Retrospective evaluation of patients hospitalized due to bronchial asthma during 1991-1995 at Dr. Sami Ulus Center for Pediatrics
Introduction: Asthma is a heterogeneous disease characterized by chronic airway inflammation. Bronchial asthma is the most common chronic disease of childhood and is among the causes of frequent hospitalization in children. This study aims to describe the demographic and clinical characteristics o...
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Format: | Article |
Language: | English |
Published: |
SERNEV
2018-08-01
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Series: | Family Practice and Palliative Care |
Subjects: | |
Online Access: | https://dergipark.org.tr/en/pub/fppc/issue/39137/391343 |
Summary: | Introduction: Asthma is a heterogeneous disease characterized by chronic airway
inflammation. Bronchial asthma is the most common chronic disease of childhood
and is among the causes of frequent hospitalization in children. This study
aims to describe the demographic and clinical characteristics of the patients
hospitalized due to "bronchial asthma" within five years. Methods: The hospital records of patients aged 0-15 years admitted with the
diagnosis of bronchial asthma to the Dr. Sami Ulus Center for Pediatrics
between 1991-1995 were examined. The sociodemographic characteristics, skin,
and laboratory values of the patients and the medications they received were
examined. Results: Of the total 135 patients, 58.5% (n = 79) were males. The age
distribution of the inpatients was mostly in the age group of 3-5 years
(57.8%, n = 78). The mean annual hospitalization rate was 0.53%. Patients
hospitalized for five days composed the largest group (39.3%, n = 53). Most of
the hospitalized patients (74.1%; n = 100) were coming from urban settings.
The most common pathologic condition on chest X-ray were increased aeration +
infiltration (52%, n = 70). Sinusitis was accompanied to 78.5% of the
hospitalizations. There was 50.4% (n = 68) leukocytosis in the hemograms.
Most sensitive skin tests were mixed grass pollen and house dust. The primary
medication used in prophylactic treatments was Ketotifen. Salbutamol was the
most common medication used in the emergency department, theophylline and
antibiotics for the bedside, and salbutamol syrup was the most prescribed
medication for the discharged patients.
Conclusion: The greater proportion of male gender and 3-5 year-olds in the study
group indicated that these risk factors were consistent with the previous
literature. The similarity of annual admission rates within the years indicates
that there is no change in asthma frequency in the population served over time.
Even though the number of cases requiring antibiotics in bronchial asthma is
high (similar to sinusitis), we believe that the use of antibiotics should be
lowered. |
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ISSN: | 2458-8865 2459-1505 |