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首页> 外文期刊>Pediatrics: Official Publication of the American Academy of Pediatrics >Adverse asthma outcomes among children hospitalized with asthma in California.
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Adverse asthma outcomes among children hospitalized with asthma in California.

机译：加利福尼亚州因哮喘住院的儿童中有不利的哮喘预后。

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OBJECTIVE: To use administrative data to determine whether adverse asthma outcomes for pediatric asthma hospitalizations are related to specific clinical and nonclinical patient characteristics. DESIGN: Cross-sectional study. SETTING: All pediatric (0 to 17 years of age) asthma-related hospital discharges, 1986 to 1993, in California. PATIENTS: A total of 113 974 eligible patients with asthma-related discharges. MAIN OUTCOME MEASURE: Adverse asthma outcomes (intubation, cardiopulmonary arrest, and death). RESULTS: Adverse asthma outcomes occurred in 0.48% of subjects. The frequency of adverse asthma outcomes increased during the 1990s compared with 1986. After controlling for differences in gender, age, specific comorbid conditions, year, race, and insurance type, adverse asthma outcomes were more likely to occur in the 5- to 11-year-old group (odds ratio [OR]: 1.39; 95% confidence interval [CI]: 1.13-1.69) and in the 12- to 17-year-old group (OR: 4.48; CI: 3.20-6.21) compared with those children in the 0 to 4-year-old age group. Asian Pacific-American children were more likely (OR: 1.59; CI: 1.24-2.59) than were white children to experience an adverse asthma outcome. Children who had a secondary diagnoses of pneumonia (OR: 1.54; CI: 1. 19-2.00) also were more likely to experience an adverse asthma outcome. The odds of an adverse outcome increased progressively after 1986, becoming significant after 1989. Gender and insurance type were not associated with increased odds of experiencing an adverse asthma outcome. CONCLUSIONS: Adverse asthma outcomes among hospitalized children are increasing in the 1990s and are associated with specific clinical and nonclinical patient characteristics.
机译：目的：利用行政数据确定小儿哮喘住院的不良哮喘预后是否与特定的临床和非临床患者特征有关。设计：横断面研究。地点：1986年至1993年，在加利福尼亚州，所有与小儿科（0至17岁）相关的哮喘出院病例。患者：总共113974名符合条件的哮喘相关出院患者。主要观察指标：不良的哮喘病结局（插管，心肺停止和死亡）。结果：0.48％的受试者发生了不良的哮喘预后。与1986年相比，1990年代哮喘不良反应的发生频率有所增加。在控制了性别，年龄，特定合并症，年份，种族和保险类型的差异后，在5至11岁岁组（赔率[OR]：1.39; 95％置信区间[CI]：1.13-1.69）和12至17岁组（OR：4.48; CI：3.20-6.21） 0至4岁年龄段的儿童。与白人儿童相比，亚裔太平洋儿童患哮喘的不良后果的可能性更大（OR：1.59; CI：1.24-2.59）。继发诊断为肺炎的儿童（OR：1.54; CI：1。19-2.00）也更有可能出现不良的哮喘预后。 1986年以后，不良后果的几率逐渐增加，在1989年之后变得很明显。性别和保险类型与经历不良哮喘结果的几率无关。结论：1990年代住院儿童的哮喘不良后果呈上升趋势，并与特定的临床和非临床患者特征相关。

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