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.

Cureus
|February 2, 2024
PubMed

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.

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