Related Experiment Video

Updated: Dec 21, 2025

Author Spotlight: Efficacy of Auricular Pressure Bean Therapy in Reducing Wheezing Symptoms
02:34

Author Spotlight: Efficacy of Auricular Pressure Bean Therapy in Reducing Wheezing Symptoms

Published on: May 10, 2024

1.7K

Outcomes of young children hospitalized with acute wheezing

Sasawan Chinratanapisit1, Paskorn Sritipsukho2,3, Araya Satdhabudha4

  • 1Department of Pediatrics, Bhumibol Adulyadej Hospital, Thailand.

Asian Pacific Journal of Allergy and Immunology
|May 18, 2020
PubMed

Insights

Recurrent wheezing in children is linked to being the second-born or more, vitamin D insufficiency, a history of wheezing, and allergic rhinitis. These factors increase the risk of emergency visits and hospitalizations within a year.

Area of Science:

  • Pediatric Pulmonology
  • Allergy and Immunology
  • Nutritional Epidemiology

Background:

  • Wheezing is a prevalent symptom in preschool-aged children.
  • Identifying risk factors for recurrent wheezing is crucial for effective management and prevention strategies.

Purpose of the Study:

  • To determine the incidence of recurrent wheezing in young children hospitalized with acute wheezing.
  • To explore factors associated with recurrent wheezing within 12 months post-hospitalization.

Main Methods:

  • A longitudinal study involving 236 children (6 months to 5 years) hospitalized for acute wheezing in Thailand.
  • Data collected included demographics, home environment, clinical characteristics, serum specific IgE levels, and serum 25-hydroxyvitamin D (25OHD) concentrations.
  • Follow-up for 12 months assessed recurrent wheezing events, emergency visits, and hospitalizations.

Main Results:

  • Of 236 children, 39.8% experienced their first wheezing episode. Atopy was present in 83.5% and vitamin D insufficiency in 23.7%.
  • The one-year risk of emergency visits for recurrent wheezing was 49.7%, and hospitalization risk was 23.1%.
  • Multivariable analysis identified being the second-born or more (aOR 2.5), vitamin D insufficiency (aOR 2.3), prior wheezing history (aOR 1.9), and allergic rhinitis (aOR 1.6) as significant risk factors.

Conclusions:

  • Being the second-born or more, vitamin D insufficiency, a history of wheezing, and allergic rhinitis are significant risk factors for recurrent wheezing in young children.
  • These findings highlight the importance of addressing vitamin D levels and managing allergic conditions in children prone to wheezing.
Abstract

More Related Videos

Bronchial Thermoplasty: A Novel Therapeutic Approach to Severe Asthma14:39

Bronchial Thermoplasty: A Novel Therapeutic Approach to Severe Asthma

Published on: November 4, 2010

32.3K
Symptom Assessment of Patients with Allergic Rhinitis Using an Allergen Exposure Chamber08:47

Symptom Assessment of Patients with Allergic Rhinitis Using an Allergen Exposure Chamber

Published on: March 3, 2023

2.9K

Related Concept Videos

Pulmonary Cycle: Exhalation01:17

Pulmonary Cycle: Exhalation

In terms of human respiration, the act of expelling air, known as exhalation (or expiration), operates on the principle of pressure gradients. During expiration, the pressure within the lungs exceeds that of the surrounding atmosphere. Under normal conditions, quiet breathing involves passive exhalation and is free of muscular contractions. This is because the exhalation process is driven by the natural elastic recoil of the lungs and chest wall, both of which have an inherent tendency to...
2.8K
Asthma-III: Symptoms and Complications01:24

Asthma-III: Symptoms and Complications

Asthma, a common chronic respiratory condition, is classified considering the frequency and severity of symptoms alongside lung function impairment. Understanding this classification is essential for appropriate treatment and management. Here's a detailed look at the classification of asthma and its clinical features and complications:
Classification of Asthma
3.2K
Acute Respiratory Failure-IV01:23

Acute Respiratory Failure-IV

Respiratory failure can manifest suddenly or gradually, characterized by a rapid decline in PaO2 and a rapid rise in PaCO2. This situation indicates a severe respiratory problem that may quickly become a life-threatening emergency. One of the early signs of hypoxemic Acute Respiratory Failure (ARF) is a change in mental status due to the brain's sensitivity to oxygen levels and changes in acid-base balance. Symptoms such as restlessness, confusion, and agitation suggest inadequate oxygen...
450
Acute Respiratory Failure-V01:29

Acute Respiratory Failure-V

The treatment for acute respiratory failure varies based on factors like the underlying cause, overall health, and severity. A collaborative healthcare team is essential for early detection, often through arterial blood gas analysis. Identifying the cause is the primary goal, with treatment strategies adjusted for ventilation/perfusion (V/Q) mismatch, shunting, or diffusion impairment.
Ensure that patients are monitored continuously for their response to therapy, including changes in...
369
Asthma-IV: Diagnostic and Management01:30

Asthma-IV: Diagnostic and Management

The diagnosis and management of asthma are comprehensive, encompassing clinical assessments, lung function tests, and pharmacological interventions. Here's an overview:
Clinical Assessment for Asthma:
This is the first step in diagnosing and managing asthma. It includes:
3.0K
Pneumonia V: Nursing management and Prevention01:30

Pneumonia V: Nursing management and Prevention

Nursing management of pneumonia involves promoting airway patency, facilitating rest and conserving energy, encouraging fluid intake, maintaining nutrition, and educating patients.
The nurse must practice strict medical asepsis and adhere to infection control guidelines to minimize healthcare-associated infections.
Enhance airway patency
Position the patient correctly to facilitate drainage of the affected lung segments. Manual or mechanical percussion and vibration can also be employed....
3.3K