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Predictors of hospitalization for asthma in children: results of a 1-year prospective study

Carlos E Rodríguez-Martínez1, Mónica P Sossa-Briceño, Jose A Castro-Rodriguez

  • 1Department of Pediatrics, School of Medicine, Universidad Nacional de Colombia, Bogota, Colombia; Research Unit, Military Hospital of Colombia, Bogota, Colombia.

Pediatric Pulmonology
|December 31, 2013
PubMed

Insights

Maternal smoking is a key predictor of pediatric asthma hospitalizations in urban Colombia. Identifying this risk factor can help reduce readmissions for children with asthma in low-resource settings.

Area of Science:

  • Pediatric Pulmonology
  • Global Health
  • Epidemiology

Background:

  • Pediatric asthma hospital admissions are a significant health issue, particularly in low- and middle-income countries (LMICs).
  • Existing research on asthma admission predictors is primarily from high-income countries, limiting applicability to LMICs.

Purpose of the Study:

  • To identify predictors of hospital admission for pediatric asthma in an LMIC setting.
  • To investigate the role of parental knowledge and maternal depression in asthma exacerbations.

Main Methods:

  • Prospective cohort study of 101 children (aged 1-18) in Bogota, Colombia, hospitalized for acute asthma.
  • Data collected on parental knowledge, maternal depression, and other potential risk factors over a 6-month period.

Main Results:

  • 36.6% of children experienced at least one asthma-related hospital admission in the year post-discharge.
  • Maternal smoking was the sole independent predictor of subsequent hospital admissions (IRR, 3.12; P=0.029), even after controlling for other variables.

Conclusions:

  • Approximately one-third of pediatric asthma patients in this cohort required re-hospitalization within a year.
  • Maternal smoking emerged as a critical, independent risk factor for asthma exacerbations requiring hospitalization in this Latino population.
Abstract

Keywords:
asthmaepidemiologyhospital admissionpediatricsrisk factors

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