Trends in hospital admissions for childhood asthma in Oslo, Norway, 1980–95

Jonasson, G; Carlsen, Kai‐Håkon; Leegaard, J; Carlsen, K-H.; Mowinckel, P.; Halvorsen, Karin

doi:10.1034/j.1398-9995.2000.00387.x

Cited by 62 publications

(87 citation statements)

References 25 publications

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“…The median age of the hospitalized children decreased by 2 yrs during the study period [6]. Consistent with the findings of Norwegian studies [6,13], the results suggested that the onset of paediatric asthma has shifted to a younger age group. Conversely, annual admission rates are related to infection epidemics, especially in the youngest age groups [23].…”

Section: Discussionsupporting

confidence: 80%

“…The reduction was clearest during the final years of the survey, which coincided with the increased use of inhaled steroids for paediatric asthma in the area. Similar to previous findings, admissions increased, almost ten-fold during the 10 yrs, among children aged v2 yrs [6,11,13]. The median age of the hospitalized children decreased by 2 yrs during the study period [6].…”

Section: Discussionsupporting

confidence: 72%

“…In contrast, the hospitalization rate for asthma decreased in the Gö teborg area of Sweden during the last decade, despite a simultaneous doubling in the prevalence of asthma [12]. During the same period, admission rates stabilized around the Oslo area in Norway [13].…”

mentioning

confidence: 99%

“…A probable explanation for this favourable trend may be the early introduction of anti-inflammatory therapy [12][13][14][15]. Moreover, two recently published population-based studies have suggested that inhaled anti-inflammatory therapy may be associated with a significantly lower risk of hospitalization and emergency dept visits in children with asthma [16][17].…”

mentioning

confidence: 99%

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Hospitalization trends for paediatric asthma in eastern Finland: a 10-yr survey

Korhonen

Reijonen²,

Malmström³

et al. 2002

Eur Respir J

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The prevalence of childhood asthma has increased during the past 20 yrs in eastern Finland. The use of regular medication for asthma has, consequently, also risen at the same time. The aim of the present study was to assess how these factors have influenced hospitalization for asthma in children.Data concerning the annual number of children aged v16 yrs treated for asthma, their number of hospital periods, and length of hospitalization were collected using patient-specific medical records for the years 1988-1997.Admissions for asthma more than doubled (from 1.2 in 1,000 to 2.7 in 1,000) (pv0.001), whereas re-admissions decreased from 28.1% to 8.7% (pv0.001) during the study period. The greatest increase was seen among children aged v2 yrs, whereas during recent years the admission rate among children aged w2 yrs has declined by one-third.Despite the increased prevalence of asthma, the decline in admissions seen in all but the youngest children may, at least partly, be attributed to the decrease in re-admissions, resulting from the early onset and increased use of inhaled steroids.

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Section: Discussionsupporting

confidence: 80%

Section: Discussionsupporting

confidence: 72%

mentioning

confidence: 99%

mentioning

confidence: 99%

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Hospitalization trends for paediatric asthma in eastern Finland: a 10-yr survey

Korhonen

Reijonen²,

Malmström³

et al. 2002

Eur Respir J

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“…Constitui um sério problema de saúde pública em todo o mundo e tem sido motivo de muita discussão no meio científico, pois, apesar dos recentes avanços no conhecimento de sua patogênese, a prevalência, a morbidade e a mortalidade têm aumentado progressivamente nos últimos vinte anos [1][2][3] .…”

Section: Introductionunclassified

Is it possible to predict the number of nebulizations and the use of intravenous corticosteroid in children with asthma attacks in the emergency room?

Paro¹,

Rodrigues²

2001

J Pediatr (Rio J)

