Prevalence of prescription medication use in preschool-age children seen in pediatric otolaryngology
To examine the prevalence of daily medication use and prescribing patterns in preschool aged children presenting to otolaryngology clinics. Retrospective summary of prescription-related data from PEDSnet database of two tertiary care children's hospitals within single health system. All new pat...
Gespeichert in:
| Veröffentlicht in: | International journal of pediatric otorhinolaryngology 2020-08, Vol.135, p.110105-110105, Article 110105 |
|---|---|
| Hauptverfasser: | , , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | 110105 |
|---|---|
| container_issue | |
| container_start_page | 110105 |
| container_title | International journal of pediatric otorhinolaryngology |
| container_volume | 135 |
| creator | Luetzenberg, Friederike S. Maul, Timothy M. Wei, Julie L. |
| description | To examine the prevalence of daily medication use and prescribing patterns in preschool aged children presenting to otolaryngology clinics.
Retrospective summary of prescription-related data from PEDSnet database of two tertiary care children's hospitals within single health system.
All new patients between birth and 5 years of age seen in otolaryngology clinics from October 1, 2016 through September 30, 2017 were included. Existing diagnoses, active prescriptions at time of visit, prescription dates, and demographics were abstracted. Summary analysis was performed on medication prevalence, quantity and duration of use, comparing all variables between age, gender, and geographical regions.
Of 7532 patient encounters, 20% presented with active daily medication use. Eustachian tube dysfunction and otitis media were the most common diagnoses regardless of daily medication usage. Corticosteroids, specifically hydrocortisone (Delaware) and Flovent (Florida), were the most common medication prescribed. The number of medications strongly correlated with the number of encounter diagnoses. Overall, patients in Delaware were 4.5 times more likely to have at least one prescription prior to encounter (p |
| doi_str_mv | 10.1016/j.ijporl.2020.110105 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2404639196</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><els_id>S0165587620302482</els_id><sourcerecordid>2404639196</sourcerecordid><originalsourceid>FETCH-LOGICAL-c311t-50f9c5f6561730f491b70eff30b0310e00c4f6e4b7e16efd89ce4f1e529bcb6f3</originalsourceid><addsrcrecordid>eNp9kM9PwyAUx4nRuDn9D4zp0UvnowW6XkzM4q9kiR70TFr62FhYqdAt2X8vs9OjFyDvfb48-BByTWFKgYq79dSsO-ftNIMslmIN-AkZ01mRpTMm2CkZR4ynfFaIEbkIYQ1AC-D8nIzyjGVZLviYNO8ed5XFVmHidNJ5DMqbrjeuTTbYGFX9HLcBE9MO7ZVzNq2WmKiVsY3HNgkYl0M7BqreG5W43tnK79uls265vyRnurIBr477hHw-PX7MX9LF2_Pr_GGRqpzSPuWgS8W14IIWOWhW0roA1DqHGnIKCKCYFsjqAqlA3cxKhUxT5FlZq1rofEJuh3s77762GHq5MUGhtVWLbhtkxoCJvKSliCgbUOVdCB617LzZxCdLCvLgV67l4Fce_MrBb4zdHCds66jnL_QrNAL3A4DxnzuDXgZlDnYb41H1snHm_wnfYfePuA</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2404639196</pqid></control><display><type>article</type><title>Prevalence of prescription medication use in preschool-age children seen in pediatric otolaryngology</title><source>MEDLINE</source><source>ScienceDirect Journals (5 years ago - present)</source><creator>Luetzenberg, Friederike S. ; Maul, Timothy M. ; Wei, Julie L.</creator><creatorcontrib>Luetzenberg, Friederike S. ; Maul, Timothy M. ; Wei, Julie L.</creatorcontrib><description>To examine the prevalence of daily medication use and prescribing patterns in preschool aged children presenting to otolaryngology clinics.
Retrospective summary of prescription-related data from PEDSnet database of two tertiary care children's hospitals within single health system.
All new patients between birth and 5 years of age seen in otolaryngology clinics from October 1, 2016 through September 30, 2017 were included. Existing diagnoses, active prescriptions at time of visit, prescription dates, and demographics were abstracted. Summary analysis was performed on medication prevalence, quantity and duration of use, comparing all variables between age, gender, and geographical regions.
