HOSPITALIZACIONES POR ASMA INFANTIL EN ATENAS





HOSPITALIZACIONES POR ASMA INFANTIL EN ATENAS

(especial para SIIC © Derechos reservados)
Aunque la prevalencia del asma infantil aumenta continuamente a pesar de presentar un ritmo en desaceleración, las tendencias temporales y los ingresos por asma entre los niños en Atenas durante los últimos 28 años, después de un incremento brusco, muestran una marcada disminución que describe una curva similar a un arco.
Autor:
Kostas N Priftis
Columnista Experto de SIIC

Institución:
Penteli Children's Hospital


Artículos publicados por Kostas N Priftis
Coautor
Asimina Zachariadi-Xypolita* 
MD, PhD, Athens University, Atenas, Grecia*
Recepción del artículo
1 de Marzo, 2007
Aprobación
5 de Septiembre, 2007
Primera edición
7 de Febrero, 2008
Segunda edición, ampliada y corregida
7 de Junio, 2021

Resumen
Antecedentes: Las tendencias en las tasas de ingresos por asma entre los niños han mostrado distintos patrones en diferentes países en las últimas décadas. Nosotros llevamos a cabo este estudio para determinar las tendencias temporales en los ingresos y reingresos por asma de niños en el área metropolitana de Atenas, Grecia, durante el período de 1978 a 2005. Materiales, métodos y resultados: Se obtuvieron datos de registros hospitalarios de los tres principales hospitales de niños de Atenas de 1978 a 2005. Se incluyeron niños que ingresaron con diagnóstico de asma, bronquitis asmática o bronquitis con sibilancias. Se observó un aumento paralelo y continuo en las tasas de ingresos y reingresos por asma en el área de Atenas durante toda la década de 1980 seguido por una estabilización durante los últimos años de los '90 y un regreso impresionante a las tasas de comienzos de la década de 1980 durante el período 2001-2005. Existe una variabilidad estacional constante, y se presentan una relativa humedad y presión atmosférica como las variables meteorológicas más importantes, y el dióxido de azufre, el humo negro y el monóxido de carbono son los principales contaminantes ambientales implicados en los ingresos por asma entre los niños pequeños. Conclusión: Los ingresos y reingresos por asma entre los niños de Atenas mostraron una elevación brusca durante la década de 1980, una estabilización hacia fines de la década de 1990 y una disminución hasta las tasas de comienzos de la década de 1980 durante el último período.

Palabras clave
asma infantil, admisiones hospitalarias, tendencias temporales, variación estacional, contaminación ambiental


Artículo completo

(castellano)
Extensión:  +/-9.81 páginas impresas en papel A4
Exclusivo para suscriptores/assinantes

Abstract
Background: Trends in rates of asthma admissions among children have shown a variety of patterns in different countries in the last decades. We undertook the present study to determine the time trends in asthma admissions and readmissions of children in metropolitan Athens area, Greece, during the 1978-2005 period. Material, methods and results: Data were obtained from hospital registries of the three main children's hospitals in Athens from 1978 to 2005. Children admitted with the diagnoses of asthma, asthmatic bronchitis or wheezy bronchitis were included. A continuous parallel increase in asthma admission and readmission rates in the greater Athens area throughout the 1980s followed by stabilization during the late 1990s and an impressive come-back to the rates of early eighties during the 2001-2005 period was observed. A constant seasonal variability does exist, with relative humidity and atmospheric pressure appearing to be the most important meteorological variables, and sulphur dioxide, black smoke and carbon monoxide the main ambient air pollutants implicated in asthma admissions among younger children. Conclusion: Asthma admissions among children and readmissions in Athens showed a sharp rise during the 1980s, stabilization during the late 1990s and a decrease to the rates of the early eighties during the last period.

Key words
childhood asthma, hospital admissions, time trends, seasonal variation, air pollution


Full text
(english)
para suscriptores/ assinantes

Clasificación en siicsalud
Artículos originales > Expertos del Mundo >
página   www.siicsalud.com/des/expertocompleto.php/

Especialidades
Principal: Epidemiología, Pediatría
Relacionadas: Alergia, Cuidados Intensivos, Neumonología, Salud Pública



Comprar este artículo
Extensión: 9.81 páginas impresas en papel A4

file05.gif (1491 bytes) Artículos seleccionados para su compra



Enviar correspondencia a:
Kostas N. Priftis, Penteli Children's Hospital Allergy-Pneumonology Department, 152 36, Atenas, Grecia
Bibliografía del artículo
1. Burr ML, Wat D, Evans C, et al. Asthma prevalence in 1973, 1988 and 2003. Thorax 61:296-299, 2006.

