Critique of GINA global strategy

Klein, Max

doi:10.1002/ppul.21513

Cited by 3 publications

(2 citation statements)

References 7 publications

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“…Most children corresponded to the J45 code (asthma), although it is difficult to establish the diagnosis of asthma before 4 years old. 27,28 Obstructive respiratory conditions may be caused by different factors, including drug exposure, especially if present in the early stage of life. 29 Most mothers of children in the EG were poly-drug users.…”

Section: Discussionmentioning

confidence: 99%

Four-year health trajectories of children prenatally exposed to cocaine and/or cannabis. A retrospective, cohort study in La Pampa, Argentina

Villarreal

Belmonte

Abdala³

et al. 2019

Arch Argent Pediat

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Cocaine and/or cannabis use during pregnancy is a growing problem of relevance for global public health. Exposed children may have a wide range of perinatal complications, but there is little knowledge on their course. Objective: To describe and compare the health trajectories of children prenatally exposed and unexposed to cocaine and/or cannabis over 4 years. Methods: Retrospective, cohort study with a double control group. Exposed children were detected through a urine test by the Department of Neonatology of a public hospital between 2009 and 2013. Results: A total of 29 exposed children and 58 unexposed children were assessed. The most common drugs detected in the exposed group were cocaine and cannabis. Most mothers were poly-drug users. The exposed group showed significant differences in relation to a lower frequency of health checkups (p < 0.0001) and a higher number of visits to the emergency department (p = 0.0295) and hospitalizations (p = 0.007), mainly due to respiratory conditions. In addition, they had a greater rate of chronic obstructive pulmonary disease, changes of home, and legal interventions. In this group, 1 child and 2 parents had a violent death. No deaths were reported in the unexposed group. Conclusions: Children prenatally exposed to cocaine and/or cannabis had a lower number of health checkups and a higher number of visits to the emergency department and hospitalizations. Besides, they showed a greater rate of chronic obstructive pulmonary disease, changes of home, legal interventions, and violent deaths in the direct family group.

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Section: Discussionmentioning

confidence: 99%

Four-year health trajectories of children prenatally exposed to cocaine and/or cannabis. A retrospective, cohort study in La Pampa, Argentina

Villarreal

Belmonte

Abdala³

et al. 2019

Arch Argent Pediat

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“…La mayoría de los niños tenían código J45, "asma", pese a la dificultad de establecer el diagnóstico de asma antes de los 4 años. 27,28 Los cuadros respiratorios obstructivos pueden ser provocados por diversos factores, entre otros, la exposición a drogas, en especial, si están presentes en etapas tempranas de la vida. 29 Los niños del GE tuvieron madres, en su mayoría, policonsumidoras.…”

Section: Tabla 3 Datos Socioeconómicos Familiares Y Obstétricos De unclassified

Trayectorias sanitarias durante 4 años de niños expuestos prenatalmente a cocaína y/o cannabis. Estudio de cohorte retrospectivo en La Pampa, Argentina

2019

Arch Argent Pediat

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El consumo de cocaína y/o cannabis durante el embarazo constituye un problema en ascenso, de importancia para la salud pública mundial. Los niños expuestos pueden presentar un amplio rango de complicaciones en el período perinatal, pero los conocimientos sobre la evolución posterior son escasos. Objetivo: Describir y comparar las trayectorias sanitarias de niños expuestos y no expuestos prenatalmente a cocaína y/o cannabis durante 4 años. Métodos: Estudio de cohorte retrospectivo con grupo de comparación doble. Los niños expuestos fueron detectados en el Servicio de Neonatología de un hospital público mediante una prueba de orina, entre 2009 y 2013. Resultados: Se evaluaron 29 niños expuestos y 58 no expuestos. Las principales drogas detectadas en el grupo expuesto fueron cocaína y cannabis. La mayoría de las madres fueron policonsumidoras. En los niños del grupo expuesto, se encontraron diferencias significativas en menor frecuencia de controles de salud (p < 0,0001) y mayor frecuencia de consultas en Emergencias (p = 0,0295) e Internaciones (p = 0,007), principalmente, por cuadros respiratorios. Presentaron, además, mayor frecuencia de enfermedad pulmonar obstructiva crónica, cambios de hogar y judicialización. En ese grupo, hubo 1 niño y 2 progenitores muertos por causa violenta. No hubo ninguna muerte en el grupo no expuesto. Conclusiones: Los niños expuestos a cocaína y/o cannabis prenatalmente tuvieron menor número de controles de salud y mayor frecuencia de consultas en Emergencias e Internaciones. Presentaron, además, mayor frecuencia de enfermedad pulmonar obstructiva crónica, cambios de hogar, judicialización y muertes violentas en el grupo familiar directo.

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Commentary Japanese Pediatric Guideline for the treatment and management of asthma 2017 Chapter 4 Risk factors for pediatric asthma and those managements

Inoue

Shimojo²

2018

Nihon Shoni Arerugi Gakkaishi. The Japanese Journal of Pediatri

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Critique of GINA global strategy

Cited by 3 publications

References 7 publications

Four-year health trajectories of children prenatally exposed to cocaine and/or cannabis. A retrospective, cohort study in La Pampa, Argentina

Four-year health trajectories of children prenatally exposed to cocaine and/or cannabis. A retrospective, cohort study in La Pampa, Argentina

Trayectorias sanitarias durante 4 años de niños expuestos prenatalmente a cocaína y/o cannabis. Estudio de cohorte retrospectivo en La Pampa, Argentina

Commentary Japanese Pediatric Guideline for the treatment and management of asthma 2017 Chapter 4 Risk factors for pediatric asthma and those managements

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