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Asthma hospitalizations continue to decrease in schoolchildren but hospitalization rates for wheezing illnesses

G Wennergren1, I L Strannegård

  • 1Department of Paediatrics, Göteborg University, Queen Silvia Children's Hospital, Göteborg, Sweden. goran.wennergren@pediat.gu.se

Acta Paediatrica (Oslo, Norway : 1992)
|December 5, 2002
PubMed

Insights

Asthma hospitalizations significantly decreased in children aged 5-18 due to increased inhaled corticosteroid use. However, younger children (0-4 years) did not experience similar reductions in asthma-related hospitalizations.

Area of Science:

  • Pediatric Respiratory Medicine
  • Epidemiology
  • Public Health

Background:

  • Asthma remains a significant cause of childhood hospitalization.
  • Understanding trends in pediatric asthma hospitalizations is crucial for public health.
  • The impact of inhaled corticosteroids (ICS) on asthma management in children warrants investigation.

Purpose of the Study:

  • To analyze trends in asthma hospitalization rates among children in Gothenburg, Sweden, from 1985 to 2000.
  • To investigate the correlation between the delivery of inhaled corticosteroids and changes in asthma hospitalization rates across different age groups.

Main Methods:

  • Population-based analysis of asthma hospitalization data in children aged 0-18 years.
  • Correlation analysis between ICS delivery and hospitalization rates for asthma.
  • Study conducted in Gothenburg, Sweden, covering the period 1985-2000.

Main Results:

  • A significant, continuous decrease in asthma hospitalizations (hospital days, admissions, and individual patients) was observed in children aged 5-18 years throughout the study period.
  • Hospital days for asthma in the 5-18 age group in 2000 were only 6% of the 1985 figure.
  • An inverse correlation was found between ICS delivery and asthma hospitalizations in the 5-18 age group (r(s) = -0.95, p = 0.007 for hospital days).
  • No decrease in hospitalizations for wheezing or asthma-like symptoms was observed in younger children (0-1 and 2-4 years) during 1991-2000.

Conclusions:

  • The marked decrease in asthma hospitalization rates among schoolchildren (5-18 years) represents a significant advancement in pediatric respiratory medicine.
  • The findings suggest a strong positive impact of inhaled corticosteroids on reducing asthma hospitalizations in older children.
  • Hospitalization rates for wheezing illnesses in very young children (0-4 years) have not shown a similar decline, indicating a need for further research and targeted interventions.
Abstract

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