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[Asthmatic children's risk factors for emergency room visits, Brazil].

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TLDR
The asthma prevalence among preschool children in Pelotas is high, resulting therefore in high morbidity, and the predictor factors for emergency room visits due to asthma found were mother's low educational level, severity of the asthma attacks and hospitalization.
Abstract
OBJETIVOS: Tracar um perfil das criancas asmaticas do municipio de Pelotas, RS, conhecer o manejo da doenca e os fatores de risco associados a consultas em pronto-socorro, motivadas por asma. METODOS: Estudo transversal aninhado a um estudo de coorte, realizado na area urbana de Pelotas, cidade de medio porte do Sul do Brasil. Participaram 981 criancas de 4-5 anos, pertencentes a coorte de 1993. RESULTADOS: A prevalencia de asma encontrada na amostra estudada foi de 25,4%. A morbidade por asma foi elevada: 31% das criancas asmaticas haviam procurado o pronto-socorro no ultimo ano, 57% tinham consultado medico e 26%, de 1 a 4 anos, foram internadas por asma. Na analise geral, escolaridade e renda familiar baixas associaram-se com consultas em pronto-socorro (RO=4,1 para 0 a 4 anos de escolaridade e RO=6,5 para menos de 1 salario-minimo). Dormir em quartos com 3 ou mais pessoas tambem mostrou-se associado (RO=2,2), bem como severidade das crises (RO=2,7), uso de medicamentos para asma no ultimo ano (RO=1,9) e internacoes por asma (RO=3,0). CONCLUSOES: A prevalencia de asma entre criancas pre-escolares em Pelotas e alta, levando a grande morbidade. Encontraram-se como fatores preditores de consultas em pronto-socorro por asma, apos analise multivariada, a baixa escolaridade das maes, severidade das crises e internacao por asma.

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Serviço de Atendimento Móvel de Urgência (SAMU): análise da demanda e sua distribuição espacial em uma cidade do Nordeste brasileiro

TL;DR: O municipio de Olinda, Pernambuco, criou instrumento for armazenamento de dados dos formularios das ocorrencias do Servico de Atendimento Movel de Urgencia (SAMU-192) e de forma pioneira georreferencia os atendimentos realizados.
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The importance of population susceptibility for air pollution risk assessment: a case study of power plants near Washington, DC.

TL;DR: This study constructed a model to estimate the magnitude and distribution of health benefits associated with emission controls at five older power plants in the Washington, DC, area and demonstrated that incorporation of susceptibility information significantly affects demographic and geographic patterns ofhealth benefits and enhances the understanding of individuals likely to benefit from emission controls.
Journal ArticleDOI

Prevalence and risk factors for asthma in schoolchildren in southern Brazil

TL;DR: In this article, a prevalencia e fatores de risco for asma in 494 criancas pertencentes a coorte de nascidos em 1993, as quais vem sendo acompanhadas desde o nascimento, estando, atualmente, com cerca de 6 anos de idade, em Pelotas (RS).
Journal ArticleDOI

High prevalence of asthma in preschool children in Southern Brazil: a population-based study.

TL;DR: The results highlight the importance of asthma as a public health problem due to its high prevalence, and support the need of intervention programs against preventable risk factors.
References
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Journal ArticleDOI

International Study of Asthma and Allergies in Childhood (ISAAC): rationale and methods.

TL;DR: The International Study of Asthma and Allergies in Childhood (ISAAC), was founded to maximize the value of epidemiological research into asthma and allergic disease, by establishing a standardized methodology and facilitating international collaboration.
Journal ArticleDOI

The role of conceptual frameworks in epidemiological analysis: a hierarchical approach.

TL;DR: Conceptual frameworks provide guidance for the use of multivariate techniques and aid the interpretation of their results in the light of social and biological knowledge.
Journal ArticleDOI

Has the prevalence of asthma increased in children? Evidence from the national study of health and growth 1973-86.

Peter Burney, +2 more
- 19 May 1990 - 
TL;DR: The results suggest that there has been a true increase in morbidity that is not simply due to changes in diagnostic fashion and underlines the importance of an understanding of the aetiology of asthma in tackling the causes of the recent increase.
Journal Article

Childhood Asthma and Poverty: Differential Impacts and Utilization of Health Services

TL;DR: Diminished accessibility to appropriate outpatient health services for poor children with asthma was associated with increased morbidity, measured by hospitalization, and bed days, which have significant implications for the development of comprehensive models of care.
Journal ArticleDOI

Predictors of Asthma and Persistent Wheeze in a National Sample of Children in the United States. Association With Social Class, Perinatal Events, and Race

TL;DR: The significant effect of maternal age and birth weight after adjusting for other confounding variables suggests that the in utero environment may be an important determinant of asthma.
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