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Risk factors for pediatric intensive care admission in children with acute asthma
Gerbrich E van den Bosch1, Peter J F M Merkus, Corinne M P Buysse
1Department of Pediatric Intensive Care, Erasmus Medical Center-Sophia, Rotterdam, The Netherlands. g.vandenbosch@erasmusmc.nl
Insights
Identifying risk factors for pediatric intensive care unit (PICU) admission in children with severe acute asthma is crucial. Key factors include smoking, allergies, prior asthma hospitalizations, and non-sanitized home environments.
Area of Science:
- Pediatric Pulmonology
- Critical Care Medicine
- Environmental Health
Background:
- Severe acute asthma in children leads to significant illness and often necessitates pediatric intensive care unit (PICU) admission.
- Understanding risk factors for PICU admission is vital for proactive management.
Purpose of the Study:
- To identify and analyze risk factors associated with PICU admission for severe acute asthma in children.
Main Methods:
- Retrospective, multicenter case-control study design.
- Matched cases (PICU admission for asthma) and controls (no PICU admission for asthma) based on sex, age, hospital, and time since asthma diagnosis.
- Analysis of fourteen potential risk factors using univariate and multivariate logistic regression.
Main Results:
- Sixty-six cases were matched with 164 controls.
- Multivariate analysis identified four significant risk factors for PICU admission: active or passive smoking, allergies, previous asthma hospitalization, and a non-sanitized home environment.
Conclusions:
- Awareness of identified risk factors is essential for healthcare providers and parents.
- Interventions targeting these risk factors may help reduce PICU admissions for severe acute asthma in children.
Introduction:
Severe acute asthma in children is associated with substantial morbidity and may require pediatric ICU (PICU) admission. The aim of the study was to determine risk factors for PICU admission.
Methods:
The study used a retrospective multicenter case-control design. The cases included children admitted to the PICU because of severe acute asthma and a history of out-patient treatment by pediatricians or pediatric pulmonologists. Controls were children with asthma without a PICU admission for severe acute asthma. The children were matched for sex, age, hospital, and time elapsed since the diagnosis of asthma. Fourteen possible risk factors were analyzed.
Results:
Sixty-six cases were matched to 164 controls. In univariate analysis, all but one of the analyzed variables were significantly associated with PICU-hospitalization. After multivariate conditional logistic regression analysis, 4 risk factors remained significant. These included active or passive smoking, allergies, earlier hospitalization for asthma, and non-sanitized home.
Conclusions:
Physicians and parents should be aware of these risk factors, and efforts should be made to counteract them.
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