Related Experiment Video
Updated: Apr 4, 2026

Following in Real Time the Impact of Pneumococcal Virulence Factors in an Acute Mouse Pneumonia Model Using Bioluminescent Bacteria
Published on: February 23, 2014
Temporal trends and factors associated with pediatric hospitalizations with respiratory infection
Yingxue Chen1, Jianfang Liu2, Elaine Larson1,2
1a Department of Epidemiology , Columbia University Mailman School of Public Health , New York , NY , USA and.
Insights
Asthma significantly increases children's risk of hospitalization for respiratory infections. The study found a rising prevalence of asthma among these pediatric patients over a seven-year period.
Area of Science:
- Pediatric emergency medicine
- Respiratory health
- Epidemiology
Background:
- Asthma is a major cause of pediatric emergency room visits.
- Children with asthma face severe respiratory infection outcomes.
- Understanding asthma's impact on pediatric respiratory infections is crucial.
Purpose of the Study:
- Compare hospitalized children with and without respiratory infections.
- Analyze trends in asthma prevalence among children hospitalized with respiratory infections in NYC (2006-2012).
- Determine asthma's effect on hospital stay duration for pediatric respiratory infection cases.
Main Methods:
- Historical prospective study design.
- Utilized electronic health records and billing codes from a large pediatric hospital (2006-2012).
- Analyzed 83,348 patient discharges, focusing on respiratory infections and asthma comorbidities.
Main Results:
- Asthma (OR 4.68) was a significant risk factor for pediatric hospitalization with respiratory infection.
- The proportion of asthma among children hospitalized with respiratory infection rose from 19.2% to 28.2% (2006-2012).
- Asthma patients had shorter hospital stays (5.3 days) compared to non-asthma patients (9.0 days).
Conclusions:
- Asthma is a key risk factor for pediatric hospitalization due to respiratory infections.
- The prevalence of asthma among hospitalized children with respiratory infections is increasing in urban settings.
- Early identification and management of asthma may reduce severe respiratory infection outcomes in children.
Objectives:
Asthma is the leading cause of emergency room visits in children, and those with asthma tend to suffer from more severe consequences of respiratory tract infections. The aims of this study were among children who required hospitalization, compare differences between those admitted with or without respiratory infection, describe changes in yearly proportion of asthma among the children admitted with a respiratory infection in New York City from 2006 to 2012 and ascertain how asthma affected the average length of hospital stay for those with respiratory infection.
Methods:
We conducted an historical prospective study using data obtained from multiple electronic sources of patients discharged from a 200-bed pediatric hospital in a major metropolitan healthcare system between 2006 and 2012. Patient characteristics were obtained from electronic health records and billing codes.
Results:
Among 83,348 patient discharges, there were 5057 (6.1%) with a respiratory infection. In the multivariable model, children with the following characteristics were significantly more likely to be admitted with a respiratory infection as compared with other diagnoses: asthma [odds ratio (OR) 4.68 (95% confidence limits (CL): 4.31, 5.08], male sex [OR:1.11 (1.05, 1.18)], prior hospitalization [OR: 3.65 (3.43, 3.89)], renal failure [(OR: 2.14 (1.70, 2.70)] and Medicaid coverage [OR: 1.93 (1.81, 2.05)]. Children aged ≥ 5 years (OR: 0.44 (0.41, 0.47) and those with diabetes (OR: 0.32 (0.21, 0.51) were less likely to be admitted with a respiratory infection. Hospitalized patients with respiratory infection and asthma, identified by ICD-9 codes, had significantly shorter lengths of stay than patients without asthma, 5.3 and 9.0 days, respectively, p < 0.001. Asthma in patients admitted with a respiratory infection increased from 19.2% in 2006 to 28.2% in 2012, peaking at 34.1% in 2010 (p < 0.001).
Conclusion:
This study suggests that asthma is a significant risk factor for hospitalization of children with respiratory infection, and suggests that the prevalence of asthma is increasing over time among children hospitalized with respiratory infection in this urban setting.
Related Concept Videos
Pneumonia I: Introduction
Risk Factors
Various factors influence the likelihood of developing pneumonia. Age plays a crucial role, with infants, children under two, and individuals over 65 at increased risk due to their...
Influenza
Common Respiratory Disorders
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,...
Pneumonia III: Complications and Assessment
Microbiota of the Respiratory Tract
Pulmonary Cycle: Exhalation
