Predictors for multiple hospital admissions in children with asthma

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dc.authorid0000-0002-5299-9480en_US
dc.authorid0000-0002-8390-5109en_US
dc.authorid0000-0003-4618-1110en_US
dc.contributor.authorGürkan, Fuat
dc.contributor.authorEce, Aydın
dc.contributor.authorHaspolat, Yusuf Kenan
dc.contributor.authorDerman, Orhan
dc.contributor.authorBoşnak, Mehmet
dc.date.accessioned2021-12-08T12:12:31Z
dc.date.available2021-12-08T12:12:31Z
dc.date.issued2000en_US
dc.departmentDicle Üniversitesi, Tıp Fakültesi, Dahili Tıp Bilimleri Bölümü, Çocuk Sağlığı ve Hastalıkları Ana Bilim Dalıen_US
dc.description.abstractBackground: Asthma is one of the most frequent causes of preventable hospital admissions among children. Objectives: To identify preventable risk factors for future hospital admissions. Some of the environmental and patient characteristics of children who were hospitalized more than once with an acute asthma attack were investigated. Design, setting and patients: An analysis was performed of 140 children with asthma, aged three to 15 years, admitted to the Department of Pediatrics at Dicle University Hospital, Diyarbakir, Turkey, over three years, followed for a maximum of 48 months. Associations between hospital admissions and probable predictors (clinical findings, laboratory studies and a detailed case history) were analyzed. Results: The asthma admissions were higher in boys than in girls (male to female ratio 1.86). Of 140 children, 30 (21.4%) had multiple admissions, defined as a mean of more than one admission per year during the follow-up period. The following factors were associated significantly with the frequency of hospital admission for asthma attacks when analyzed using a Chi2 test: indoor cigarette smoking (odds ratio [OR] 2.55), maternal smoking (OR 4.05), symptoms of dermal atopy (OR 2.96), symptoms of allergic conjunctivitis (OR 2.68), age less than five years (OR 5.12) and use of inhaled corticosteroids during the follow-up (OR 0.37). With multi-variate logistic regression analysis, among other factors, only maternal smoking (r=0.29, P=0.017) and age less than five years (r=-0.32, P=0.012) were significant effective factors for the multiple hospital admissions. No significant association with the frequency of hospital admission was found for sex, serum total immunoglobulin E, history of frequent upper respiratory tract infections or number of family members. Conclusions: Prevention of indoor smoking, especially maternal smoking, may be effective in decreasing hospital admissions in children with asthma. Children less than five years of age are more likely to be hospitalized than are children five years of age or greater.en_US
dc.identifier.citationGürkan, F., Ece, A., Haspolat, Y. K., Derman, O. ve Boşnak, M. (2000). Predictors for multiple hospital admissions in children with asthma. Canadian Respiratory Journal, 7(2), 163-166.en_US
dc.identifier.doi10.1155/2000/815274
dc.identifier.endpage166en_US
dc.identifier.issue2en_US
dc.identifier.scopus2-s2.0-0034080715
dc.identifier.scopusqualityQ2
dc.identifier.startpage163en_US
dc.identifier.urihttps://pubmed.ncbi.nlm.nih.gov/10859402/
dc.identifier.urihttps://hdl.handle.net/11468/8374
dc.identifier.volume7en_US
dc.indekslendigikaynakScopus
dc.institutionauthorGürkan, Fuat
dc.institutionauthorEce, Aydın
dc.institutionauthorHaspolat, Yusuf Kenan
dc.institutionauthorDerman, Orhan
dc.institutionauthorBoşnak, Mehmet
dc.language.isoenen_US
dc.publisherHindawi Publishingen_US
dc.relation.ispartofCanadian Respiratory Journal
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectAsthmaen_US
dc.subjectAtopyen_US
dc.subjectChildrenen_US
dc.subjectCigarette exposureen_US
dc.subjectHospital admissionsen_US
dc.subjectRespiratory infectionen_US
dc.titlePredictors for multiple hospital admissions in children with asthmaen_US
dc.titlePredictors for multiple hospital admissions in children with asthma
dc.typeArticleen_US

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