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FACTORS RELATED TO THE SEVERITY OF ACUTE ASTHMA EXACERBATIONS IN PEDIATRIC ASTHMA PATIENTS AT CAN THO CHILDREN'S HOSPITAL (2024–2025)
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Abstract
Objective: To describe several clinical and paraclinical characteristics of children with acute asthma exacerbations; and to identify factors associated with exacerbations severity. Methods: A cross-sectional descriptive study was conducted on 112 children diagnosed with acute asthma exacerbations at the Respiratory Department of Can Tho Children's Hospital from June 2024 to December 2025. Results: The mean age was 6.33 ± 2.93 years. Tobacco smoke exposure was prevalent (50.9%). The most common clinical symptoms were cough (88.4%) and chest retractions (66.1%). Pulmonary co-infection was observed in 57.1% of cases. Moderate-to-severe exacerbations accounted for 73.2% of cases. In the multivariate logistic regression analysis, only chest retractions and pulmonary co-infection were identified as independent predictors of acute asthma exacerbation severity, with adjusted odds ratios (OR) of 428.09 (95% CI: 39.99–4582.39; p<0.001) and 17.41 (95% CI: 2.32–130.54; p=0.005), respectively. Conclusion: The study confirms that the severity of acute asthma exacerbations is significantly associated with chest retractions and pulmonary co-infection. Therefore, thorough clinical examination and effective infection control are critically required in children with asthma.
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Keywords
asthma, severity, children, Can Tho
References
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