ctr, Dept Med Stat, Leiden, Netherlands Leiden Univ Leiden Netherlands Ctr, Dept Med Stat, Leiden, Netherlands Beatrix Childrens Hosp, Acad Hosp Groningen, Groningen, Netherlands Beatrix Childrens Hosp Groningen Netherlands en, Groningen, Netherlands
Titolo Testata:
PEDIATRIC PULMONOLOGY
fascicolo: 1, volume: 31, anno: 2001,
pagine: 30 - 36
SICI:
8755-6863(200101)31:1<30:HAARFA>2.0.ZU;2-H
Fonte:
ISI
Lingua:
ENG
Soggetto:
CHILDHOOD ASTHMA; CHILDREN; RISK; MORBIDITY; INCREASE; NETHERLANDS; MORTALITY; SEX;
Keywords:
asthma; children; admission; readmission; hospitalization; risk factors;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
25
Recensione:
Indirizzi per estratti:
Indirizzo: Wever-Hess, J Red Cross Hosp, Dept Pediat Resp Med, Sportlaan 600, NL-2566MJ The Hague,Netherlands Red Cross Hosp Sportlaan 600 The Hague Netherlands NL-2566 MJ
Citazione:
J. Wever-Hess et al., "Hospital admissions and readmissions for asthma in the age group 0-4 years", PEDIAT PULM, 31(1), 2001, pp. 30-36

Abstract

Childhood rates for admission and readmission for asthma are highest underthe age of 5 years. From a registration study in 0- 4-year-olds, 100 patients (68 male) were admitted to hospital for asthma and followed for 1 year,yielding a total of 136 admissions. To examine factors that may play a role in admissions and readmissions. histories and laboratory tests for atopicstatus at initial presentation, and clinical data on admission were evaluated. Age groups 0-1 year (n = 54) and 2-4 years (n = 46) were analyzed separately, of whom 20 (37%) and 9 (20%) patients, respectively, had at least one readmission. In the age group 2-4 years, patients with antibodies against inhalant allergens, determined by radioallergosorbent test (RAST), had a significantly higher risk of readmission (RR = 1.54; 95% CI, 1.22-1.95). In the age group 0-1, year prevalence of sensitization to inhalant allergens was low (20% vs. 72% in age group 2-4 years) and constituted only a slight risk (P = 0.097) for readmission. A history of eczema showed a negative association in theage group 0-1 year. Treatment of the first admission did not differ between children only admitted once and those requiring readmission. In both age groups, clinical features at admission did not differ significantly betweenfirst and subsequent admissions, and neither did length of stay. Number ofreadmissions were higher in the age group 0-1 year than in the age group 2-4 years (27/81 (33%) vs. 9/55 (16%), P; 0.028), with no indication of a lower threshold for admission. In the age group 0-1 year. 60% of the readmissions occurred within 2 months of first hospitalization. Moreover, in the age group 0-1 year a trend was observed that inhaled steroids were prescribedless frequently on discharge following first admission in those children who were readmitted than in the children who had a first admission only (4/20 (20%) vs. 15/34 (44%), P = 0.073). More "aggressive" therapy with anti-inflammatory drugs and close medical follow-up after discharge seem to be indicated. (C) 2001 Wiley-Liss, Inc.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 19/01/20 alle ore 12:09:56