Analysis of Influencing Factors on the Prognosis of Asthmatic Children in a Children's Hospital in Shanghai from 2020 to 2023
Objectives To analyze the influencing factors for poor prognosis and rehabilitation effects of children with asthma in a Three A and Tertiary Children's Hospital in Shanghai from 2020 to 2023,and provide reference for the prevention and treatment of childhood asthma.Methods 200 children with asthma who met the inclusion criteria and treated in A tertiary children's hospital in Shanghai from January 1st,2020 to December 31st,2023 were selected randomly as the research subjects,the prognosis of the children was statistically analyzed.They were divided into a good prognosis group and a poor prognosis group according to the prognostic criteria for children with asthma in the Diagnosis and Treatment Guidelines for Childhood Bronchial Asthma(2016 Edition).Data on the children were collected,including gender,age,age of initial onset,place of residence,overweight or obesity,environmental exposure,specific constitution,severity of the condition,presence of acute asthma attacks,number of respiratory infections within one year,premature birth,mode of delivery,breastfeeding,per capita family income,history of food allergies,rhinitis,family history of asthma,vitamin D nutritional status,etc.Using one-way analysis of variance and binary Logistic regression to analyze the influencing factors of poor prognosis in children with asthma.Results 62 cases had poor prognosis among 200 children with asthma,accounting for 31.00%.The results of binary Logistic regression analysis showed that overweight or obesity,environmental exposure,specific constitution,higher severity grading of the condition,acute asthma attacks and vitamin D deficiency were risk factors for poor prognosis in children with asthma(P＜0.05).Conclusions The proportion of poor prognosis in children with asthma was relatively high,clinical attention should be actively paid to prognostic factors,such as the child's weight,physical condition,environment,severity of the disease,onset of the disease,and vitamin D levels.Based on the different situations of pediatric patients,targeted comprehensive intervention measures should be taken in a timely manner to improve the prognosis of children with asthma.
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