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Acute respiratory admissions in Thessaloniki, Greece: 14-year follow-up

E Hatziagorou1, F Kirvassilis, S Saraphidou

  • 13rd Paediatric Department, Hippokratio Hospital, Aristotle University, Thessaloniki, Greece.

Hippokratia
|December 17, 2009
PubMed

Insights

Pediatric asthma and croup hospitalizations decreased significantly, while bronchiolitis admissions rose between 1990 and 2003 in Thessaloniki. These trends highlight changing patterns in childhood respiratory illnesses.

Area of Science:

  • Pediatric respiratory medicine
  • Epidemiology of childhood diseases
  • Public health trends in pediatrics

Background:

  • Acute respiratory exacerbations are a primary reason for infant and child hospitalizations.
  • Understanding the epidemiology of common respiratory conditions in children is crucial for healthcare planning.

Purpose of the Study:

  • To analyze the epidemiological characteristics of childhood asthma, bronchiolitis, and croup among hospitalized children in Thessaloniki.
  • To examine trends in these respiratory conditions from 1990 to 2003.

Main Methods:

  • Retrospective analysis of patient registry data from five pediatric departments in Thessaloniki.
  • Inclusion criteria: discharge diagnoses of asthma, bronchiolitis, or croup in children aged 3 months to 14 years.
  • Data analyzed included patient age, sex, and month of admission.

Main Results:

  • A total of 8762 admissions were analyzed, with males constituting 65.86% of cases.
  • Asthma admissions decreased by 53.65%, and croup admissions decreased by 4.73%.
  • Bronchiolitis admissions increased by 25.03% during the study period, showing a distinct seasonal pattern.

Conclusions:

  • Pediatric asthma and croup hospitalizations declined, contrasting with an increasing trend in bronchiolitis admissions.
  • Factors such as increased inhaled steroid use and asthma education programs may contribute to reduced asthma admissions.
  • Seasonal variations were observed for all three conditions, with peaks in autumn and winter/spring.
Abstract

Keywords:
asthmabronchiolitischildrencrouphospital admissions

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