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Publication Detail

Title: Association of exercise-induced wheeze and other asthma symptoms with emergency department visits and hospitalizations in a large cohort of urban adolescents.

Authors: Gould, Carlos F; Perzanowski, Matthew S; Evans, David; Bruzzese, Jean-Marie

Published In Respir Med, (2018 Feb)

Abstract: Exercise-induced wheeze (EIW) has been found to be associated with asthma-related urgent care in school-aged children. Despite asthma's high prevalence and morbidity among adolescents, this association has not been examined in adolescents. We tested the association of EIW and other asthma symptoms to asthma-related ED visits and hospitalizations in urban adolescents with probable asthma. We hypothesized that EIW would be associated with urgent care.In this cross-sectional study 30,467 high school students (mean age = 16.0) from 49 NYC schools completed two brief validated measures, one assessing probable asthma and the other the frequency of six asthma symptoms over the past year. Adolescents also reported if in the past year they had an asthma-related ED visit or hospitalization. Analyses presented here included students with probable asthma (n = 9149). Using logistic regression, we modeled each asthma symptom as a function of ED visits and hospitalizations adjusting for sex, age, race/ethnicity and asthma severity. Multivariable models included all symptoms to account for the potential interaction between symptoms.Among adolescents with probable asthma, EIW was associated with ED visits and hospitalizations. In multivariable models wheeze without a cold, chest tightness, night wakening, but not EIW, were significantly associated with both ED visits and hospitalizations.Unlike findings with younger children, EIW does not appear to be associated with ED visits and hospitalizations among urban adolescents with probable asthma. Instead, symptoms, such as chest tightness and night wakening, appear to be important at identifying adolescents at risk for asthma-related urgent care.

PubMed ID: 29414452 Exiting the NIEHS site

MeSH Terms: Adolescent; Asthma, Exercise-Induced/complications*; Asthma, Exercise-Induced/epidemiology; Asthma, Exercise-Induced/ethnology; Asthma/diagnosis*; Asthma/epidemiology; Asthma/ethnology; Cohort Studies; Cross-Sectional Studies; Emergency Service, Hospital/statistics & numerical data*; Female; Hospitalization/statistics & numerical data*; Humans; Male; New York City/epidemiology; Prevalence; Randomized Controlled Trials as Topic; Respiratory Sounds/diagnosis*; Respiratory Sounds/etiology; Severity of Illness Index; United States/epidemiology; Urban Population/statistics & numerical data

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