Al Ghadeer Hussain A, Aldandan Jalal K, Alessa Marwah A, Al Ali Sirar A, Alajalin Abdullah M, Al Ghadeer Ali A, Albahrani Hassan M, Alherz Qasem I, Almulhim Latifah A, Altaweel Ibrahim A, Alqahtani Badah A, Al Bensaad Ghadeer A, Alnasser Muntaha N, Alhumaid Rawan H, Fatani Reham M
Pediatrics, Maternity and Children Hospital, Al-Ahsa, SAU.
Pediatrics, New Medical Center (NMC) Royal Hospital, Sharjah, ARE.
Cureus. 2024 Jan 1;16(1):e51487. doi: 10.7759/cureus.51487. eCollection 2024 Jan.
Introduction A chronic diverse inflammatory disease, asthma affects millions of people worldwide. To control asthma, standardized care is essential. Children with asthma who receive appropriate care have lower emergency room (ER) visits and hospital stays as well as a higher quality of life than children who do not receive appropriate care. We aim to evaluate the predictive variables of hospitalization and ER visits in children with asthma. Methodology In 2022 and 2023, a cross-sectional descriptive study was carried out on children with asthma and their caregivers who were attending primary health care clinics in the eastern region of Saudi Arabia. We used the Childhood Asthma Control Test (C-ACT) to evaluate asthma control. A C-ACT score of less than 19 indicates uncontrolled childhood asthma. To investigate the relationships between the risk factors and the rate of ER visits and hospitalizations, we performed a multiple logistic descriptive analysis. Results In this study, 124 asthmatic children from primary health care centers matched the inclusion criteria. The majority of children had atopy, and their mean age was 10.8±3.4 years. Concerning the risk factors linked to ER visits and hospitalization, there is evidence that not following up with physicians, using more frequent and short-acting beta-agonists, exposure to smoke and household pets, and poor asthma control are linked to increased rates of both ER visits and hospitalizations. Conclusion Better asthma control in children and adolescents may be achieved by providing inexpensive asthma care services, more thorough parental and child education, and effective symptom management. These measures can help reduce exacerbations of asthma and the consequences that accompany them.
引言 哮喘是一种慢性多炎症性疾病,全球数百万人受其影响。为控制哮喘,标准化护理至关重要。与未接受适当护理的儿童相比,接受适当护理的哮喘儿童急诊室就诊次数和住院天数更少,生活质量更高。我们旨在评估哮喘儿童住院和急诊室就诊的预测变量。
方法 在2022年和2023年,对沙特阿拉伯东部地区初级卫生保健诊所的哮喘儿童及其照顾者进行了一项横断面描述性研究。我们使用儿童哮喘控制测试(C-ACT)来评估哮喘控制情况。C-ACT得分低于19表明儿童哮喘未得到控制。为了研究风险因素与急诊室就诊率和住院率之间的关系,我们进行了多元逻辑描述性分析。
结果 在本研究中,来自初级卫生保健中心的124名哮喘儿童符合纳入标准。大多数儿童有特应性,平均年龄为10.8±3.4岁。关于与急诊室就诊和住院相关的风险因素,有证据表明,不遵医嘱、更频繁使用短效β受体激动剂、接触烟雾和家养宠物以及哮喘控制不佳与急诊室就诊率和住院率增加有关。
结论 通过提供廉价的哮喘护理服务、更全面的家长和儿童教育以及有效的症状管理,可以更好地控制儿童和青少年的哮喘。这些措施有助于减少哮喘发作及其带来的后果。