哮喘联盟

   摘要
   目的：研究分析在急诊监护病房（ECU）接受标准治疗后的儿童哮喘患者住院治疗的预测因子。
   方法：该研究为一项回顾性研究，收集2005年1月～2009年12月在圣安德烈ECU确诊（常伴支气管肺炎、肺炎或其他疾病）和治疗的14岁或更小的儿童患者的临床病例。对以下数据进行分析：月份和年度监护，儿童年龄、性别，监护周期和住院治疗需求。一名儿科医生确认所有受试者的临床诊断。所有患者均为首次被给予临床治疗，并纳入ECU进行随访评估。
   结果：分析住院人数，发现儿童年龄（χ = 166.9； P = 0.00001)，相关疾病的出现（χ = 63.8；P < 0.00001），观察的周期长度（χ = 11.4； P = 0.009）与这一变量的相关性。住院人数与儿童性别（χ = 0.013；P = 0.9) 或年度时间（χ = 15.8； P =0.1）无关。对其他变量进行多重逻辑回归分析发现为期3天的观察无意义（P = 0.4）。
   结论：年龄、未满1岁的儿童、相关性疾病的出现、观察周期的长度能预测在ECU接受治疗的哮喘儿童住院的情况。性别和季节性不影响住院的需求。
 

（苏楠 审校）
Pediatr Emerg Care. 2013 Nov;29(11):1175-9. doi: 10.1097/PEC.0b013e3182a9f6fa.

 

Predictive factors of hospitalization in children with acute asthma at a university emergency care unit.
 

Palma SM, Palma RT, Catapani WR, Waisberg J.
 

Abstract
OBJECTIVE: This study analyzed the factors that predicted the hospitalization of children with asthma following standardized treatment in emergency care unit (ECU).
METHODS: This retrospective study examined data collected from the clinical records of children, 14 years or younger, who were diagnosed with asthma (often with bronchopneumonia, pneumonia, or other illnesses) and treated at the ECU of Santo André from January 2005 to December 2009. The following data were analyzed: month and year of care, child's age and sex, period of observation, and need for hospitalization. A pediatrician confirmed the clinical diagnoses of all participants. The children were first given clinical treatments and were then admitted to ECU for follow-up assessment.
RESULTS: The number of hospital admissions was analyzed, and correlations were found with regard to this variable and child age (χ = 166.9; P = 0.00001), the presence of associated illnesses (χ = 63.8; P < 0.00001), and the observation period length (χ = 11.4; P = 0.009). The number of hospital admissions was not correlated with child sex (χ = 0.013; P = 0.9) or time of year (χ = 15.8; P = 0.1). The 3-day observation period was not significant (P = 0.4) with regard to the remainder of the variables in the multiple logistic regression analysis.
CONCLUSIONS: Age, mainly children younger than 1 year, the presence of associated illnesses, and the observation period length predicted the hospitalization of children with asthma following treatment in ECU. Sex and seasonality did not affect the need for hospitalization.
 

Pediatr Emerg Care. 2013 Nov;29(11):1175-9. doi: 10.1097/PEC.0b013e3182a9f6f