Risk factors for readmission of children hospitalized with acute asthma attacks in South China

Sun, Wangming; Pan, Lingzhi; Zhang, Weixi

doi:10.1080/02770903.2019.1705334

Cited by 9 publications

(4 citation statements)

References 39 publications

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“…Our hospital is a specialized tuberculosis hospital with a relatively stable patient source, so a large sample size can be obtained in this study. The readmission of COPD and asthma has been studied by some scholars, 31 , 32 , 33 but only a few studies have looked at readmission rates for TB, and there is a lack of research on unplanned readmission in patients with pulmonary TB. This study analyzed the influencing factors of unplanned readmission of TB patients, which could help to identify and intervene the high-risk groups of unplanned readmission.…”

Section: Discussionmentioning

confidence: 99%

Risk factor for 31-day unplanned readmission to hospital in patients with pulmonary tuberculosis in China

Cao

Liu

Huang

2021

SMJ

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Objectives: To evaluate risk factors associated with 31-day unplanned readmission(s) for pulmonary tuberculosis (TB) in China.Methods: This retrospective study enrolled patients (age, >14 years) with pulmonary TB who experienced 31-day unplanned readmissions to a specialized hospital for TB between January 2018 and December 2019. For each confirmed readmission, 2 control subjects were randomly selected from among patients with pulmonary Original Article TB but did not experience an unplanned readmission within 31 days.Results: A total of 402 pulmonary TB patients (5.9%) experienced unplanned readmission within 31 days after discharge. In univariate analysis, readmission was associated with gender, age, insurance coverage, residing in a rural area, active smoking, chronic obstructive pulmonary disease (COPD), drug-induced hepatitis, and leaving hospital against medical advice. The final logistic regression model revealed that higher risks for unplanned readmissions were associated with male gender (odds ratio [OR] 1.44, [95% confidence interval (CI) : 1.06-1.95]), age >65 years (OR 2.94, 95%CI: 2.03-4.27), rural residence (OR 8.86, 95%CI: 6.61-11.87), active smoking (OR 2.15, 95% CI 1.37-3.40), COPD (OR 2.77, 95%CI: 1.59-4.81), and leaving hospital against physician advice (OR 4.11,). The median time to 31-day unplanned readmission was 24 days. Major reasons for unplanned readmission included fever, exacerbation of dyspnea, and hemoptysis. Conclusion:Unplanned readmission for pulmonary TB within 31 days of discharge was higher among older males residing in rural areas, active smokers, and those leaving hospital against medical advice.

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Section: Discussionmentioning

confidence: 99%

Risk factor for 31-day unplanned readmission to hospital in patients with pulmonary tuberculosis in China

Cao

Liu

Huang

2021

SMJ

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“…Mp may also play a role in triggering recurrent wheezing in children 25,26 . In children who have had their first asthma exacerbation and are infected with Mp, absence of macrolide use increases risk of asthma recurrence and more severe exacerbation requiring admission to intensive care unit 27 .…”

Section: Discussionmentioning

confidence: 99%

Characteristics of asthmatic children with <em>Mycoplasma pneumoniae</em> infection in Vietnam

Bui,

Mai,

Nguyen

et al. 2024

Sri Lanka J Child Health

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Introduction: Mycoplasma pneumoniae is regarded as an involved factor in refractory asthma exacerbations. The link between Mycoplasma pneumoniae infection and asthma is not fully understood, particularly regarding clinical and paraclinical characteristics.Objectives: To determine the frequency of Mycoplasma pneumoniae infection in asthmatic children, identify clinical and paraclinical characteristics along with clinical management in children aged 6 to 15 years at Can Tho Children's Hospital, Vietnam.Method: From March 2019 to April 2021, 124 patients participated in a cross-sectional study that was done. Mycoplasma pneumoniae was detected using an immunoglobulin N (IgM) serology test.Results: Mycoplasma pneumoniae-IgM serology was positive in 32.3% asthmatic children. IgM-positive individuals had significantly greater percentages of accessory respiratory muscle contraction, coarse crackles, fever, and increased heart rate. Mycoplasma pneumoniae infection occurred in 42.3% of children who were hospitalized for the first time and had asthma diagnosis. Mycoplasma pneumoniae infection and the severity of acute asthma exacerbations had a positive association (p<0.05). A longer hospital stay (6.74±1.91 days) and a higher exacerbation recurrence rate (32.4%) were observed in the IgM-positive group (p<0.05). Conclusions: Mycoplasma pneumoniae infections were highly prevalent in asthmatic children. Severity of acute asthma exacerbations, first-time asthma diagnosis, and recurrence of asthma exacerbation were significantly associated with Mycoplasma pneumoniae infection.

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“…Asthma and other chronic medical diseases have been the subject of several investigations (8,9) . In children with congenital heart disease, there is a lack of data on readmissions after cardiac surgery.…”

Section: Table (7): Association Between Change Between Pre and Post-o...mentioning

confidence: 99%

Prognostic Value of NT-proBNP and 3 Months Readmission or Mortality after Congenital Heart Surgery

Zahran¹,

Zahran²,

Elghaffar³

2022

The Egyptian Journal of Hospital Medicine

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Background: The use of NT-proBNP in predicting outcomes after juvenile congenital heart surgery is uncertain. Objective: We wanted to determine whether the novel biomarker NT-proBNP might be used to identify babies at increased risk of readmission or death after congenital heart surgery. Patients and Methods: This was a cross-sectional study done from April 2021 to January 2022, at Pediatric Intensive Care Units at Alhusien and Bab Alsharia University Hospitals. Our study included 100 patients in the pediatric and adolescent age group. Biomarkers were assessed using an enzyme-linked immunosorbent assay with patterned arrays and electrochemiluminescence detection. The manufacturer's specifications were respected while repurposing pre-owned kits and equipment. Results: Soluble suppression of tumorigenicity 2 pre and postoperative values were significantly associated with readmission. Postoperative NT-ProBNP values were significantly associated with readmission. Only preoperative soluble suppression of tumorigenicity 2 with cut-off value of 1.46 showed significant association with readmission with sensitivity and specificity of 84.6 and 79.3% respectively. Postoperative NT-ProBNP and soluble suppression of tumorigenicity 2 with cut-off values of 904.12 and 1.46 respectively showed significant association with readmission with sensitivity and specificity of 95.5% and 97.7% respectively for NT-ProBNP and sensitivity and specificity 84.6% and 74.7% respectively for soluble suppression of tumorigenicity 2. No laboratory parameter change showed significant association with readmission. Conclusion: Postoperative NT-proBNP levels were strongly related with readmission after juvenile congenital heart surgery, with good sensitivity and specificity.

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Risk factors for readmission of children hospitalized with acute asthma attacks in South China

Cited by 9 publications

References 39 publications

Risk factor for 31-day unplanned readmission to hospital in patients with pulmonary tuberculosis in China

Risk factor for 31-day unplanned readmission to hospital in patients with pulmonary tuberculosis in China

Characteristics of asthmatic children with <em>Mycoplasma pneumoniae</em> infection in Vietnam

Prognostic Value of NT-proBNP and 3 Months Readmission or Mortality after Congenital Heart Surgery

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