Decrease in hospitalization for treatment of childhood asthma with increased use of antiinflammatory treatment, despite an increase in the prevalence of asthma.
During the past 15 years, the prevalence of asthma in children in Sweden has doubled.
However, since 1985, antiinflammatory treatment with inhaled steroids has increased continuously.
The aim of this study was to analyze the net effect of these changes in terms of hospitalization of children for treatment of asthma.
The numbers of hospital days, admissions, and individual patients admitted to the Children's Hospital in Göteborg because of acute asthma were recorded from 1985 through 1993.
All the in-patient treatment of children is centralized at this hospital (i.e., the study was population-based).
Göteborg has half a million inhabitants.
Hospitalization policies were not altered during the study period.
In children aged 2 to 18 years, the number of hospital days per year gradually decreased to less than a third (r=0.9, p<0.001), and admissions decreased by 45% (r=0.7 ; p<0.05).
The decrease in hospitalization was most marked in the group older than the age of 5 years in which hospital days were reduced to one fifth (r=0.9 ; p<0.0001) and admissions were halved (r=0.8 ; p<0.05).
A decreasing trend in number of hospital days was also seen in the 2-to 5-year-old group.
The number of individual patients admitted did not show a statistically significant decreasing trend.
In children under the age of 2 years, the number of hospital days fluctuated, and there was no clear-cut change with time.
Mots-clés Pascal : Asthme, Corticostéroïde, Antiinflammatoire, Inhalation, Chimiothérapie, Traitement, Hospitalisation, Economie santé, Suède, Europe, Enfant, Homme, Appareil respiratoire pathologie, Bronchopneumopathie obstructive
Mots-clés Pascal anglais : Asthma, Corticosteroid, Antiinflammatory agent, Inhalation, Chemotherapy, Treatment, Hospitalization, Health economy, Sweden, Europe, Child, Human, Respiratory disease, Obstructive pulmonary disease
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 96-0184371
Code Inist : 002B02D. Création : 199608.