Related Experiment Videos

Low hospital admission rates for respiratory diseases in children

Johannes Hjm Uijen1, François G Schellevis, Patrick Je Bindels

  • 1Department of General Practice, Erasmus MC University Medical Center, Rotterdam, the Netherlands.

BMC Family Practice
|October 12, 2010
PubMed

Insights

Hospital admission rates for pediatric respiratory diseases are low, with higher rates for tonsil/adenoid issues, pneumonia, and asthma. Younger children and boys are admitted more often, especially in urban areas.

Area of Science:

  • Pediatric respiratory health
  • General practice epidemiology
  • Healthcare utilization

Background:

  • Limited population-based data exists on pediatric hospital admissions for respiratory diseases.
  • This study investigated the relationship between general practice consultations and subsequent hospital admissions for respiratory conditions in children aged 0-17 years.

Purpose of the Study:

  • To determine the rates of hospital admissions for respiratory diseases in children.
  • To identify factors associated with pediatric hospital admissions for respiratory conditions.
  • To evaluate the utility of hospital admission rates as a quality endpoint in primary care.

Main Methods:

  • Utilized data from the Second Dutch National Survey of General Practice (DNSGP-2) for children aged 0-17 years with respiratory diseases.
  • Linked DNSGP-2 data with the Dutch National Medical Registration for hospital admissions.
  • Employed multivariate logistic regression analysis to identify predictors of hospital admission.

Main Results:

  • 1.8% of children in the study were hospitalized for a respiratory diagnosis.
  • Highest admission rates were observed for chronic tonsil and adenoid disease (12.9/1000), pneumonia and influenza (0.97/1000), and asthma (0.92/1000).
  • Younger children (0-4 years) and boys had higher admission rates. Asthma-related admissions were more frequent in urban areas. Younger age and disease severity predicted admission within two weeks of a GP consultation.

Conclusions:

  • Pediatric hospital admission rates for respiratory diseases, particularly asthma, are generally low.
  • Urbanization is associated with increased pediatric respiratory hospital admissions.
  • Hospital admission rates may not be a suitable quality endpoint for primary care effectiveness studies.
Abstract

Related Concept Videos

Respiratory Syncytial Virus Disease01:29

Respiratory Syncytial Virus Disease

Human respiratory syncytial virus (RSV) is a widespread pathogen that primarily targets infants and young children but also poses a serious health risk to elderly and immunocompromised individuals. Belonging to the Pneumoviridae family, RSV is a negative-sense, single-stranded RNA virus within the Pneumovirus genus. Its global health burden is significant, with millions of cases annually resulting in hospitalizations and mortality, particularly in resource-limited settings. Although most...
Assessment of Ventilation I: Respiratory Rate01:20

Assessment of Ventilation I: Respiratory Rate

Assessment of Ventilation
A Ventilation assessment is critical for monitoring a patient's health status. Respiration, one of the most accessible vital signs, provides insights into the function of numerous body systems and can indicate serious health issues, such as brainstem injuries from head trauma.
Critical Guidelines for Assessing Ventilation:
Acute Respiratory Failure-II01:21

Acute Respiratory Failure-II

Type I Respiratory Failure, or hypoxemic respiratory failure, occurs when the partial pressure of oxygen (PaO2) in arterial blood falls below 60 mmHg while breathing room air without a corresponding increase in arterial carbon dioxide levels (PaCO2). This condition highlights a significant impairment in the lungs' capacity to oxygenate the blood.
The underlying physiological abnormalities that contribute to hypoxemic respiratory failure include:
Common Respiratory Disorders01:31

Common Respiratory Disorders

Respiratory disorders, a prevalent health concern globally, are generally divided into two primary categories: upper and lower respiratory tract disorders. The categorization is based on the area of the respiratory system they affect.
Upper respiratory disorders impact the airways above the vocal cords, encompassing areas like the nose, sinuses, and throat. Various conditions fall under this category, including the common cold and allergic rhinitis. These disorders can stem from several causes,...
Respiratory Assessment: Purpose and Indications01:19

Respiratory Assessment: Purpose and Indications

Respiratory assessment is a cornerstone of nursing assessments, crucial for the early detection of patient deterioration. This evaluation transcends routine procedures, representing a critical skill nurses must master to ensure optimal patient care.
Objectives and Importance:
The primary goal of respiratory assessment is to evaluate patients at early risk of clinical deterioration. Since respiratory distress often precedes other signs of declining health, breathing patterns and sounds become a...
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...