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Association between respiratory syncytial virus hospitalization in infancy and childhood asthma
INTRODUCTION: Respiratory syncytial virus infection in early childhood has been linked to longer‐term respiratory morbidity; however, debate persists around its impact on asthma. The objective was to assess the association between respiratory syncytial virus hospitalization and childhood asthma. MET...
Autores principales: | , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
John Wiley and Sons Inc.
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7187471/ https://www.ncbi.nlm.nih.gov/pubmed/32040885 http://dx.doi.org/10.1002/ppul.24676 |
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author | Coutts, Jonathan Fullarton, John Morris, Carole Grubb, ElizaBeth Buchan, Scot Rodgers‐Gray, Barry Thwaites, Richard |
author_facet | Coutts, Jonathan Fullarton, John Morris, Carole Grubb, ElizaBeth Buchan, Scot Rodgers‐Gray, Barry Thwaites, Richard |
author_sort | Coutts, Jonathan |
collection | PubMed |
description | INTRODUCTION: Respiratory syncytial virus infection in early childhood has been linked to longer‐term respiratory morbidity; however, debate persists around its impact on asthma. The objective was to assess the association between respiratory syncytial virus hospitalization and childhood asthma. METHODS: Asthma hospital admissions and medication use through 18 years were compared in children with (cases) and without (controls) respiratory syncytial virus hospitalization in the first 2 years of life. All children born in National Health Service Scotland between 1996 and 2011 were included. RESULTS: Of 740 418 children (median follow‐up: 10.6 years), 15 795 (2.1%) had a respiratory syncytial virus hospitalization at ≤2 years (median age: 143 days). Asthma hospitalizations were three‐fold higher in cases than controls (8.4% vs 2.4%; relative risk: 3.3, 95% confidence interval [CI]: 3.1‐3.5; P < .0001) and admission rates were four‐fold higher (193.2 vs 46.0/1000). Cases had two‐fold higher asthma medication usage (25.5% vs 14.7%; relative risk: 1.7, 95% CI: 1.7‐1.8; P < .0001) and a three‐fold higher rate of having both an asthma admission and medication (4.8% vs 1.5%; relative risk 3.1, 95% CI: 2.9‐3.3; P < .0001). Admission rates and medication use remained significantly (P < .001) higher for cases than controls throughout childhood (admissions: ≥2‐fold higher; medication: ≥1.5‐fold higher). Respiratory syncytial virus hospitalization was the most significant risk factor for asthma hospitalizations±medication use (odds ratio: 1.9‐2.8; P < .001). CONCLUSIONS: Respiratory syncytial virus hospitalization was associated with significantly increased rates and severity of asthma throughout childhood, which has important implications for preventive strategies. |
format | Online Article Text |
id | pubmed-7187471 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | John Wiley and Sons Inc. |
record_format | MEDLINE/PubMed |
spelling | pubmed-71874712020-04-29 Association between respiratory syncytial virus hospitalization in infancy and childhood asthma Coutts, Jonathan Fullarton, John Morris, Carole Grubb, ElizaBeth Buchan, Scot Rodgers‐Gray, Barry Thwaites, Richard Pediatr Pulmonol Original Articles INTRODUCTION: Respiratory syncytial virus infection in early childhood has been linked to longer‐term respiratory morbidity; however, debate persists around its impact on asthma. The objective was to assess the association between respiratory syncytial virus hospitalization and childhood asthma. METHODS: Asthma hospital admissions and medication use through 18 years were compared in children with (cases) and without (controls) respiratory syncytial virus hospitalization in the first 2 years of life. All children born in National Health Service Scotland between 1996 and 2011 were included. RESULTS: Of 740 418 children (median follow‐up: 10.6 years), 15 795 (2.1%) had a respiratory syncytial virus hospitalization at ≤2 years (median age: 143 days). Asthma hospitalizations were three‐fold higher in cases than controls (8.4% vs 2.4%; relative risk: 3.3, 95% confidence interval [CI]: 3.1‐3.5; P < .0001) and admission rates were four‐fold higher (193.2 vs 46.0/1000). Cases had two‐fold higher asthma medication usage (25.5% vs 14.7%; relative risk: 1.7, 95% CI: 1.7‐1.8; P < .0001) and a three‐fold higher rate of having both an asthma admission and medication (4.8% vs 1.5%; relative risk 3.1, 95% CI: 2.9‐3.3; P < .0001). Admission rates and medication use remained significantly (P < .001) higher for cases than controls throughout childhood (admissions: ≥2‐fold higher; medication: ≥1.5‐fold higher). Respiratory syncytial virus hospitalization was the most significant risk factor for asthma hospitalizations±medication use (odds ratio: 1.9‐2.8; P < .001). CONCLUSIONS: Respiratory syncytial virus hospitalization was associated with significantly increased rates and severity of asthma throughout childhood, which has important implications for preventive strategies. John Wiley and Sons Inc. 2020-02-10 2020-05 /pmc/articles/PMC7187471/ /pubmed/32040885 http://dx.doi.org/10.1002/ppul.24676 Text en © 2020 The Authors. Pediatric Pulmonology published by Wiley Periodicals, Inc. This is an open access article under the terms of the http://creativecommons.org/licenses/by-nc/4.0/ License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited and is not used for commercial purposes. |
spellingShingle | Original Articles Coutts, Jonathan Fullarton, John Morris, Carole Grubb, ElizaBeth Buchan, Scot Rodgers‐Gray, Barry Thwaites, Richard Association between respiratory syncytial virus hospitalization in infancy and childhood asthma |
title | Association between respiratory syncytial virus hospitalization in infancy and childhood asthma |
title_full | Association between respiratory syncytial virus hospitalization in infancy and childhood asthma |
title_fullStr | Association between respiratory syncytial virus hospitalization in infancy and childhood asthma |
title_full_unstemmed | Association between respiratory syncytial virus hospitalization in infancy and childhood asthma |
title_short | Association between respiratory syncytial virus hospitalization in infancy and childhood asthma |
title_sort | association between respiratory syncytial virus hospitalization in infancy and childhood asthma |
topic | Original Articles |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7187471/ https://www.ncbi.nlm.nih.gov/pubmed/32040885 http://dx.doi.org/10.1002/ppul.24676 |
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