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Tytuł pozycji:

Epidemiology of bronchiolitis: a description of emergency department visits and hospitalizations in Puerto Rico, 2010-2014.

Tytuł:
Epidemiology of bronchiolitis: a description of emergency department visits and hospitalizations in Puerto Rico, 2010-2014.
Autorzy:
Rivera-Sepulveda A; Division of Pediatric Emergency Medicine, Department of Pediatrics, Saint Louis University School of Medicine, 1402 S. Grand Boulevard - Glennon Hall, Room 2717, 63104 Saint Louis, MO USA.; School of Health Professions, University of Puerto Rico Medical Sciences Campus, and School of Medicine, San Juan, Puerto Rico.
Garcia-Rivera EJ; School of Health Professions, University of Puerto Rico Medical Sciences Campus, and School of Medicine, San Juan, Puerto Rico.; Endowed Health Services, University of Puerto Rico School of Medicine, Medical Sciences Campus, San Juan, Puerto Rico.
Źródło:
Tropical medicine and health [Trop Med Health] 2017 Oct 02; Vol. 45, pp. 24. Date of Electronic Publication: 2017 Oct 02 (Print Publication: 2017).
Typ publikacji:
Journal Article
Język:
English
Imprint Name(s):
Publication: <2016- > : London : BioMed Central Ltd.
Original Publication: Nagasaki, Japan : Japanese Society of Tropical Medicine, [2004]-
References:
J Pediatr Health Care. 2015 Mar-Apr;29(2):169-80. (PMID: 25454385)
J Pediatr. 2003 Nov;143(5 Suppl):S118-26. (PMID: 14615710)
Eur J Clin Microbiol Infect Dis. 2012 Aug;31(8):1975-81. (PMID: 22240853)
Arch Pediatr Adolesc Med. 2012 Aug;166(8):700-6. (PMID: 22473882)
Pediatrics. 2001 Oct;108(4):851-5. (PMID: 11581435)
Trop Med Int Health. 1998 Apr;3(4):268-80. (PMID: 9623927)
PLoS One. 2012;7(3):e32807. (PMID: 22470426)
Pediatrics. 2013 Mar;131 Suppl 1:S103-9. (PMID: 23457145)
Bol Asoc Med P R. 2014;106(2):4-8. (PMID: 25065043)
JAMA. 1999 Oct 20;282(15):1440-6. (PMID: 10535434)
Medicine (Baltimore). 2015 May;94(21):e831. (PMID: 26020386)
Am J Dis Child. 1993 Mar;147(3):303-6. (PMID: 8438813)
Pediatrics. 2013 Aug;132(2):245-52. (PMID: 23878045)
Pediatr Emerg Care. 2005 Apr;21(4):242-7. (PMID: 15824683)
Acta Paediatr. 2010 Jun;99(6):883-7. (PMID: 20163373)
J Allergy Clin Immunol. 2009 Jan;123(1):131-137.e1. (PMID: 19130934)
Pediatrics. 2010 Dec;126(6):e1453-60. (PMID: 21098154)
Stat Med. 2000 Feb 15;19(3):335-51. (PMID: 10649300)
Am J Dis Child. 1986 Aug;140(8):806-12. (PMID: 3728410)
J Pediatr. 2013 Oct;163(4):1186-91. (PMID: 23706603)
P R Health Sci J. 2015 Jun;34(2):98-101. (PMID: 26061061)
Pediatr Rev. 2014 Dec;35(12):519-30. (PMID: 25452661)
Pediatr Infect Dis J. 2014 Jun;33(6):589-94. (PMID: 24445835)
Pediatr Infect Dis J. 2014 Jan;33(1):11-8. (PMID: 23934206)
Pediatrics. 2006 Dec;118(6):2418-23. (PMID: 17142527)
Sci Rep. 2016 Jun 16;6:27856. (PMID: 27306333)
P R Health Sci J. 2005 Jun;24(2):137-40. (PMID: 16116931)
Pediatrics. 2010 Feb;125(2):342-9. (PMID: 20100768)
J Pathog. 2013;2013:493960. (PMID: 23365758)
Pediatr Infect Dis J. 2003 Feb;22(2 Suppl):S13-8; discussion S18-20. (PMID: 12671448)
Evid Rep Technol Assess (Summ). 2003 Jan;(69):1-5. (PMID: 12624885)
Pediatrics. 2013 Jul;132(1):28-36. (PMID: 23733801)
Pediatr Emerg Care. 2012 Feb;28(2):99-103. (PMID: 22270499)
Pediatrics. 2014 Nov;134(5):e1474-502. (PMID: 25349312)
Arch Dis Child. 2016 Feb;101(2):140-6. (PMID: 26342094)
Pediatr Emerg Med Pract. 2019 Oct;16(10):1-24. (PMID: 31557431)
BMC Infect Dis. 2014 Oct 30;14:544. (PMID: 25358423)
