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Published on: August 7, 2017
Predictive Factors of Hospitalization and Emergency Visits Among Children With Asthma
Hussain A Al Ghadeer1, Jalal K Aldandan1, Marwah A Alessa1
1Pediatrics, Maternity and Children Hospital, Al-Ahsa, SAU.
Insights
Poor asthma control in children increases emergency room visits and hospitalizations. Factors like infrequent physician follow-ups and smoke exposure are linked to higher rates, emphasizing the need for better asthma management strategies.
Area of Science:
- Pediatric Pulmonology
- Public Health
Background:
- Asthma is a chronic inflammatory condition affecting millions globally.
- Standardized asthma care is crucial for managing the disease effectively in children.
- Appropriate care improves quality of life and reduces healthcare utilization for pediatric asthma patients.
Purpose of the Study:
- To identify predictive variables associated with emergency room (ER) visits and hospitalizations in children with asthma.
- To investigate risk factors contributing to asthma exacerbations requiring medical intervention.
Main Methods:
- A cross-sectional descriptive study conducted in Saudi Arabia from 2022-2023.
- Involved 124 children with asthma and their caregivers attending primary healthcare clinics.
- Utilized the Childhood Asthma Control Test (C-ACT) and multiple logistic regression analysis.
Main Results:
- Key risk factors for increased ER visits and hospitalizations included poor asthma control (C-ACT < 19), infrequent physician follow-ups, frequent use of short-acting beta-agonists, and exposure to smoke and pets.
- Atopy was prevalent among the study population (mean age 10.8 years).
Conclusions:
- Improving asthma control in children and adolescents is achievable through accessible care, comprehensive education for families, and effective symptom management.
- These interventions can significantly reduce asthma exacerbations and associated healthcare burdens.
Abstract:
Introduction A chronic diverse inflammatory disease, asthma affects millions of people worldwide. To control asthma, standardized care is essential. Children with asthma who receive appropriate care have lower emergency room (ER) visits and hospital stays as well as a higher quality of life than children who do not receive appropriate care. We aim to evaluate the predictive variables of hospitalization and ER visits in children with asthma. Methodology In 2022 and 2023, a cross-sectional descriptive study was carried out on children with asthma and their caregivers who were attending primary health care clinics in the eastern region of Saudi Arabia. We used the Childhood Asthma Control Test (C-ACT) to evaluate asthma control. A C-ACT score of less than 19 indicates uncontrolled childhood asthma. To investigate the relationships between the risk factors and the rate of ER visits and hospitalizations, we performed a multiple logistic descriptive analysis. Results In this study, 124 asthmatic children from primary health care centers matched the inclusion criteria. The majority of children had atopy, and their mean age was 10.8±3.4 years. Concerning the risk factors linked to ER visits and hospitalization, there is evidence that not following up with physicians, using more frequent and short-acting beta-agonists, exposure to smoke and household pets, and poor asthma control are linked to increased rates of both ER visits and hospitalizations. Conclusion Better asthma control in children and adolescents may be achieved by providing inexpensive asthma care services, more thorough parental and child education, and effective symptom management. These measures can help reduce exacerbations of asthma and the consequences that accompany them.
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