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KMID : 1037620140010010029
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Pediatric Emergency Medicine Journal
2014 Volume.1 No. 1 p.29 ~ p.33
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Characteristics of Asthma Patients who were Admitted through a Pediatric Emergency Center
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Kwon Jung-Hyun
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Abstract
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Purpose: Acute exacerbations of wheezing associated with respiratory distress account for several pediatric patients that visiting the emergency department and hospital admissions. Asthma exacerbations are critically important due to their association with high morbidity and occasional mortality. We investigated the characteristics of admitted asthma exacerbated pediatric patients to provide proper management for asthma in pediatric emergency department.
Methods: We retrospectively analyzed patients under 18-years old who were diagnosed with asthma from March 2012 to March 2014 in a pediatric emergency center at Ewha Womans University Mok-dong Hospital Seoul, South Korea. We evaluated their past allergy history, presenting symptoms, vital signs, physical examinations, laboratory findings, and treatments.
Results: A total of 113 patients were included and their average age was 5.24±0.34 years. The ratio of sex was 1.19:1 (boy:girl). The mean duration of admission was 3.94±0.37 days. There were a total of 28 cases (24.6%) with a past history of emergency department visitation or admission due to asthma. Moderate to severe asthma were about one third of of the study population. The rate of patients who showed a body temperature over 38.3。C was 22.1%. The positive rate of detection of respiratory virus antigen was 41.4%.
Conclusion: A significant proportion of acute asthma exacerbations is associated with respiratory virus infections. It is necessary to apply proper guidelines for admission and further multi-center study of childhood asthma.
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KEYWORD
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Asthma, Child, Emergencies
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