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March 2020 -
Volume 18, Issue 3

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From the Editor

Editorial
A. Abyad (Chief Editor)
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Original Contribution

[Abstract]
Evaluation of the quality of mental health referrals from Primary Care Physicians in Qatar
Kalim Zada, Mirza Anwarulhaq
[pdf]
DOI: 10.5742MEWFM.2020.93768

[Abstract]
Primary Care Physicians’ Knowledge and Barriers against Practice of Healthy Lifestyle in Abha City
Hussein Ali Hussein Azaybi, Mohammed Ali Hussein Azaybi, Safar Abadi Alsaleem, Alhussein Ali Almonawar
[pdf]
DOI: 10.5742MEWFM.2020.93769

[Abstract]
Knowledge about inguinal hernia among the Saudi Population
Mohammad E. Mahfouz, Alia M. AlShalawi , Abdulrahman A. Alzahrani , Sara H. Alqaidi, Rawan N. Al-Holaifi
[pdf]
DOI: 10.5742MEWFM.2020.93770

[Abstract]
Predictors of Pediatric Intensive care Unit admissions among Children with Acute Asthma Exacerbation
Ali Alsuheel Asseri
[pdf]
DOI: 10.5742MEWFM.2020.93771

[Abstract]
The survey of primary care physicians regarding attitude, confidence and knowledge in providing mental health care in Qatar
Kalim Zada
[pdf]
DOI: 10.5742MEWFM.2020.93772

Education and Training

[Abstract]
Incorporating Resilience into the Family Medicine Training Curriculum
Mohsin Allah Ditta, Abubakar Bham
[pdf]
DOI: 10.5742MEWFM.2020.93776

Population and Community Studies

[Abstract]
Determinants of autism among children in Makkah Al-Mukarramah City, Saudi Arabia: A case-control study
Abid Obaid Alqurashi,Rishi Bharti, Safar Abadi Alsaleem
[pdf]
DOI: 10.5742MEWFM.2020.93773

[Abstract]
Does increased Body mass index increase the risk of recurrent pregnancy loss? Saleemah Abdul Majeed Omar, Alya Abdul-Rahman Sharef, Awara Ahmed Rashid
[pdf]
DOI: 10.5742MEWFM.2020.93774

[Abstract]
Quality of Sleep among General Governmental Secondary School Students in Abha City, Saudi Arabia Yahia M. Al-Qahtani, Hamad M. Al-Qahtani, Bothyna M. Mohamed, Fatima Riaz , Ossama A. Mostafa
[pdf]
DOI: 10.5742MEWFM.2020.93775

Case reports

[Abstract]
Case Report: Detection and Excision of Melanoma in Situ in an Australian Primary Care Setting
Abubakar Bham
[pdf]
DOI: 10.5742MEWFM.2020.93778

[Abstract]
Disseminated Tuberculosis: A Rare Presentation
Fazila Khattak, Husam Al Saudi
[pdf]
DOI: 10.5742MEWFM.2020.93777


Middle East Quality Improvement Program
(MEQUIP QI&CPD)

Chief Editor -
Abdulrazak Abyad MD, MPH, MBA, AGSF, AFCHSE
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Editorial Office -
Abyad Medical Center & Middle East Longevity Institute
Azmi Street, Abdo Center,
PO BOX 618
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Phone: (961) 6-443684
Fax:     (961) 6-443685
Email: aabyad@cyberia.net.lb
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Lesley Pocock
medi+WORLD International
AUSTRALIA
Email: lesleypocock@mediworld.com.au
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Editorial Enquiries -
abyad@cyberia.net.lb
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While all efforts have been made to ensure the accuracy of the information in this journal, opinions expressed are those of the authors and do not necessarily reflect the views of The Publishers, Editor or the Editorial Board. The publishers, Editor and Editorial Board cannot be held responsible for errors or any consequences arising from the use of information contained in this journal; or the views and opinions expressed. Publication of any advertisements does not constitute any endorsement by the Publishers and Editors of the product advertised.

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March 2020 - Volume 18, Issue 3

Predictors of Pediatric Intensive Care Unit admissions among Children with Acute Asthma Exacerbation

Ali Alsuheel Asseri

Department of Pediatrics, King Khalid University, Guraiger, Abha 62529, Saudi Arabia

Correspondence:
Dr. Ali Alsuheel Asseri
Department of Pediatrics, College of Medicine
King Khalid University
Guraiger, Abha 62529, Saudi Arabia
Telephone: +966500186013 (mobile); +966172418589 (office)
Email: alsoheel11@gmail.com

Received: January 2020; Accepted: February 2020; Published: March 1, 2020. Citation: Ali Alsuheel Asseri. Predictors of Pediatric Intensive Care Unit admissions among Children with Acute Asthma Exacerbation. World Family Medicine. 2020; 18(3): 26-32. DOI: 10.5742MEWFM.2020.93771

Abstract

Introduction: Asthma is a common chronic childhood respiratory disorder characterized by episodes of acute shortness of breath, cough, and wheezing that are due to chronic airway inflammation. The present study aimed to investigate the predictors of Pediatric Intensive Care Unit (PICU) admission among 2–12 years old children with exacerbated asthma.

Materials and Methods: This retrospective chart review study was approved by the institutional review board at Abha Maternity and Children Hospital, Saudi Arabia. Children were also enrolled if the parents reported previous use of inhaled corticosteroids for asthma control therapy. The diagnosis of asthma was confirmed by either a pediatric allergist or a pulmonologist who was actively involved in inpatient and outpatient asthma care.

Results: Of the 128 patients enrolled in the study, 31 required PICU admissions. No statistically significant difference was detected between age and age categories (<3, 3–6, and >6 years) in children admitted to the pediatric ward and PICU. Children who had previous PICU admissions, one, two, and three times have high odds of being admitted to the PICU during the current asthma exacerbation. These odds did not change after adjusting for the gender, prevalence of food allergy, previous inhaled corticosteroid (ICS) use, and age. Independent of age, gender, and previous use of ICS, previous PICU admissions and emergency department (ED) triage peripheral capillary oxygen saturation (SpO2) are statistically significant factors to predict the current PICU admissions required for children with acute asthma exacerbations between 2 and 12 years of age.

Conclusion: Previous PICU admissions and SpO2 measurements at the emergency department (ED) are independent predictors of needing intensive care admission for children between 2 and 12 years of age with acute asthma exacerbation. Nevertheless, further studies are needed to explore additional modifiable predictors that could help in identifying children with a high risk for intensive care admissions.

Key words: Children, Asthma Exacerbation, Pediatric Intensive Care Unit

 







 


 
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