PREDICTING HOSPITALIZATION IN CHILDREN WITH ACUTE ASTHMA

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dc.authoridSekerel, Bulent/0000-0001-7402-6850
dc.authoridOrhan, Fazil/0000-0002-4850-932X
dc.authorid/0000-0003-1206-969X
dc.authoridcokugras, Haluk Cezmi/0000-0002-0086-3936
dc.authorwosidCivelek, Ersoy/L-7611-2019
dc.authorwosidSekerel, Bulent/I-9309-2013
dc.authorwosidÇokuğraş, Haluk C/D-2598-2019
dc.authorwosidCan, Demet/AAG-6831-2019
dc.authorwosidYazicioglu, Mehtap/AAB-9587-2022
dc.authorwosidOrhan, Fazil/AAL-6641-2021
dc.authorwosidAkcay, Ahmet/GQB-0061-2022
dc.contributor.authorBuyuktiryaki, A. Betul
dc.contributor.authorCivelek, Ersoy
dc.contributor.authorCan, Demet
dc.contributor.authorOrhan, Fazil
dc.contributor.authorAydogan, Metin
dc.contributor.authorReisli, Ismail
dc.contributor.authorKeskin, Ozlem
dc.date.accessioned2024-06-12T10:50:31Z
dc.date.available2024-06-12T10:50:31Z
dc.date.issued2013
dc.departmentTrakya Üniversitesien_US
dc.description.abstractBackground: Acute asthma is one of the most common medical emergencies in children. Appropriate assessment/treatment and early identification of factors that predict hospitalization are critical for the effective utilization of emergency services. Objective: To identify risk factors that predict hospitalization and to compare the concordance of the Modified Pulmonary Index Score (MPIS) with the Global Initiative for Asthma (GINA) guideline criteria in terms of attack severity. Methods: The study population was composed of children aged 5-18 years who presented to the Emergency Departments (ED) of the tertiary reference centers of the country within a period of 3 months. Patients were evaluated at the initial presentation and the 1st and 4th hours. Results: Of the 304 patients (median age: 8.0 years [interquartile range: 6.5-9.7]), 51.3% and 19.4% required oral corticosteroids (OCS) and hospitalization, respectively. Attack severity and MPIS were found as predicting factors for hospitalization, but none of the demographic characteristics collected predicted OCS use or hospitalization. Hospitalization status at the 1st hour with moderate/severe attack severity showed a sensitivity of 44.1%, specificity of 82.9%, positive predictive value of 38.2%, and negative predictive value of 86.0%; for MPIS >= 5, these values were 42.4%, 85.3%, 41.0%, and 86.0%, respectively. Concordance in prediction of hospitalization between the MPIS and the GINA guideline was found to be moderate at the 1st hour (kappa = 0.577). Conclusion: Attack severity is a predictive factor for hospitalization in children with acute asthma. Determining attack severity with MPIS and a cut-off value >= 5 at the 1st hour may help physicians in EDs. Having fewer variables and the ability to calculate a numeric value with MPIS makes it an easy and useful tool in clinical practice. (C) 2013 Elsevier Inc.en_US
dc.identifier.doi10.1016/j.jemermed.2012.10.015
dc.identifier.endpage927en_US
dc.identifier.issn0736-4679
dc.identifier.issn1090-1280
dc.identifier.issue5en_US
dc.identifier.pmid23333182en_US
dc.identifier.scopus2-s2.0-84877577956en_US
dc.identifier.scopusqualityQ2en_US
dc.identifier.startpage919en_US
dc.identifier.urihttps://doi.org/10.1016/j.jemermed.2012.10.015
dc.identifier.urihttps://hdl.handle.net/20.500.14551/18036
dc.identifier.volume44en_US
dc.identifier.wosWOS:000318916200012en_US
dc.identifier.wosqualityQ2en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherElsevier Science Incen_US
dc.relation.ispartofJournal Of Emergency Medicineen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectAcute Asthmaen_US
dc.subjectEmergency Departmenten_US
dc.subjectGINAen_US
dc.subjectHospitalizationen_US
dc.subjectModified Pulmonary Index Scoreen_US
dc.subjectChildhood Asthmaen_US
dc.subjectEmergency-Departmenten_US
dc.subjectPediatric Asthmaen_US
dc.subjectPulmonary Indexen_US
dc.subjectClinical Scoreen_US
dc.subjectSeverityen_US
dc.subjectAdmissionen_US
dc.subjectOrganizationen_US
dc.subjectPrevalenceen_US
dc.subjectManagementen_US
dc.titlePREDICTING HOSPITALIZATION IN CHILDREN WITH ACUTE ASTHMAen_US
dc.typeArticleen_US

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