Association between allergic rhinitis and hospital resource use among asthmatic children in Norway

V Sazonov Kocevar1, J Thomas, L Jonsson

  • 1Merck and Co., Whitehouse Station, NJ 08889, USA.

Allergy
|February 1, 2005
PubMed

Insights

Children with asthma and allergic rhinitis experience more hospitalizations and longer stays. This highlights the importance of managing allergic rhinitis in pediatric asthma patients to reduce healthcare resource use.

Area of Science:

  • Pediatric Pulmonology
  • Allergy and Immunology
  • Health Services Research

Background:

  • Inadequately controlled allergic rhinitis is linked to increased asthma exacerbations and poorer symptom control in asthmatic patients.
  • This can lead to higher medical resource utilization.
  • Understanding this association is crucial for effective asthma management.

Purpose of the Study:

  • To assess the impact of co-occurring allergic rhinitis on asthma-related hospital resource utilization in children under 15 in Norway.
  • To quantify the relationship between allergic rhinitis and hospital admissions and days among pediatric asthma patients.

Main Methods:

  • Population-based retrospective cohort study using national hospital admission data (1998-1999).
  • Included children aged 0-14 years with asthma.
  • Multivariate regression models (linear and Cox proportional-hazards) analyzed associations with hospital days and readmission hazards, adjusting for covariates.

Main Results:

  • Out of 2961 asthmatic children, 795 (26.8%) had a history of allergic rhinitis.
  • Asthmatic children with allergic rhinitis showed a 1.72-times greater hazard of asthma-related readmissions.
  • Concomitant allergic rhinitis predicted a significant increase in hospital days per year (0.23 days, P < 0.05).

Conclusions:

  • Concomitant allergic rhinitis in asthmatic children is significantly associated with increased asthma-related hospital readmissions.
  • The presence of allergic rhinitis also predicts a greater total number of hospital days.
  • Integrated management of allergic rhinitis may reduce healthcare burden in pediatric asthma.
Abstract

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