2. Devenny A, Wassall H, Ninan T, Omran M, Khan SD, Russell G. Respiratory symptoms and atopy in children in Aberdeen: questionnaire studies of a defined school population repeated over 35 years. BMJ 329:489-90, 2004.

3. Gergen PJ, Weiss KB. Changing patterns of asthma hospitalization among children: 1979 to 1987. JAMA 264:1688-1692, 1990.

4. To T, Dick P, Feldman W, Hernandez R. A cohort study on childhood asthma admissions and readmissions. Pediatrics 98(2 Pt 1):191-195, 1996.

5. Malmstrom K, Korhonen K, Kaila M, et al. Acute childhood asthma in Finland: a retrospective review of hospital admissions from 1976 to 1995. Pediatr Allergy Immunol 11:236-240, 2000.

6. Benito J, Bayon JL, Montiano J, Sanchez J, Mintegui S, Vazquez C. Time trends in acute childhood asthma in Basque Country, Spain. Pediatr Pulmonol 20:184-188, 1995.

7. Anderson HR. Increase in hospital admissions for childhood asthma: trends in referral, severity, and readmissions from 1970 to 1985 in a health region of the United Kingdom. Thorax 44:614-619, 1989.

8. Jonasson G, Lodrup Carlsen KC, Leegaard J Carlsen KH, Mowinckel P, Halvorsen KS. Trends in hospital admissions for childhood asthma in Oslo, Norway, 1980-95. Allergy 55:232-239, 2000.

9. Wennergren G, Kristjansson S, Strannegard IL. Decrease in hospitalization for treatment of childhood asthma increased use of antiinflamatory treatment, despite an increase of prevalence of asthma. J Allergy Clin Immunol 97:742-748, 1996.

10. Korhonen K, Reijonen TM, Remes K, Malmstrom K, Klaukka T, Korppi M. Reasons for and costs of hospitalization for pediatric asthma: a prospective 1-year follow-up in a population-based setting. Pediatr Allergy Immunol 12:331-338, 2001.

11. Weinmann S, Kamtsiuris P, Henke KD, Wickman M, Jenner A, Wahn U. The costs of atopy and asthma in children: assessment of direct costs and their determinants in a birth cohort. Pediatr Allergy Immunol 14:18-26, 2003.

12. Anthracopoulos MB, Liolios E, Panagiotakos DB, Triantou K, Priftis KN. Prevalence of asthma among schoolchildren in Patras, Greece: four questionnaire surveys during 1978-2003. Arch Dis Child 2006.

13. Warman K, Silver EJ, Wood PR. Asthma risk factor assessment: what are the needs of inner-city families? Ann Allergy Asthma Immunol 97(1 Suppl 1):S11-5, 2006.

14. Masoli M, Fabian D, Holt S, Beasley R; Global Initiative for Asthma (GINA) Program. The global burden of asthma: executive summary of the GINA Dissemination Committee report. Allergy 59:469-478, 2004.

15. Priftis K, Anagnostakis J, Harokopos H, Orfanou I, Petraki M, Saxoni-Papageorgiou P. Time trends and seasonal variation in hospital admissions for childhood asthma in Athens Region: 1978-1988. Thorax 48:1168-1169, 1993.

16. Priftis K, Panagiotopoulou-Gartagani P, Tapratzi-Potamianou P, Zachariadi-Xypolita A, Sagriotis A, Saxoni-Papageorgiou P. Hospitalizations for childhood asthma in Athens, Greece, from 1978 to 2000. Pediatr Allergy Immunol 16:82-85, 2005.

17. Priftis K, Paliatsos A, Panagiotopoulou-Gartagani P, et al. Association of weather conditions with childhood asthma admissions in Athens. Respiration 73:783-790, 2006.

18. Paliatsos A, Priftis K, Ziomas J, et al. Association between ambient air pollution and childhood asthma in Athens, Greece. Fresen Environ Bull 15:614-618, 2006.

19. Nastos PT, Paliatsos AG, Priftis KN, et al. The effect of weather types on the frequency of childhood asthma admissions in Athens, Greece. Fresen Environ Bull 15:936-942, 2006.

