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Low hospital admission rates for respiratory diseases in children

机译：儿童呼吸系统疾病住院率低

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Background Population-based data on hospital admissions for children aged 0-17 years concerning all respiratory diseases are scarce. This study examined hospital admissions in relation to the preceding consultations in general practice in this age group. Methods Data on children aged 0-17 years with respiratory diseases included in the Second Dutch National Survey of General Practice (DNSGP-2) were linked to all hospital admissions in the Dutch National Medical Registration. Admission rates for respiratory diseases were calculated. Data were analysed using multivariate logistic regression. Results Of all 79,272 children within the DNSGP-2, 1.8% were admitted to hospital for any respiratory diagnosis. The highest admission rates per 1000 children were for chronic disease of tonsils and adenoids (12.9); pneumonia and influenza (0.97); and asthma (0.92). Children aged 0-4 years and boys were admitted more frequently. Of children with asthma, 2.3% were admitted for respiratory diseases. For asthma, admission rates varied by urbanisation level: 0.47/1000 children/year in cities with ≤ 30,000 inhabitants, 1.12 for cities with ≥ 50,000 inhabitants, and 1.73 for the three largest cities (p = 0.002). Multivariate logistic regression showed that within two weeks after a GP consultation, younger age (OR 0.81, 95% CI 0.76-0.88) and more severe respiratory diseases (5.55, 95% CI 2.99-8.11) predicted hospital admission. Conclusions Children in the general population with respiratory diseases (especially asthma) had very low hospital admission rates. In urban regions children were more frequently admitted due to respiratory morbidity. For effectiveness studies in a primary care setting, hospital admission rates should not be used as quality end-point.
机译：背景资料缺乏以人口为基础的0-17岁儿童的所有呼吸道疾病住院数据。这项研究检查了与该年龄组一般实践中先前咨询相关的医院入院率。方法将第二次荷兰全国通用实践调查（DNSGP-2）中包含的0-17岁儿童呼吸道疾病的数据与荷兰全国医学注册中的所有医院入院链接。计算呼吸系统疾病的入院率。使用多元逻辑回归分析数据。结果DNSGP-2内所有79,272名儿童中，有1.8％因呼吸系统疾病住院。每千名儿童中，扁桃体和腺样体疾病的慢性病发病率最高（12.9）;肺炎和流感（0.97）;和哮喘（0.92）。 0-4岁的儿童和男孩的入院率更高。在患有哮喘的儿童中，有2.3％因呼吸系统疾病而入院。对于哮喘，入院率随城市化程度的不同而变化：人口≤30,000的城市为0.47 / 1000个孩子/年，人口≥50,000的城市为1.12，三个最大的城市为1.73（p = 0.002）。多元逻辑回归分析显示，在全科医生会诊后两周内，年龄较小（OR 0.81，95％CI 0.76-0.88）和更严重的呼吸系统疾病（5.55，95％CI 2.99-8.11）可以预测入院。结论普通人群中患有呼吸系统疾病（尤其是哮喘）的儿童住院率很低。在城市地区，由于呼吸系统疾病而使儿童入院的频率更高。在基层医疗机构进行有效性研究时，不应将住院率用作质量终点。

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