1887
Volume 2022 Number 1
  • ISSN: 1999-7086
  • EISSN: 1999-7094

Abstract

Asthma is a leading chronic disease in children worldwide, which if left untreated or poorly controlled, can lead to altered lung function and poor quality of life.1 Early detection and improved control of asthma are recommended to decrease utilization of emergency services and hospitalizations. Respiratory diseases are the most common conditions seen in Pediatric Emergency Centers (PECs) in Qatar.2 The five PECs are an essential point of healthcare access for severely sick children, however, many people utilize them for potentially preventable reasons.3 This was a quantitative retrospective observational study of children with asthma utilizing the five PECs during 2019. More than 18 variables were extracted from routine healthcare records, and data were analyzed via descriptive statistics using STATA to understand the characteristics of the population. There were 41,343 visits to PECs due to asthma in 2019 from 18,382 children of more than 100 different nationalities. Around 60% were boys aged 2 to 13 years, with the peak of utilization in October and November (Figure 1) and during the day between 2:00 PM to 10:00 PM. The majority were seen in less than 30 mins (93%) and stayed in the PEC for 2 hours or less (84%) (Figure 2). Most did not have fever and 88% received Salbutamol. Around 900 children were admitted (1.6%) and almost 20 children attended once a month or more. From the severity of the cases, length of stay, prescriptions, and health care providers’ notes, it was clear that many PEC Emergency Department (ED) visits due to asthma were preventable. Hence; appropriate preventative medical care, education, and follow-ups are recommended to reduce hospital admissions and re-attendance. Understanding the characteristics and pattern of visits amongst this population will guide future qualitative research to explore reasons for attendance in more depth and identify potential opportunities for interventions to reduce ED attendances.

Loading

Article metrics loading...

/content/journals/10.5339/jemtac.2022.qhc.26
2021-12-06
2022-09-28
Loading full text...

Full text loading...

/deliver/fulltext/jemtac/2022/1/jemtac.2022.qhc.26.html?itemId=/content/journals/10.5339/jemtac.2022.qhc.26&mimeType=html&fmt=ahah

References

  1. Xing Y, Gu X, Wei Z, Zhang W, Crowder SJ, Duan H. Development and validation of the family management scale for children with asthma (FMSCA). Journal of Asthma. 2019 Apr; 57:(4):441–51.
    [Google Scholar]
  2. Veettil ST, Alnuaimi ASA. Epidemiology and utilization of primary health care services in Qatar by asthmatic children 5–12? years old: secondary data analysis 2016–2017. Asthma Research and Practice. 2019 Aug 20; 5:(1):3.
    [Google Scholar]
  3. Hamad Medical Corporation. Commonly Encountered Cases. [online] Available at: https://www.hamad.qa/EN/Hospitals-and-services/PECS/Commonly%20encountered%20cases/Pages/default.aspx [Accessed 9 Aug. 2019].
    [Google Scholar]
http://instance.metastore.ingenta.com/content/journals/10.5339/jemtac.2022.qhc.26
Loading
/content/journals/10.5339/jemtac.2022.qhc.26
Loading

Data & Media loading...

  • Article Type: Conference Abstract
Keyword(s): AsthmaEmergency ServicesQatarReactive airway and Utilization

Most Cited This Month Most Cited RSS feed

This is a required field
Please enter a valid email address
Approval was a Success
Invalid data
An Error Occurred
Approval was partially successful, following selected items could not be processed due to error