Of 7532 patient encounters, 20% presented with active daily medication use. Eustachian tube dysfunction and otitis media were the most common diagnoses regardless of daily medication usage. Corticosteroids, specifically hydrocortisone (Delaware) and Flovent (Florida), were the most common medication prescribed. The number of medications strongly correlated with the number of encounter diagnoses. Overall, patients in Delaware were 4.5 times more likely to have at least one prescription prior to encounter (p < 0.05, 95% CI 3.2–4.8). This pattern was preserved across age and gender. Patients with medication in Delaware and Florida had a median of 2 (IQR 3.0–1.0) and 1 prescriptions (IQR 2.0–1.0), respectively (p < 0.001). There were no differences based on insurance type and no correlations between medication count and age or gender.
Children in Delaware presented to otolaryngology clinics with significantly more prescribed medications than in Florida. Regional differences were consistent across age and gender. Most children were on these medications for a significant duration.</description><identifier>ISSN: 0165-5876</identifier><identifier>EISSN: 1872-8464</identifier><identifier>DOI: 10.1016/j.ijporl.2020.110105</identifier><identifier>PMID: 32422365</identifier><language>eng</language><publisher>Ireland: Elsevier B.V</publisher><subject>Adrenal Cortex Hormones - therapeutic use ; Anti-Bacterial Agents - therapeutic use ; Child, Preschool ; Databases, Factual ; Delaware ; Drug Prescriptions - statistics & numerical data ; Ear Diseases - drug therapy ; Female ; Florida ; Fluticasone - therapeutic use ; Humans ; Hydrocortisone - therapeutic use ; Infant ; Infant, Newborn ; Male ; Otitis Media - drug therapy ; Otolaryngology ; PEDSnet ; Practice Patterns, Physicians' - statistics & numerical data ; Preschool medication use ; Prescriptions ; Prevalence ; Retrospective Studies</subject><ispartof>International journal of pediatric otorhinolaryngology, 2020-08, Vol.135, p.110105-110105, Article 110105</ispartof><rights>2020 Elsevier B.V.</rights><rights>Copyright © 2020 Elsevier B.V. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c311t-50f9c5f6561730f491b70eff30b0310e00c4f6e4b7e16efd89ce4f1e529bcb6f3</cites><orcidid>0000-0002-4852-3623 ; 0000-0003-2722-7523</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S0165587620302482$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3537,27901,27902,65306</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/32422365$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Luetzenberg, Friederike S.</creatorcontrib><creatorcontrib>Maul, Timothy M.</creatorcontrib><creatorcontrib>Wei, Julie L.</creatorcontrib><title>Prevalence of prescription medication use in preschool-age children seen in pediatric otolaryngology</title><title>International journal of pediatric otorhinolaryngology</title><addtitle>Int J Pediatr Otorhinolaryngol</addtitle><description>To examine the prevalence of daily medication use and prescribing patterns in preschool aged children presenting to otolaryngology clinics.
Retrospective summary of prescription-related data from PEDSnet database of two tertiary care children's hospitals within single health system.
All new patients between birth and 5 years of age seen in otolaryngology clinics from October 1, 2016 through September 30, 2017 were included. Existing diagnoses, active prescriptions at time of visit, prescription dates, and demographics were abstracted. Summary analysis was performed on medication prevalence, quantity and duration of use, comparing all variables between age, gender, and geographical regions.
Of 7532 patient encounters, 20% presented with active daily medication use. Eustachian tube dysfunction and otitis media were the most common diagnoses regardless of daily medication usage. Corticosteroids, specifically hydrocortisone (Delaware) and Flovent (Florida), were the most common medication prescribed. The number of medications strongly correlated with the number of encounter diagnoses. Overall, patients in Delaware were 4.5 times more likely to have at least one prescription prior to encounter (p < 0.05, 95% CI 3.2–4.8). This pattern was preserved across age and gender. Patients with medication in Delaware and Florida had a median of 2 (IQR 3.0–1.0) and 1 prescriptions (IQR 2.0–1.0), respectively (p < 0.001). There were no differences based on insurance type and no correlations between medication count and age or gender.
