Tuuponen T, Keistinen T, Kivelä S L
Department of Pulmonary Medicine, Päivärinne Hospital, Jokirinne, Finland.
Eur J Pediatr. 1993 Dec;152(12):1042-4. doi: 10.1007/BF01957234.
Trends in hospitalization among asthmatic children were examined over a period of 15 years on the basis of a hospital discharge register covering all hospitals in Finland. The annual mean population under 15 years of age, 992,994, had a total of 37,965 hospitalization periods on account of asthma during the interval studied. Examination in 5 year age groups showed treatment periods for boys under 5 years to have increased by 1.8% annually relative to the total population (95% confidence interval +0.6(-)+3.1) and those for girls by 22% (95% CI +0.7(-)+3.7), whereas the changes in the older age groups were insignificant. First admissions decreased annually in all age groups in the case of both boys and girls. The numbers of hospitalization periods due to asthma were significantly higher for boys than for girls. The use of hospital services by asthmatic children was appropriate during the period concerned, which may partly be explained by the fact that child health care is well organized in Finland and the treatment of childhood asthma entirely in the hands of paediatricians.
基于涵盖芬兰所有医院的出院登记信息，对哮喘儿童15年间的住院趋势进行了研究。在研究期间，15岁以下的年平均人口为992,994人，因哮喘住院的总时长为37,965个住院周期。按5岁年龄组进行分析显示，5岁以下男孩的治疗周期相对于总人口每年增加1.8%（95%置信区间为+0.6（-）+3.1），女孩增加22%（95%置信区间为+0.7（-）+3.7），而年龄较大组的变化不显著。男孩和女孩各年龄组的首次入院率均呈逐年下降。因哮喘住院的周期数男孩显著高于女孩。在相关期间，哮喘儿童对医院服务的利用是合理的，这可能部分归因于芬兰儿童保健组织完善，且儿童哮喘治疗完全由儿科医生负责。
