Decline in admissions for childhood asthma, a 26-year period population-based study

Ingvild Bruun Mikalsen1, Liliane Skeiseid1, Line Merete Tveit1

  • 1Department of Paediatrics, Stavanger University Hospital, Stavanger, Norway.

Insights

Hospital admissions for childhood asthma in Norway increased until 1990 but significantly declined by 2010. This trend suggests improved asthma management or fewer severe asthma exacerbations in children.

Area of Science:

  • Pediatric Pulmonology
  • Epidemiology
  • Public Health

Background:

  • Childhood asthma prevalence has risen globally.
  • Hospitalization rates for pediatric asthma showed an increasing trend in Norway from 1984 to 2000.

Purpose of the Study:

  • To investigate the trends in hospital admissions for childhood asthma up to 2010 in Norway.
  • To identify demographic and clinical factors associated with asthma hospitalizations.

Main Methods:

  • Population-based study analyzing medical records of children aged 1-13 hospitalized for asthma between 1984/1985 and 2009/2010.
  • Data collected included gender, age, admission frequency, hospital stay duration, medications, and symptoms.

Main Results:

  • Asthma admission rates peaked in 1989/1990 and subsequently declined significantly by 2009/2010.
  • Boys and younger children exhibited higher admission rates. Readmissions were more frequent than primary admissions.
  • There was a marked increase in the use of inhaled corticosteroids and systemic steroids during the study period.

Conclusions:

  • A substantial decrease in childhood asthma hospitalizations occurred after 1989/1990.
  • The decline may be attributed to enhanced asthma care or a genuine reduction in severe asthma exacerbations.
  • Significant variations in trends were observed across different age groups and genders.
Abstract

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