Impact of wheezing episodes in children 0 to 3 years old from a low-income area in Southern Brazil

AIMS: To identify the prevalence of wheezing and associated factors in children younger than three years of age in a sample of low income region, and to measure other markers associated with severity and risk of asthma in early life. METHODS: Parents or legal guardians of infants were interviewed at...

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Veröffentlicht in:Scientia medica 2013, Vol.23 (4)
Hauptverfasser: Luiza Tainski de Azevedo, Ana, Araújo Pinto, Leonardo, Bezerra de Oliveira Costa, Sofia, Revillion de Oliveira, Marie Christine
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creator Luiza Tainski de Azevedo, Ana
Araújo Pinto, Leonardo
Bezerra de Oliveira Costa, Sofia
Revillion de Oliveira, Marie Christine
description AIMS: To identify the prevalence of wheezing and associated factors in children younger than three years of age in a sample of low income region, and to measure other markers associated with severity and risk of asthma in early life. METHODS: Parents or legal guardians of infants were interviewed at the primary health center in a low-income area from Porto Alegre, Rio Grande do Sul state, and answered a questionnaire designed to estimate the prevalence of wheezing and evaluate the associated risk factors, called EISL (International Study of Wheezing in Infants). We included patients up to 36 months of age visiting for routine examination or vaccination. Patients brought to emergency room were not included. RESULTS: The study evaluated a total of 153 children with a mean age of 12.6±9.5 months. Of them, 63% had at least one episode of wheezing reported, which occurred one or more times during the first year of life. The average age of the first episode of wheezing was 4.9±5.3 months. Use of β2-agonists, oral and inhaled corticosteroids was reported by 58.2%, 32.7% and 19%, respectively. More than 59% of the patients visited an emergency unit due to wheezing episodes and 13% were hospitalized at least once in the first years of life because of wheezing. CONCLUSIONS: This study has shown that the prevalence of wheezing on young children is high in a low-income area from Porto Alegre, and the symptoms usually occur during the first two years of life. In addition, high frequency of medication usage and hospitalization demonstrates the impact of obstructive lung disease in this age group.
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METHODS: Parents or legal guardians of infants were interviewed at the primary health center in a low-income area from Porto Alegre, Rio Grande do Sul state, and answered a questionnaire designed to estimate the prevalence of wheezing and evaluate the associated risk factors, called EISL (International Study of Wheezing in Infants). We included patients up to 36 months of age visiting for routine examination or vaccination. Patients brought to emergency room were not included. RESULTS: The study evaluated a total of 153 children with a mean age of 12.6±9.5 months. Of them, 63% had at least one episode of wheezing reported, which occurred one or more times during the first year of life. The average age of the first episode of wheezing was 4.9±5.3 months. Use of β2-agonists, oral and inhaled corticosteroids was reported by 58.2%, 32.7% and 19%, respectively. More than 59% of the patients visited an emergency unit due to wheezing episodes and 13% were hospitalized at least once in the first years of life because of wheezing. CONCLUSIONS: This study has shown that the prevalence of wheezing on young children is high in a low-income area from Porto Alegre, and the symptoms usually occur during the first two years of life. In addition, high frequency of medication usage and hospitalization demonstrates the impact of obstructive lung disease in this age group.</description><identifier>ISSN: 1980-6108</identifier><identifier>EISSN: 1980-6108</identifier><language>por</language><subject>Child ; Impact In The Health Condition ; Prevalence ; Wheezing</subject><ispartof>Scientia medica, 2013, Vol.23 (4)</ispartof><rights>LICENCIA DE USO: Los documentos a texto completo incluidos en Dialnet son de acceso libre y propiedad de sus autores y/o editores. Por tanto, cualquier acto de reproducción, distribución, comunicación pública y/o transformación total o parcial requiere el consentimiento expreso y escrito de aquéllos. Cualquier enlace al texto completo de estos documentos deberá hacerse a través de la URL oficial de éstos en Dialnet. Más información: https://dialnet.unirioja.es/info/derechosOAI | INTELLECTUAL PROPERTY RIGHTS STATEMENT: Full text documents hosted by Dialnet are protected by copyright and/or related rights. This digital object is accessible without charge, but its use is subject to the licensing conditions set by its authors or editors. Unless expressly stated otherwise in the licensing conditions, you are free to linking, browsing, printing and making a copy for your own personal purposes. All other acts of reproduction and communication to the public are subject to the licensing conditions expressed by editors and authors and require consent from them. Any link to this document should be made using its official URL in Dialnet. 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subjects Child
Impact In The Health Condition
Prevalence
Wheezing
title Impact of wheezing episodes in children 0 to 3 years old from a low-income area in Southern Brazil
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