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.
Abstract

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