[Prospective epidemiologic considerations on asthma morbidity in patients admitted to the St. Maria Emergency Hospital Clinic for Children, Iaşi]
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Published on: November 4, 2010
Letiţia-Doina Duceac1, Stela Goţia, Alina Manole
1Spitalul Clinic de Urgentă pentru Copii Sf. Maria Iaşi, Compartimentul de Epidemiologie, Universitatea de Medicină şi Farmacie Gr.T. Popa Iaşi, Facultatea de Medicină.
Insights
This study found childhood asthma incidence and prevalence increased, particularly in males under 10, with seasonal variations and higher rates in school-aged children. These findings aid asthma surveillance programs.
Area of Science:
- Pediatric Pulmonology
- Clinical Epidemiology
- Public Health
Context:
- Retrospective analysis of 6717 pediatric asthma cases from 1990-2004 at a children's emergency hospital.
- Examined trends in asthma incidence and prevalence, correlating with environmental factors and healthcare initiatives.
- Investigated age-specific and seasonal patterns in childhood asthma morbidity.
Purpose:
- To conduct a clinical epidemiological assessment of childhood asthma.
- To identify trends and influencing factors in pediatric asthma over a 15-year period.
- To provide data for improving asthma surveillance and management strategies.
Summary:
- Asthma incidence and prevalence increased in 2000, linked to the National Asthma Program.
- Morbidity peaked during colder months due to respiratory infections and warm months due to pollen.
- Higher prevalence in males under 10 and children aged 4-9 years was observed, with diagnosis challenges in younger children.
Impact:
- Findings offer guidance for clinical epidemiological surveillance programs for asthma.
- Highlights the impact of environmental factors and public health programs on pediatric asthma trends.
- Emphasizes the need for early diagnosis and targeted interventions for high-risk pediatric populations.
Abstract:
Authors present the results of a clinical epidemiological assessment of a retroprospective study carried out on a sample of 6717 records of children assisted for asthma in the "Sf. Maria" Emergency Clinic Hospital for Children Iasi, between 1990-2004. The epidemiological and statistical mathematics methods, both classical and computerized, highlighted an increase in the incidence and prevalence values in 2000, as a consequence of National Program for Asthma. For the entire period of study, the morbidity values increased in the cold and transit season, due to the acute respiratory infections, and in the warm season, by the atmospheric pollen. The anatomic-physiological peculiarities of the respiratory tubes explained the higher prevalence of asthma in males aged until 10 years old. Asthma had an increased incidence in the age groups of 4-6 years old (28.21%) and 7-9 (30.42%), as a result of the entrance in collectivities where there is a high risk for acute respiratory infections. A lower prevalence of asthma in young-age groups was explained by a difficult diagnosis. The results above-mentioned can offer orientations for the clinical epidemiological surveillance programs of asthma.
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Clinical Assessment for Asthma:
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