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Preschool asthma in Italy: prevalence, risk factors and health resource utilization.
Respir Med. 2009 Jan; 103(1):104-8.RM

Abstract

Asthma in preschool children is greatly under-diagnosed worldwide. Aim was to investigate prevalence of wheezing, and asthma risk factors, doctor diagnosis, treatment and health resource utilization in preschool children. About 1402 children (3-5 years) attending local kindergartens participated in the study. The International Study of Asthma and Allergies in Childhood (ISAAC) written questionnaire (WQ) was used with additional questions on risk factors, asthma diagnosis, treatments, resource utilization. Allergic sensitisation was evaluated by skin prick tests for the common allergens. Prevalence of "wheezing in previous 12 months" and "doctor diagnosed asthma" were 12.1% and 8.6%, respectively. 4.7% of children have had both wheezing in the last 12 months and asthma diagnosis. Significant risk factors for wheezing were rhinitis, parental history of atopy and sensitivity to mites and grass pollens. 27.3% of children with asthma diagnosis, but only 4.9% of children without diagnosis, received regular treatment during the previous year (p<0.0001). Children with more than 4 episodes of wheezing a year received more frequently an asthma diagnosis, but 68.6% were not on regular treatment. Asthma diagnosis was associated with a significant increase in control visits for wheezing (p<0.0001). The prevalence of children requiring at least one hospital emergency visit in the previous year was not different among the two groups (83.3% vs. 82.5%). In preschool children the prevalence of wheezing and asthma is elevated. Preschool asthma seems to be under-treated with few cases receiving regular therapy. The social cost of the disease at this age seems to be elevated because of the high frequency of control and emergency visits.

Authors+Show Affiliations

Department of Pediatrics, University of Verona, Policlinico G.B. Rossi, Piazzale L. Scuro, 37134 Verona, Italy. peroni.diego@tiscalinet.itNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

18760577

Citation

Peroni, Diego G., et al. "Preschool Asthma in Italy: Prevalence, Risk Factors and Health Resource Utilization." Respiratory Medicine, vol. 103, no. 1, 2009, pp. 104-8.
Peroni DG, Piacentini GL, Bodini A, et al. Preschool asthma in Italy: prevalence, risk factors and health resource utilization. Respir Med. 2009;103(1):104-8.
Peroni, D. G., Piacentini, G. L., Bodini, A., & Boner, A. L. (2009). Preschool asthma in Italy: prevalence, risk factors and health resource utilization. Respiratory Medicine, 103(1), 104-8. https://doi.org/10.1016/j.rmed.2008.07.016
Peroni DG, et al. Preschool Asthma in Italy: Prevalence, Risk Factors and Health Resource Utilization. Respir Med. 2009;103(1):104-8. PubMed PMID: 18760577.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Preschool asthma in Italy: prevalence, risk factors and health resource utilization. AU - Peroni,Diego G, AU - Piacentini,Giorgio L, AU - Bodini,Alessandro, AU - Boner,Attilio L, Y1 - 2008/08/28/ PY - 2008/02/03/received PY - 2008/07/07/revised PY - 2008/07/16/accepted PY - 2008/9/2/pubmed PY - 2009/2/10/medline PY - 2008/9/2/entrez SP - 104 EP - 8 JF - Respiratory medicine JO - Respir Med VL - 103 IS - 1 N2 - Asthma in preschool children is greatly under-diagnosed worldwide. Aim was to investigate prevalence of wheezing, and asthma risk factors, doctor diagnosis, treatment and health resource utilization in preschool children. About 1402 children (3-5 years) attending local kindergartens participated in the study. The International Study of Asthma and Allergies in Childhood (ISAAC) written questionnaire (WQ) was used with additional questions on risk factors, asthma diagnosis, treatments, resource utilization. Allergic sensitisation was evaluated by skin prick tests for the common allergens. Prevalence of "wheezing in previous 12 months" and "doctor diagnosed asthma" were 12.1% and 8.6%, respectively. 4.7% of children have had both wheezing in the last 12 months and asthma diagnosis. Significant risk factors for wheezing were rhinitis, parental history of atopy and sensitivity to mites and grass pollens. 27.3% of children with asthma diagnosis, but only 4.9% of children without diagnosis, received regular treatment during the previous year (p<0.0001). Children with more than 4 episodes of wheezing a year received more frequently an asthma diagnosis, but 68.6% were not on regular treatment. Asthma diagnosis was associated with a significant increase in control visits for wheezing (p<0.0001). The prevalence of children requiring at least one hospital emergency visit in the previous year was not different among the two groups (83.3% vs. 82.5%). In preschool children the prevalence of wheezing and asthma is elevated. Preschool asthma seems to be under-treated with few cases receiving regular therapy. The social cost of the disease at this age seems to be elevated because of the high frequency of control and emergency visits. SN - 1532-3064 UR - https://www.unboundmedicine.com/medline/citation/18760577/Preschool_asthma_in_Italy:_prevalence_risk_factors_and_health_resource_utilization_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0954-6111(08)00257-6 DB - PRIME DP - Unbound Medicine ER -