Temporal trends and factors associated with pediatric hospitalizations with respiratory infection

Chen, Yingxue; Liu, Jianfang; Larson, Elaine

doi:10.3109/02770903.2015.1081940

Cited by 4 publications

(4 citation statements)

References 16 publications

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“…In the present study, short LOS <7 days was significantly associated with asthma. Similarly, Chen et al . reported that the average LOS for those with a respiratory infection was shorter if patients had asthma as compared with patients who did not have asthma.…”

Section: Discussionmentioning

confidence: 94%

“…16 In the present study, short LOS <7 days was Annual percentage change (APC), 5.27%; 95%CI: 1.2-18.1; P < 0.001; ‡ APC, 11.2%; 95%CI: 4.1-18.8; P < 0.001; § APC, 4.8%; 95%CI: À9 to 20.7; P = 0.5; † † APC, À8.8%; 95%CI: À16.6 to À0.2; P < 0.001. significantly associated with asthma. Similarly, Chen et al 17 reported that the average LOS for those with a respiratory infection was shorter if patients had asthma as compared with patients who did not have asthma. RTD are a major cause of hospitalization and have a substantial impact on health-care costs.…”

Section: Discussionmentioning

confidence: 95%

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Pediatric respiratory tract diseases: Chronological trends and perspectives

Ayed

Yaïch

Jmaa

et al. 2017

Pediatrics International

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Background: The aim of this study was to describe the epidemiological profile of childhood respiratory tract diseases (RTD) in the region of Sfax, Tunisia, and to evaluate their trends over a 13 year period. Methods: We conducted a retrospective study of all children hospitalized with RTD aged under 14 years. We collected data from the regional morbidity register of the university hospital of Sfax from 2003 to 2015.Results: A total of 10 797 RTD patients were enrolled from 49 880 pediatric hospitalizations (21.7%). A male predominance was noted (60%). The median age was 8 months (IQR, 2-36 months). Acute bronchitis (AB) accounted for 53.8%, followed by asthma (15%), pneumonia (14%) and acute upper respiratory infection (AURI; 7.2%). The hospital incidence rate (HIR) of RTD was 34/10 000 inhabitants/year. It was 18.2; 5.07; 4.7 and 2.4/10 000 inhabitants for AB, asthma, pneumonia and AURI, respectively. We noted a significant increase in the HIR of RTD with an annual percentage change (APC) of 10.94% (P < 0.001); in the HIR of AB (APC, 5.27%; P < 0.001); and in asthma HIR (APC, 11.2%; P < 0.001). Otherwise, a significant decrease in AURI HIR was observed (APC, -8.8%; P < 0.001). AB lethality rate increased significantly, with an APC of 7.4% (P < 0.001). Projected trends analysis up to 2024 showed a significant rise in AB and in asthma, while AURI would significantly decrease. Conclusions: RTD continues to be a serious health problem over time in terms of morbidity and mortality. Preventive and curative strategies are needed urgently.Key words hospital, pediatric, projection, respiratory tract disease, trend.Respiratory tract diseases (RTD) continue to be a serious health problem worldwide. They confer a significant economic burden with regard to the funding of health resources and disability care loads. Among children, RTD contribute to increase mortality and morbidity. Pediatric hospital morbidity studies allow us to determine the epidemiological profile of a population and to orient interventional strategies accordingly. In Tunisia, as in developing countries, RTD represent a challenge to public health because of their frequency, severity, projected trends, and economic impact. There have been persistently high rates of RTD, particularly of asthma and acute bronchitis, in pediatric hospitalizations, which were often unrecognized. 1,2In Tunisia, according to previous data, the prevalence of asthma was estimated to be around 4.3% in 2008 in children, in second place after the elderly. 3 Bronchiolitis hospitalizations have increased considerably since 1980, resulting in a problem for public health in Tunisia and the whole world. 4 This alarming situation prompted authorities and health-care managers to plan preventive actions as soon as possible. Climate factors and environmental change play a major role in the epidemiology of pulmonary infectious diseases, resulting in significant seasonal variations in terms of prevalence.5 Better knowledge of the new epidemiological profile will help decision makers to ...

