[Pattern-profile of emergency consultations of children in acute asthmatic crisis]

Zoila Inés Ceballos Martínez1, Ernestina González Mercado, Mónica Esther Peralta Bahena

  • 1Departamento de Pediatría, Hospital de Gineco-Pediatría núm. 7, Cancún, Quintana Roo, IMSS. zom9@hotmail.com

Revista Alergia Mexico (Tecamachalco, Puebla, Mexico : 1993)
|September 30, 2003
PubMed

Insights

Pediatric asthma exacerbations are a frequent cause of emergency room visits, with over 20% of consultations related to acute asthma crises. Most children responded well to inhalotherapy, highlighting the importance of timely emergency care for asthma management.

Area of Science:

  • Pediatric Emergency Medicine
  • Respiratory Illnesses
  • Public Health

Context:

  • Asthma is a prevalent pediatric illness.
  • Acute asthma exacerbations are a leading reason for emergency department consultations.
  • Understanding consultation frequency and recurrence is crucial for resource allocation.

Purpose:

  • To determine the frequency of emergency consultations for acute asthma crises in children.
  • To assess the recurrence rate of acute asthma episodes in pediatric patients.
  • To analyze demographic and seasonal patterns of pediatric asthma consultations.

Summary:

  • A cross-sectional study analyzed pediatric emergency visits for acute asthma from January to December 2000.
  • Asthma exacerbations accounted for 20.3% of consultations; 54.29% received inhalotherapy.
  • 94.3% of patients responded positively to treatment, with a male-to-female ratio of 1.7:1. Ages 3-5 were predominant, with peak consultations in autumn.

Impact:

  • Findings underscore the significant burden of pediatric asthma on emergency services.
  • Highlights the effectiveness of inhalotherapy in managing acute asthma attacks.
  • Informs public health strategies for asthma prevention and management, particularly during peak seasons.
Abstract

Related Concept Videos

Asthma III: Clinical Manifestations01:13

Asthma III: Clinical Manifestations

Asthma presents with a characteristic pattern of episodic respiratory symptoms that reflect underlying airway inflammation, bronchoconstriction, and mucus hypersecretion. Although severity varies among individuals, certain clinical manifestations are considered hallmarks of the disorder and often guide diagnosis and assessment.Respiratory SymptomsA persistent cough is one of the most common early features of asthma. It is frequently dry and tends to worsen at night or in the early morning,...
Asthma-IV: Diagnostic and Management01:30

Asthma-IV: Diagnostic and Management

The diagnosis and management of asthma are comprehensive, encompassing clinical assessments, lung function tests, and pharmacological interventions. Here's an overview:
Clinical Assessment for Asthma:
This is the first step in diagnosing and managing asthma. It includes:
Asthma-III: Symptoms and Complications01:24

Asthma-III: Symptoms and Complications

Asthma, a common chronic respiratory condition, is classified considering the frequency and severity of symptoms alongside lung function impairment. Understanding this classification is essential for appropriate treatment and management. Here's a detailed look at the classification of asthma and its clinical features and complications:
Classification of Asthma
Asthma-I: Introduction01:29

Asthma-I: Introduction

Asthma is a chronic respiratory ailment that requires careful management due to its varying symptoms and influencing factors. It is characterized by airway inflammation, bronchial hyperresponsiveness, and reversible airflow obstruction, leading to symptoms like wheezing, shortness of breath, chest tightness, and coughing. The symptom frequency and intensity may vary considerably over time. It is also linked to immune system responses to allergens and irritants, highlighting the complex...
Asthma I: Introduction01:28

Asthma I: Introduction

Asthma is a chronic inflammatory disorder of the airways characterized by variable airflow obstruction and heightened bronchial responsiveness to a wide range of triggers. The underlying inflammation leads to airway swelling, mucus hypersecretion, and smooth muscle constriction, all of which narrow the airway lumen and impede airflow. Clinically, asthma presents with recurrent episodes of wheezing, shortness of breath, chest tightness, and coughing, symptoms that typically vary in intensity and...
Acute Respiratory Failure-IV01:23

Acute Respiratory Failure-IV

Respiratory failure can manifest suddenly or gradually, characterized by a rapid decline in PaO2 and a rapid rise in PaCO2. This situation indicates a severe respiratory problem that may quickly become a life-threatening emergency. One of the early signs of hypoxemic Acute Respiratory Failure (ARF) is a change in mental status due to the brain's sensitivity to oxygen levels and changes in acid-base balance. Symptoms such as restlessness, confusion, and agitation suggest inadequate oxygen...