Eur J Epidemiol. 2003;18(1):55-61. (PMID: 12705624)
Pediatr Pulmonol. 2014 Mar;49(3):269-76. (PMID: 23401345)
Am J Epidemiol. 2013 Apr 1;177(7):656-65. (PMID: 23436899)
Epidemiol Infect. 2008 Oct;136(10):1319-27. (PMID: 18177515)
N Engl J Med. 2009 Feb 5;360(6):588-98. (PMID: 19196675)
Pediatrics. 2008 Jul;122(1):58-64. (PMID: 18595987)
Pediatr Infect Dis J. 2003 Oct;22(10):857-62. (PMID: 14551484)
Pediatr Infect Dis J. 2013 Sep;32(9):950-5. (PMID: 23694832)
Grant Information:
R25 MD007607 United States MD NIMHD NIH HHS; S21 MD000138 United States MD NIMHD NIH HHS; S21 MD000242 United States MD NIMHD NIH HHS
Contributed Indexing:
Keywords: Bronchiolitis; Children; Epidemiology; Hospitalization; Pediatric; Puerto Rico; Respiratory syncytial virus; Trend
Entry Date(s):
Date Created: 20171013 Latest Revision: 20240327
Update Code:
20240327
PubMed Central ID:
PMC5623968
DOI:
10.1186/s41182-017-0064-7
PMID:
29021713
Czasopismo naukowe
Background: Little is known about the epidemiology of bronchiolitis as a clinical diagnosis and its impact on emergency department visits and hospitalizations in tropical and semitropical regions. We described the epidemiology of bronchiolitis emergency visits and hospitalizations, its temporal trend and geographic distribution in Puerto Rico between 2010 and 2014.
Methods: We performed a retrospective descriptive analysis of a representative sample of privately insured children with bronchiolitis from January 2010 to December 2014. Data was provided by the largest private health insurer in Puerto Rico and identified children < 24 months of age with bronchiolitis by International Classification of Diseases, Ninth Revision code 466, 466.11, and 466.19. Chi-square and one-way ANOVA compared sex, age, diagnosis, and severity across the years. Joinpoint Poisson regression analysis evaluated the temporal trend distribution of bronchiolitis hospitalizations per calendar year. A P value less than 0.05 was statistically significant.
Results: During the study period, the annual proportion of emergency department visits and hospitalizations due to bronchiolitis increased from 3 to 5%, and 26 to 38%, respectively. The annual incidence rate of hospitalizations was 3.2 per 1000 privately insured children < 24 months. Non-RSV bronchiolitis was the most frequent diagnosis (51%). Hospitalizations occurred year-round, but increased significantly from August through December. Most children hospitalized resided in the metropolitan San Juan (35%) and surrounding urban areas. Total hospital charges decreased from $3.78 to $3.74 million, with an average cost per hospitalization of $4320.12 (11.3% increase; P  = 0.0015).
Conclusions: This is the first study that evaluates the epidemiological characteristics of bronchiolitis in a primarily Hispanic population, living in a tropical country, and using data from a privately insured population. We found a small but significant increase in proportion of emergency visits and hospitalizations. Temporal trend shows year-round hospitalizations with an earlier seasonal peak and longer duration, consistent with Puerto Rico's seasonal rainfall throughout the study period. Further studies are needed to elucidate whether this epidemiologic pattern can also be seen in publicly insured children and whether Hispanic ethnicity is a risk factor for increased hospitalizations or is related to health disparities in the US healthcare system.

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