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ResumoObjetivo: identificar o número de nebulizações necessárias e a demanda de corticosteróide intravenoso em crianças em crise asmá-tica, a partir de características clínicas e funcionais observadas no momento da admissão na unidade de emergência.Métodos: foram avaliadas prospectivamente 130 crianças em crise asmática, na faixa etária de 1 a 13 anos. No momento da admissão, as crianças foram avaliadas por meio de escore clínico e medidas de saturação arterial de oxigênio (por oximetria de pulso) e de pico de fluxo expiratório. Em seguida, receberam um tratamento padronizado e foram acompanhadas em relação à necessidade de nebulizações consecutivas com ß2 agonista e costicosteróide intravenoso. Através de análise de regressão buscou-se uma correlação dos parâmetros avaliados com o número de nebulizações realizadas e o uso de corticosteróide.Resultados: oitenta e oito crianças (67,7%) receberam de uma até três nebulizações, e 42 crianças (32,3%) receberam seis nebulizações. Sessenta e oito crianças (52,3%) receberam corticosteróide. Os valores iniciais de escore clínico, saturação arterial de oxigênio e pico de fluxo expiratório mostraram uma correlação significativa com o número de nebulizações realizadas e com a necessidade do uso de corticosteróide.Conclusão: com base em nossos resultados, é possível predizer e antecipar, no momento da admissão das crianças em crise asmática na unidade de emergência, a necessidade do uso de corticosteróide e de um maior número de nebulizações, o que pode alterar o prognóstico e o tempo de evolução da crise.J Pediatr (Rio J) 2001; 77 (3): 219-26: asma, criança, asma aguda, tratamento, corticosteróide, ß2 agonista. AbstractObjective: to identify the number of nebulizations needed and the demand for intravenous corticosteroids in children with asthmatic attack, considering clinical and functional characteristics presented at the moment children were admitted to the emergency room.Methods: we prospectively evaluated 130 children with asthmatic attack and from 1 to 13 years of age. At the moment children were admitted, they were evaluated according to clinical score, arterial oxygen saturation (pulse oximetry), and peak expiratory flow. Next, children received a standard treatment and were observed for the number of consecutive nebulizations required and the use of corticosteroid. Using regression analysis, we assessed the parameters evaluated for a correlation with the number of nebulizations and the use of intravenous corticosteroid.Results: eighty-eight children (67.7%) received from 1 to 3 nebulizations and 42 children (32.3%), 6 nebulizations. Sixty-eight children (52.3%) received corticosteroid. The initial values for clinical scores, arterial oxygen saturation, and peak expiratory flow showed a significant correlation with the number of nebulizations required and the need for corticosteroids.Conclusions: according to our results, it is possible to predict and anticipate, at the time chidren are admitted with asthmatic attack, the need for corticosteroid and more nebulizatio...

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Mechanical ventilation in children with severe asthma

Malmström

Kaila

Korhonen

et al. 2001

Pediatric Pulmonology

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Hospital admissions for childhood asthma have increased during the past few decades. The aim of this study was to describe the need for mechanical ventilation for severe asthma exacerbation in children in Finland from 1976 to 1995. We reviewed medical records and collected data retrospectively from all 5 university hospitals in Finland, thus covering the entire population of about 5 million. The endpoints selected were the number of admissions and readmissions leading to mechanical ventilation, duration of stay in the hospital, and mortality. Moreover, asthma medications prescribed prior to admission and administered in the intensive care unit (ICU), as well as the etiology of the exacerbation associated with mechanical ventilation were examined. Mechanical ventilation was required in 66 ICU admissions (59 patients). This constituted approximately 10% of all 632 admissions for acute asthma to an ICU. The number of admissions decreased from 1976 to 1995: 41 admissions between 1976 and 1985 vs. 25 admissions during the next 10-year period. The mean age at admission to the ICU was 3.6 years, and 46% of the patients were boys. Prior to the index admission, 70% of the patients had used asthma medication such as oral bronchodilator (50%), inhaled bronchodilator (20%), theophylline (38%), inhaled glucocorticoid (18%), oral glucocorticoid (5%), and cromoglycate (7%). Respiratory infection was by far the most common cause of all the exacerbations (61%), followed by food allergy (8%) and gastroesophageal reflux (3%). In 28% of cases the cause of the severe asthma exacerbation could not be identified. In the mechanically ventilated patients readmissions occurred 38 times between 1976 and 1985 vs. 5 times between 1986 and 1995. Five of the patients who received mechanical ventilation died, and in 3 of these patients asthma was the event causing death. In conclusion, there has been decrease in the number of first and repeat ICU admission for asthma requiring mechanical ventilation between 1970 and 1995. This trend occurred despite a simultaneous 5% yearly increase in hospital admissions for childhood asthma during these 2 decades.

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Trends in hospital admissions for childhood asthma in Oslo, Norway, 1980–95

Cited by 62 publications

References 25 publications

Hospitalization trends for paediatric asthma in eastern Finland: a 10-yr survey

Hospitalization trends for paediatric asthma in eastern Finland: a 10-yr survey

Is it possible to predict the number of nebulizations and the use of intravenous corticosteroid in children with asthma attacks in the emergency room?

Mechanical ventilation in children with severe asthma

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