Children in Delaware presented to otolaryngology clinics with significantly more prescribed medications than in Florida. Regional differences were consistent across age and gender. Most children were on these medications for a significant duration.</description><subject>Adrenal Cortex Hormones - therapeutic use</subject><subject>Anti-Bacterial Agents - therapeutic use</subject><subject>Child, Preschool</subject><subject>Databases, Factual</subject><subject>Delaware</subject><subject>Drug Prescriptions - statistics & numerical data</subject><subject>Ear Diseases - drug therapy</subject><subject>Female</subject><subject>Florida</subject><subject>Fluticasone - therapeutic use</subject><subject>Humans</subject><subject>Hydrocortisone - therapeutic use</subject><subject>Infant</subject><subject>Infant, Newborn</subject><subject>Male</subject><subject>Otitis Media - drug therapy</subject><subject>Otolaryngology</subject><subject>PEDSnet</subject><subject>Practice Patterns, Physicians' - statistics & numerical data</subject><subject>Preschool medication use</subject><subject>Prescriptions</subject><subject>Prevalence</subject><subject>Retrospective Studies</subject><issn>0165-5876</issn><issn>1872-8464</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kM9PwyAUx4nRuDn9D4zp0UvnowW6XkzM4q9kiR70TFr62FhYqdAt2X8vs9OjFyDvfb48-BByTWFKgYq79dSsO-ftNIMslmIN-AkZ01mRpTMm2CkZR4ynfFaIEbkIYQ1AC-D8nIzyjGVZLviYNO8ed5XFVmHidNJ5DMqbrjeuTTbYGFX9HLcBE9MO7ZVzNq2WmKiVsY3HNgkYl0M7BqreG5W43tnK79uls265vyRnurIBr477hHw-PX7MX9LF2_Pr_GGRqpzSPuWgS8W14IIWOWhW0roA1DqHGnIKCKCYFsjqAqlA3cxKhUxT5FlZq1rofEJuh3s77762GHq5MUGhtVWLbhtkxoCJvKSliCgbUOVdCB617LzZxCdLCvLgV67l4Fce_MrBb4zdHCds66jnL_QrNAL3A4DxnzuDXgZlDnYb41H1snHm_wnfYfePuA</recordid><startdate>202008</startdate><enddate>202008</enddate><creator>Luetzenberg, Friederike S.</creator><creator>Maul, Timothy M.</creator><creator>Wei, Julie L.</creator><general>Elsevier B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-4852-3623</orcidid><orcidid>https://orcid.org/0000-0003-2722-7523</orcidid></search><sort><creationdate>202008</creationdate><title>Prevalence of prescription medication use in preschool-age children seen in pediatric otolaryngology</title><author>Luetzenberg, Friederike S. ; Maul, Timothy M. ; Wei, Julie L.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c311t-50f9c5f6561730f491b70eff30b0310e00c4f6e4b7e16efd89ce4f1e529bcb6f3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Adrenal Cortex Hormones - therapeutic use</topic><topic>Anti-Bacterial Agents - therapeutic use</topic><topic>Child, Preschool</topic><topic>Databases, Factual</topic><topic>Delaware</topic><topic>Drug Prescriptions - statistics & numerical data</topic><topic>Ear Diseases - drug therapy</topic><topic>Female</topic><topic>Florida</topic><topic>Fluticasone - therapeutic use</topic><topic>Humans</topic><topic>Hydrocortisone - therapeutic use</topic><topic>Infant</topic><topic>Infant, Newborn</topic><topic>Male</topic><topic>Otitis Media - drug therapy</topic><topic>Otolaryngology</topic><topic>PEDSnet</topic><topic>Practice Patterns, Physicians' - statistics & numerical data</topic><topic>Preschool medication use</topic><topic>Prescriptions</topic><topic>Prevalence</topic><topic>Retrospective Studies</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Luetzenberg, Friederike S.</creatorcontrib><creatorcontrib>Maul, Timothy M.</creatorcontrib><creatorcontrib>Wei, Julie L.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>International journal of pediatric otorhinolaryngology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Luetzenberg, Friederike S.</au><au>Maul, Timothy M.</au><au>Wei, Julie L.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Prevalence of prescription medication use in preschool-age children seen in pediatric otolaryngology</atitle><jtitle>International journal of pediatric otorhinolaryngology</jtitle><addtitle>Int J Pediatr Otorhinolaryngol</addtitle><date>2020-08</date><risdate>2020</risdate><volume>135</volume><spage>110105</spage><epage>110105</epage><pages>110105-110105</pages><artnum>110105</artnum><issn>0165-5876</issn><eissn>1872-8464</eissn><abstract>To examine the prevalence of daily medication use and prescribing patterns in preschool aged children presenting to otolaryngology clinics.
