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Auricular Acupressure as an Adjuvant Treatment for Wheezing in Stable Chronic Obstructive Pulmonary Disease
Published on: May 10, 2024
[Management of wheezing disorders in infants participating in the PARIS birth cohort]
M Herr1, L Nikasinovic, C Foucault
1EA 4064, laboratoire santé publique et environnement, faculté des sciences pharmaceutiques et biologiques, université Paris Descartes, 4, avenue de l'Observatoire, 75006 Paris, France.
Insights
Infant wheezing disorders lead to significant healthcare use, including frequent medical visits and high rates of inhaled anti-asthmatic medication. This highlights the substantial burden of pediatric respiratory conditions.
Area of Science:
- Pediatric Pulmonology
- Epidemiology of Respiratory Diseases
- Public Health
Background:
- Wheezing disorders are prevalent in young children, yet their management remains unclear.
- The study investigates healthcare resource utilization for infant wheezing within a birth cohort.
Purpose of the Study:
- To assess the medical healthcare resource utilization for wheezing disorders in 18-month-old infants.
- To analyze patterns of medical visits and medication use related to respiratory symptoms.
Main Methods:
- Utilized data from the Pollution and Asthma Risk: an Infant Study (PARIS) birth cohort.
- Collected information via a standardized questionnaire administered by a pediatrician during 18-month health checks.
- Focused on respiratory disorders and related healthcare encounters in the preceding 12 months.
Main Results:
- Prevalence of wheezing disorders was 28.4% (560/1974) in the past year.
- Among infants with wheezing, 89.3% sought medical attention for breathing difficulties.
- High rates of inhaled anti-asthmatic medication (67.2%) and chest physiotherapy (85.1%) were reported.
Conclusions:
- Infant wheezing disorders are associated with substantial healthcare resource use.
- France shows a higher utilization of anti-asthmatic medications compared to other European countries for infant wheezing.
Background:
While wheezing disorders are common in preschool children, their management is not well defined. The aim of this study was to assess the use of medical health care resources due to wheezing disorders in infants aged 18 months followed up in the Pollution and Asthma Risk: an Infant Study (PARIS) birth cohort.
Methods:
Data on wheezing disorders, medical visits and medication on account of respiratory disorders during the previous 12 months were collected with a standardized questionnaire, administered by a paediatrician, during the health check offered to every child aged 18 months included in the PARIS birth cohort.
Results:
The prevalence of wheezing disorders during the past 12 months amounted to 560/1974 (28.4%). Among wheezers, 493 (89.3%) required a medical visit because of difficult breathing; 61 (11.0%) went to the emergency room, 35 (6.4%) were admitted to the hospital and 375 (67.2%) received an inhaled anti-asthmatic medication. Recourse to chest physiotherapy was reported in 472 of them (85.1%).
Conclusion:
This study confirms the high use of healthcare resources because of wheezing disorders in infants and suggests a higher use of anti-asthmatic medications in France compared to other European countries.
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