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A 2- to 3-year outcome after bronchiolitis
M Korppi1, T Reijonen, L Pöysä
1Department of Pediatrics, Kuopio University Hospital, Finland.
American Journal of Diseases of Children (1960)
|June 1, 1993
Summary
Children hospitalized for bronchiolitis are likely to wheeze later, unlike those with pneumonia. Atopic conditions are linked to initial wheezing, but no specific risk factors predict later wheezing.
Area of Science:
- Pediatric Respiratory Medicine
- Epidemiology of Childhood Illnesses
Background:
- Early childhood respiratory infections like bronchiolitis and pneumonia are common.
- Understanding long-term outcomes is crucial for pediatric respiratory health management.
Purpose of the Study:
- To identify risk factors for subsequent wheezing in children.
- To determine the short-term outcome (until 3 years of age) of bronchiolitis and pneumonia regarding wheezing.
Main Methods:
- Prospective follow-up study of 108 children under 2 years of age.
- Patients were hospitalized for wheezing or pneumonia at a university hospital.
- Follow-up was conducted until 3 years of age.
Main Results:
- Subsequent wheezing occurred in 76% (1-2 years) and 58% (2-3 years) of children after bronchiolitis.
- Significantly fewer children (9-16%) experienced subsequent wheezing after pneumonia.
- History of wheezing, atopic eczema, and elevated IgE were more common in the initial wheezing group.
Conclusions:
- Bronchiolitis frequently leads to subsequent wheezing, while pneumonia has a lower incidence.
- Atopic diathesis is associated with initial wheezing episodes.
- No significant genetic or environmental risk factors were identified for later wheezing.