Retrospective summary of prescription-related data from PEDSnet database of two tertiary care children's hospitals within single health system.
All new patients between birth and 5 years of age seen in otolaryngology clinics from October 1, 2016 through September 30, 2017 were included. Existing diagnoses, active prescriptions at time of visit, prescription dates, and demographics were abstracted. Summary analysis was performed on medication prevalence, quantity and duration of use, comparing all variables between age, gender, and geographical regions.
Of 7532 patient encounters, 20% presented with active daily medication use. Eustachian tube dysfunction and otitis media were the most common diagnoses regardless of daily medication usage. Corticosteroids, specifically hydrocortisone (Delaware) and Flovent (Florida), were the most common medication prescribed. The number of medications strongly correlated with the number of encounter diagnoses. Overall, patients in Delaware were 4.5 times more likely to have at least one prescription prior to encounter (p < 0.05, 95% CI 3.2–4.8). This pattern was preserved across age and gender. Patients with medication in Delaware and Florida had a median of 2 (IQR 3.0–1.0) and 1 prescriptions (IQR 2.0–1.0), respectively (p < 0.001). There were no differences based on insurance type and no correlations between medication count and age or gender.
Children in Delaware presented to otolaryngology clinics with significantly more prescribed medications than in Florida. Regional differences were consistent across age and gender. Most children were on these medications for a significant duration.</abstract><cop>Ireland</cop><pub>Elsevier B.V</pub><pmid>32422365</pmid><doi>10.1016/j.ijporl.2020.110105</doi><tpages>1</tpages><orcidid>https://orcid.org/0000-0002-4852-3623</orcidid><orcidid>https://orcid.org/0000-0003-2722-7523</orcidid></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0165-5876 |
| ispartof | International journal of pediatric otorhinolaryngology, 2020-08, Vol.135, p.110105-110105, Article 110105 |
| issn | 0165-5876 1872-8464 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_2404639196 |
| source | MEDLINE; ScienceDirect Journals (5 years ago - present) |
| subjects | Adrenal Cortex Hormones - therapeutic use Anti-Bacterial Agents - therapeutic use Child, Preschool Databases, Factual Delaware Drug Prescriptions - statistics & numerical data Ear Diseases - drug therapy Female Florida Fluticasone - therapeutic use Humans Hydrocortisone - therapeutic use Infant Infant, Newborn Male Otitis Media - drug therapy Otolaryngology PEDSnet Practice Patterns, Physicians' - statistics & numerical data Preschool medication use Prescriptions Prevalence Retrospective Studies |
| title | Prevalence of prescription medication use in preschool-age children seen in pediatric otolaryngology |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-02-06T17%3A55%3A55IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Prevalence%20of%20prescription%20medication%20use%20in%20preschool-age%20children%20seen%20in%20pediatric%20otolaryngology&rft.jtitle=International%20journal%20of%20pediatric%20otorhinolaryngology&rft.au=Luetzenberg,%20Friederike%20S.&rft.date=2020-08&rft.volume=135&rft.spage=110105&rft.epage=110105&rft.pages=110105-110105&rft.artnum=110105&rft.issn=0165-5876&rft.eissn=1872-8464&rft_id=info:doi/10.1016/j.ijporl.2020.110105&rft_dat=%3Cproquest_cross%3E2404639196%3C/proquest_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=2404639196&rft_id=info:pmid/32422365&rft_els_id=S0165587620302482&rfr_iscdi=true |