Volume 56, Issue 7 pp. 1889-1895
ORIGINAL ARTICLE

Hospital admission rate in children and adolescents with mild persistent asthma

Eduardo Vieira Ponte MD

Corresponding Author

Eduardo Vieira Ponte MD

Department of Internal Medicine, Programa de Pós-Graduação, Faculdade de Medicina de Jundiaí, Jundiaí, Brazil

Correspondence Eduardo Vieira Ponte, R. Francisco Teles, 250, Jundiaí, SP, 13202-550, Brazil.

Email: [email protected]

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Cintia Fernanda Bertagni Mingotti MS

Cintia Fernanda Bertagni Mingotti MS

Department of Internal Medicine, Programa de Pós-Graduação, Faculdade de Medicina de Jundiaí, Jundiaí, Brazil

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Ronei Luciano Mamoni PhD

Ronei Luciano Mamoni PhD

Department of Internal Medicine, Programa de Pós-Graduação, Faculdade de Medicina de Jundiaí, Jundiaí, Brazil

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Evaldo Marchi MD

Evaldo Marchi MD

Department of Internal Medicine, Programa de Pós-Graduação, Faculdade de Medicina de Jundiaí, Jundiaí, Brazil

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José Eduardo Martinelli MD

José Eduardo Martinelli MD

Department of Internal Medicine, Programa de Pós-Graduação, Faculdade de Medicina de Jundiaí, Jundiaí, Brazil

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Marcelo Bezerra de Menezes MD

Marcelo Bezerra de Menezes MD

Departamento de Clínica Médica, USP-Ribeirão Preto, Ribeirão Preto, Brazil

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Elcio dos Santos Oliveira Vianna MD

Elcio dos Santos Oliveira Vianna MD

Departamento de Clínica Médica, USP-Ribeirão Preto, Ribeirão Preto, Brazil

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Álvaro Augusto Cruz MD

Álvaro Augusto Cruz MD

Department of Internal Medicine, ProAR, Federal University of Bahia, Salvador, Brazil

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First published: 15 March 2021
Citations: 2

Abstract

Introduction

The health and financial burden of mild-persistent asthma has been poorly investigated.

Objective

Our aim was to compare the rate of hospital admissions that have occurred during the preceding year between children and adolescents with current mild-persistent (MP) and moderate-severe (MS) asthma.

Methods

We screened children and adolescents with asthma at eight outpatient clinics. The inclusion criteria were asthma diagnosis, age from 6 to 18 years and follow-up with a physician during the preceding 6 months. Subjects answered standardized questionnaires and underwent spirometry.

Results

We enrolled 220 MP and 102 MS asthmatic subjects. The proportion of subjects with HA during the preceding year was similar between MP and MS asthma groups (7% vs. 7%; p = .89). Symptoms score and the financial values spent by the family in the care of asthma were lower in MP asthma as compared with MS asthma group (asthma control questionnaire score 0.7 [0.3–1.0) vs. 2.0 [1.1–2.5]; p < .01) (asthma expenses in USD 13 [2–43] vs. 28 [10–83]; p < .01). The frequency of subjects using inhaled corticosteroids maintenance therapy was lower in the MP asthma group as compared with the MS asthma group (54% vs. 100%; p < .01).

Conclusion

We conclude that the frequency of hospital admissions that have occurred during the preceding year was similar between subjects with current MP and MS asthma. Symptoms score and the financial values spent by the family in the care of asthma were lower in the MP asthma group.

DATA AVAILABILITY STATEMENT

The data that support the findings of this study are available from the corresponding author upon reasonable request.

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