Prematurity as a predictor of childhood asthma among low-income children
Prematurity as a predictor of childhood asthma among low-income children
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DOI：
10.1016/j.annepidem.2007.11.012
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发表时间：
2008-04-01
影响因子：
5.6
通讯作者：
Gurney, James G.
中科院分区：
文献类型：
--
作者：
Dombkowski, Kevin J.;Leung, Sonia W.;Gurney, James G.
目得：本研究的目的是评估出生体重，早产儿，哮喘的患病率之间的关联，在儿童期以后，并评估在何种程度上，这种关联可能会有所不同，黑人和白色children.METHODS：密歇根州医疗补助索赔数据从2001年至2003年进行了分析，以确定哮喘患病率为150,204名5岁至18岁的儿童。使用医疗保健有效性数据和信息集持续性哮喘标准确定哮喘病例，包括在一个日历年内对以下任何服务提出索赔的儿童：至少一次住院或急诊科（艾德）索赔哮喘初步诊断;至少四次哮喘药物分发事件;或至少四次诊断为哮喘的门诊就诊，以及至少两次哮喘药物分发事件。出生体重和胎龄从出生证明数据与医疗补助文件相匹配，以确定大小为孕龄criterions.Results：总体而言，8.3%的儿童有持续性哮喘;黑人儿童哮喘患病率（8.6%）略高于白色儿童（7.8%;比值比[OR] = 1.11，95%置信区间[CI]：1.07-1.15）。早产儿（
PURPOSE: The purpose of this study was to evaluate the association among birth weight, prematurity, and the prevalence of asthma later in childhood and to assess the degree to which this association may differ between black and white children.METHODS: Michigan Medicaid claims data from 2001 through 2003 were analyzed to determine asthma prevalence for 150,204 children between ages 5 and 18 years. Asthma cases were identified using Healthcare Effectiveness Data and Information Set persistent asthma criteria and included children having claims for any of the following services within a calendar year: at least one inpatient or one emergency department (ED) claim with an asthma primary diagnosis; at least four asthma medication-dispensing events; or at least four outpatient visits with an asthma diagnosis, and at least two asthma medication-dispensing events. Birth weight and gestational age from birth certificate data were matched with Medicaid files to determine size-for-gestational-age criteria.RESULTS: Overall, 8.3% of children had persistent asthma; black children had slightly higher asthma prevalence (8.6%) than white children (7.8%; odds ratio [OR] = 1.11, 95% confidence interval [CI]: 1.07-1.15). Children born very preterm (