20. Priftis K, Paliatsos A, Panagiotopoulou-Gartagani P, Kotsonis K, Tapratzi-Potamianou P. Decrease in childhood asthma admissions in Athens, Greece from 2001 to 2005. Acta Paediatr [accepted for publication].

21. Bjor O, Braback L. A retrospective population based trend analysis on hospital admissions for lower respiratory illness among Swedish children from 1987 to 2000. BMC Public Health 3:22, 2003.

22. Wennergren G, Strannegard IL. Asthma hospitalizations continue to decrease in schoolchildren but hospitalization rates for wheezing illnesses remain high in young children. Acta Paediatr 91:1239-1245, 2002.

23. Engelsvold DH, Oymar K. Hospital admissions for childhood asthma in Rogaland, Norway, from 1984 to 2000. Acta Paediatr 92:610-616, 2003.

24. Korhonen K, Reijonen TM, Malmstrom K, Klaukka T, Remes K, Korppi M. Hospitalization trends for paediatric asthma in eastern Finland: a 10-yr survey. Eur Respir J 19:1035-1039, 2002.

25. Rottem M, Zitansky A, Horovitz Y. Hospital admission trends for pediatric asthma: results of a 10 year survey in Israel. Isr Med Assoc J 7:785-789, 2005.

26. Hersoug LG. Viruses as the causative agent related to 'dampness' and the missing link between allergen exposure and onset of allergic disease. Indoor Air 15:363-366, 2005.

27. Stein RT, Holberg CJ, Morgan WJ, et al. Peak flow variability, methacholine responsiveness and atopy as markers for detecting different wheezing phenotypes in childhood. Thorax 52:946-952, 1997.

28. Arlian LG. Water balance and humidity requirements of house dust mites. Exp Appl Acarol 16:15-35, 1992.

29. Van Doorn WG, Van Meeteren U. Flower opening and closure: a review. J Exp Bot 54(389):1801-1812, 2003.

30. Katial RK, Zhang Y, Jones RH, Dyer PD. Atmospheric mold spore counts in relation to meteorological parameters. Int J Biometeorol 41:1432-1254, 1997.

31. Lewis SA, Corden JM, Forster GE, Newlands M. Combined effects of aerobiological pollutants, and meteorological conditions on asthma admissions and A & E attendances in Derbyshire UK, 1993-96. Clin Exp Allergy 30:1724-1732, 2000.

32. Sunyer J, Spix C, Quenel P, et al. Urban air pollution and emergency admissions for asthma in four European cities: The APHEA project. Thorax 52:760-765, 1997.

33. Tenias JM, Ballester F, Rivera ML. Association between hospital emergency visits for asthma and air pollution in Valencia, Spain. Occup Environm Med 55:541-547, 1998.

34. Anderson HR, Ponce de Leon A, Bland JM, Bower JS, Emberlin J, Strachan DP. Air pollution, pollens, and daily admissions in London 1987-92. Thorax 53:842-848, 1998.

35. García Marcos L, Guillen JJ, Dinwiddie R, Guillen A, Barbero P. The relative importance of socio-economic status, parental smoking and air pollution (SO2) on asthma symptoms, spirometry and bronchodilator response in 11-year-old children. Pediatr Allergy Immunol 10:96-100, 1999.

36. Lin M, Chen Y, Burnett RT, Villeneuve PJ, Krewski D. Effect of short-term exposure to gaseous pollution on asthma hospitalization in children: a bi-directional case-crossover analysis. J Epidemiol Community Health 57:50-55, 2003.

37. Kalabokas PD, Viras LG, Repapis CC, Bartzis, JG. Analysis of the 11-year record (1987-1997) of air pollution measurements in Athens, Greece. Part II: Photochemical pollutants. Global Nest: The International Journal 1:169-176, 1999.

38. Ziomas IC, Melas D, Zerefos CS, Bais AF, Paliatsos A. Forecasting peak pollutant levels using meteorological variables. Atmosph Environ 29:3703-3711, 1995.

 
 
 
 
 
 
 
 
 
 
 
 
Está expresamente prohibida la redistribución y la redifusión de todo o parte de los contenidos de la Sociedad Iberoamericana de Información Científica (SIIC) S.A. sin previo y expreso consentimiento de SIIC.
ua31618