1984年至2000年挪威罗加兰郡儿童哮喘的住院情况。

Hospital admissions for childhood asthma in Rogaland, Norway, from 1984 to 2000.

作者信息

Engelsvold D H, Oymar K

机构信息

Department of Paediatrics, Rogaland Central Hospital, Stavanger, Norway.

出版信息

Acta Paediatr. 2003 May;92(5):610-6.

PMID:12839293

Abstract

AIM

The prevalence of childhood asthma is increasing, and it is important to monitor factors related to hospital admissions in order to understand the different aspects of the disease. The aim of this study was to investigate admissions for childhood asthma to Rogaland Central Hospital, Norway, in order to elucidate time trends related to rates of admissions and treatment modalities.

METHODS

A population-based study was conducted in which data extracted from the medical records, including number of admissions, length of hospitalization, medication and symptom scores, were recorded for children aged 1 to 14 y admitted to hospital for asthma during four periods, of two years each, from 1984/1985 to 1999/2000.

RESULTS

For all the children there was an increase in annual admission rates for asthma from 1984/1985 to 1989/1990 and stabilization thereafter, but there were substantial differences between age groups. For children of 1 or 2 y of age the annual admission rate increased from 43/10000 in the first period to 104/10000 in the last period (p < 0.001), with an increase in both primary admissions and re-admissions. For children aged 3 and 4 y, the admission rates increased from the first to the second period, and then declined to an annual admission rate of 40/10000 in 1999/2000. For older children, the admission rate was low and stable. There was a gradual increase in the use of inhaled corticosteroids both prior to admission and at discharge, and the percentage of children receiving systemic corticosteroids at admission increased from 19% to 45% (p < 0.001). The average hospital in-days decreased from 3.4 to 1.9 (p < 0.001).

CONCLUSION

A disturbingly high and increasing rate of both primary admissions and re-admissions for asthma has been observed in children aged 1 and 2 y, which seemed to be unaffected by changes in treatment modalities during the period. The decrease in admissions for children aged 3 and 4 y may have been influenced by the increased use of inhaled corticosteroids.

摘要

目的

儿童哮喘的患病率正在上升，监测与住院相关的因素对于了解该疾病的不同方面很重要。本研究的目的是调查挪威罗加兰中央医院儿童哮喘的住院情况，以阐明与住院率和治疗方式相关的时间趋势。

方法

开展了一项基于人群的研究，记录了1984/1985年至1999/2000年期间四个时间段（每个时间段为两年）因哮喘住院的1至14岁儿童的病历数据，包括住院次数、住院时长、用药情况和症状评分。

结果

从1984/1985年到1989/1990年，所有儿童的哮喘年住院率均有所上升，此后趋于稳定，但各年龄组之间存在显著差异。1岁或2岁的儿童年住院率从第一个时间段的43/10000上升到最后一个时间段的104/10000（p<0.001），初次住院和再次住院均有所增加。3岁和4岁的儿童，住院率从第一个时间段到第二个时间段有所上升，然后在1999/2000年降至年住院率40/10000。年龄较大的儿童住院率较低且稳定。入院前和出院时吸入性糖皮质激素的使用逐渐增加，入院时接受全身性糖皮质激素治疗的儿童比例从19%增至45%（p<0.001）。平均住院天数从3.4天降至1.9天（p<0.001）。