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Section: Discussionmentioning

confidence: 94%

Section: Discussionmentioning

confidence: 95%

Pediatric respiratory tract diseases: Chronological trends and perspectives

Ayed

Yaïch

Jmaa

et al. 2017

Pediatrics International

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“…Asthma has been reported to increase susceptibility to RTIs, although the mechanisms are poorly understood ( 2 , 3 ). In previous studies, investigators have reported higher risks of both first-time RTIs and recurrent RTIs in persons with asthma than in healthy subjects among several population groups, including children ( 4 – 13 ), adults ( 14 – 18 ), hospitalized individuals ( 17 , 19 , 20 ), pregnant women ( 21 ), and smokers ( 14 ). Our previous population-based study showed that atopic diseases, including asthma, rhinitis, and dermatitis, are related to increased risk of RTIs in working-age adults ( 22 ).…”

Section: Abbreviationsmentioning

confidence: 99%

Asthma and Respiratory Infections From Birth to Young Adulthood

Belachew¹,

Rantala²,

Jaakkola³

et al. 2022

American Journal of Epidemiology

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We applied the population-based prospective Espoo Cohort Study (n=2,568) to identify potential susceptibility of subjects with asthma to respiratory tract infections (RTIs). Information on the occurrence of asthma and of both upper and lower respiratory tract infections (URTIs and LRTIs) was collected with a questionnaire at the baseline, the 6 year- and the 20 year-follow-up studies, and from the National Health Registries. We estimated age- and sex-specific incidence rate differences (IRD) and incidence rate ratios (IRR) applying negative binomial regression. Meta-regression was used to summarize the age-specific IRRs from childhood to 27 years of age. Individuals with asthma at any age during the follow-up had an increased risk of URTIs (aIRD 72.6, 95% CI: 50.6, 94.7 per 100 person-year; aIRR: 1.27, 1.20, 1.35) and LRTIs (aIRD 25.5, 17.9, 33.1; aIRR 2.87, 2.33, 3.53) from childhood to young adulthood. In young adulthood, the association between asthma and URTIs was stronger in women than men, while such was not detected for LRTIs. We provide strong evidence that subjects with asthma experience more RTIs from preschool age up to young adulthood compared to those without asthma. Thus, they constitute a susceptible population for RTIs. Especially women with asthma are at high risk.

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“…There are also differences in the incidence of RTIs and AOM in boys vs. girls. RTIs are reported during the first two years of life with a slightly higher predisposition [ 13 , 22 ] and more frequent hospital visits in boys than in girls [ 23 ]. Being a boy is also considered a risk factor for early AOM or OM [ 15 , 24 , 25 ].…”

Section: Introductionmentioning

confidence: 99%

Influence of Respiratory Tract Infections on Vocabulary Growth in Relation to Child’s Sex: The STEPS Study

Nylund

Toivonen

Korpilahti

et al. 2022

IJERPH

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Common health issues have been less examined in studies of early language development, particularly in relation to the child’s sex. Respiratory tract infections, often complicated by acute otitis media, are common in children during the first years of life, when early vocabulary development takes place. The present study, conducted in Finland, aimed to investigate whether possible associations between recurrent respiratory tract infections, background factors, and vocabulary growth differ in boys and girls aged 13 to 24 months. The participants (N = 462, 248 boys and 214 girls) were followed for respiratory tract infections and acute otitis media from 0 to 23 months of age. The parents completed daily symptom diaries of respiratory symptoms, physician visits, and diagnoses. The expressive vocabulary was measured with parental reports. We found that recurrent respiratory tract infections were not associated with slower vocabulary development in boys or girls. In fact, boys with recurrent respiratory tract infections had more vocabulary growth during the second year than boys who were less sick. We found that vocabulary growth was associated differently with respiratory tract infections and background factors as a function of the child’s sex. The vocabulary growth of boys seems to be more influenced by environmental factors than that of girls.

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Temporal trends and factors associated with pediatric hospitalizations with respiratory infection

Cited by 4 publications

References 16 publications

Pediatric respiratory tract diseases: Chronological trends and perspectives

Pediatric respiratory tract diseases: Chronological trends and perspectives

Asthma and Respiratory Infections From Birth to Young Adulthood

Influence of Respiratory Tract Infections on Vocabulary Growth in Relation to Child’s Sex: The STEPS Study

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