Risk factors for hospitalization among patients with asthma in Bang Yai Hospital
Keywords:
Asthma, Acute asthmatic attack, Asthma management, HospitalizationAbstract
The purpose of this study was to examine the risk factors for hospitalization among patients with asthma who experienced unpleasant symptoms after receiving inhalants. Data were collected from patients with asthma who visited the emergency department at Bang Yai hospital from October 1st, 2019 to September 30th, 2021 by using retrospective data from the medical records of 294 people. Inpatients were 68 cases. The statistically significant risks of hospitalization were as follows: self-payments increase the risk 8.13 times compared to the universal coverage scheme (gold card), systemic corticosteroids increase the risk 7.27 times, pediatric patients increase the risk 1.95 times and respiratory tract infections reduced the risk by 0.47 times. When analyzing the subgroups, in adults who used self-payment, the risk was 5.08 times higher compared to the gold card scheme. Receiving systemic corticosteroids increased the risk by 4.90 times. The frequency of reliever medication used less than twice a week reduced the risk by 0.22 times, and the risk of partly controlled and uncontrolled asthma decreased by 0.11 and 0.41 times, respectively, compared to the control. In pediatric patients, systemic corticosteroids increased the risk by 8.17 times. Therefore, encouraging patients to access inhaled corticosteroids, treating respiratory infections, and monitoring medication use in a well-controlled group can reduce the patient's chances of hospitalization.
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