Objective To analyze the risk factors of hospitalized children with acute asthma exacerbation in Chongqing region. Methods A total of 193 cases were randomly selected from the hospitalized children with acute asthma exacerbation in Chongqing Children’s hospital and Jiangjin District People’s Hospital from January 2009 to December 2009. A self-designed questionnaire was used to collect data. A control group of children were randomly selected from the out-patients who received regular maintain therapy without asthma attacks for more than 3 months. Results The first independent risk factor of asthma hospitalization was respiratory infection ( 85. 5%, 165 /193) . Irregular use of control medications was the second important factor for the acute exacerbation. There were 75% ( 138 /193) patients didn’t take control
medications regularly, includes 102 undiagnosed and 36 pre-diagnosed cases which was more common than that in regular maintain therapy group ( 21/110, 19. 1% ) . A variety of allergen-induced acute exacerbation of asthma was also common, which accountted for 9. 3 % ( 18/193) . There were more boys than girls ( M/F:
124 /69) and no significant difference in the family history of allergic diseases ( P gt; 0. 05) . Conclusion Respiratory infection, under-diagnosis of asthma, and irregular use of the control medications are risk factors of acute exacerbation in children with asthma in Chongqing region. Meanwhile allergen exposure warrants
more attention.
Citation：
YAN Li,HUANG Ying,LI Feng,ZHAO Jing. Risk Factors of Hospitalized Children with Acute Exacerbation of Bronchial Asthma in Chongqing Region. Chinese Journal of Respiratory and Critical Care Medicine, 2010, 9(6): 595-597. doi:
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| 1. |
Taussig LM, Wright AL, Holberg CJ, et al. Tucson Children ’s Respiratory Study: 1980 to present. J Allergy Clin Immunol, 2003 ,111: 661-675 .
|
| 2. |
Freymuth F, Vabret A, Brouard J, et al. Detection of Viral, Chlamydia pneumonia and Mycoplasma infection in exacerbation of asthma in children. J Clin Virol, 1999, 13: 131-139 .
|
| 3. |
Burkhart PV, Svavarsdottir EK, Rayens MK, et al. Adolescents with asthma: predictors of quality of life. J Adv Nurs, 2009, 65: 860-866.
|
| 4. |
Kusunoki T, Morimoto T, Nishikomori R, et al. Changing prevalence and severity of childhood allergic diseases in kyoto, Japan, from1996 to 2006. Allergol Int, 2009, 58: 543-548 .
|
| 5. |
Broms K, Norb??ck D, Eriksson M, et al. Effect of degree of urbanisation on age and sex-specific asthma prevalence in Swedish preschool children. BMC Public Health, 2009 , 9: 303.
|
| 6. |
Rosenbaum PF, Crawford JA, Anagnost SE, et al. Indoor airborne fungi and wheeze in the first year of life among a cohort of infants at risk for asthma. J Expo Sci Environ Epidemiol, 2010 , 20: 503 -515.
|
| 7. |
GINA. Global Strategy for Asthma Management and Prevention. www.ginasthma. org. 2004 .
|
- 1. Taussig LM, Wright AL, Holberg CJ, et al. Tucson Children ’s Respiratory Study: 1980 to present. J Allergy Clin Immunol, 2003 ,111: 661-675 .
- 2. Freymuth F, Vabret A, Brouard J, et al. Detection of Viral, Chlamydia pneumonia and Mycoplasma infection in exacerbation of asthma in children. J Clin Virol, 1999, 13: 131-139 .
- 3. Burkhart PV, Svavarsdottir EK, Rayens MK, et al. Adolescents with asthma: predictors of quality of life. J Adv Nurs, 2009, 65: 860-866.
- 4. Kusunoki T, Morimoto T, Nishikomori R, et al. Changing prevalence and severity of childhood allergic diseases in kyoto, Japan, from1996 to 2006. Allergol Int, 2009, 58: 543-548 .
- 5. Broms K, Norb??ck D, Eriksson M, et al. Effect of degree of urbanisation on age and sex-specific asthma prevalence in Swedish preschool children. BMC Public Health, 2009 , 9: 303.
- 6. Rosenbaum PF, Crawford JA, Anagnost SE, et al. Indoor airborne fungi and wheeze in the first year of life among a cohort of infants at risk for asthma. J Expo Sci Environ Epidemiol, 2010 , 20: 503 -515.
- 7. GINA. Global Strategy for Asthma Management and Prevention. www.ginasthma. org. 2004 .
