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[Frequency of hospitalization for respiratory disorders in 0-14-year-old children]
1Rode Kruis Ziekenhuis, 's-Gravenhage.
Insights
Pediatric respiratory disease hospitalizations are highest in children aged 0-4 years, with increasing trends for asthma and acute bronchitis. These trends were less pronounced in older children, indicating young children are most affected.
Area of Science:
- Pediatric Pulmonology
- Epidemiology
- Public Health
Context:
- Analysis of national hospital admission data from 1980-1989.
- Focus on respiratory diseases including asthma, acute bronchi(oli)tis, pneumonia, influenza, and COPD.
- Data stratified by sex and age groups (0-4, 5-9, 10-14 years).
Purpose:
- To analyze trends in childhood respiratory disease hospital admissions.
- To identify specific age groups and conditions with significant temporal changes.
- To understand the burden of respiratory diseases in children.
Summary:
- Highest admission rates for respiratory diseases were observed in the 0-4 years age group.
- Significant increasing trends were noted for asthma and acute bronchi(oli)tis in the youngest children.
- Older children (5-14 years) showed lower, fluctuating rates, with specific trends for acute bronchitis in girls and asthma in boys.
Impact:
- Highlights that very young children (0-4 years) are disproportionately affected by respiratory diseases.
- Provides evidence for targeted public health interventions for pediatric respiratory health.
- Informs clinical practice and resource allocation for childhood respiratory conditions.
Abstract:
National hospital admission frequencies were analysed for asthma (ICD-9 code 493), acute bronchi(oli)tis (ICD-code 466), pneumonia and influenza (ICD-code 480-487), and chronic obstructive pulmonary disease (ICD-code 490-492 and 496) for 1980-1989 by sex and according to age (0-4 years, 5-9 years, and 10-14 years). Rates per million of the childhood population per year were calculated and time trend analyses performed by least squares regression. In the age group 0-4 years the admission rates for the respiratory diseases were highest and a general tendency towards increasing rates was present, and significant trends were found for asthma and acute bronchi(oli)tis. In the age groups 5-9 years and 10-14 years the admissions rates were considerably lower and fluctuated with no trends to point to except for a significant increasing trend for acute bronchitis in girls aged 5-9 years and a significant decreasing trend for asthma in boys aged 10-14 years. From the presented data it can be concluded that in childhood the health issue with respect to the respiratory diseases concerns the very young in particular.