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2015, Number 4

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Rev Cubana Pediatr 2015; 87 (4)

Recurrent pulmonary illnesses

Orellana MGA, González OM, Carpio ME

Language: Spanish
References: 46
Page: 423-439
PDF size: 346.69 Kb.


ABSTRACT

Introduction: the studies conducted on recurrent pulmonary illnesses in children are scanty; the highest percentage of them has been made in settings other than the primary health care and data on the underlying causes and the risk factors for these illnesses are inconsistent.
Objective: to analyze the underlying causes and the possible risk factors of recurrent pulmonary illnesses in children.
Methods: a case-control study was conducted in which 63 children, previously selected by physicians at the primary health care, were examined on the basis of an algorithm for clinical diagnosis in a specialized service for chronic recurrent pneumopathies. It was carried out in Sancti Spiritus province from January 1st 2011 to April 30th 2014. One hundred and four children without a history of recurrent pulmonary problems were included as controls in the same period of time. The demographic and clinical characteristics of both groups were then compared.
Results: in the study group, 84.1 % of children showed some underlying cause for recurrent pulmonary illnesses; asthma, immunodeficiencies, brochiectasy and gastroesophageal reflux disease prevailed. Being a low birthweighed infant was associated to recurrence in pulmonary illnesses whereas smoking at home was associated to non-recurrence.
Conclusions: adequate diagnosis of children with recurrent pulmonary illnesses may be made on the basis of integration of all the health care levels and should be focused on identifying the underlying causes of recurrence.


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