Pediatric thalassemic patients have higher incidence of asthma: A nationwide population-based retrospective cohort study.

<h4>Introduction</h4>Patients with hemoglobinopathies have been reported to have higher rates of pulmonary complications. Few studies have investigated the association between thalassemia and asthma in children.<h4>Methods</h4>We used the data of one million individuals rando...

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Autores principales: Hsin-Yi Hsieh, Lin-Chi Huang, Hong-Ren Yu, Kuang-Che Kuo, Wan-Hsuan Chen, Chung-Hao Su, Chuan-Pin Lee, Ko-Jung Chen, Yao-Hsu Yang, Jiunn-Ming Sheen
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spelling oai:doaj.org-article:2e91dded84064c9baeee521c1466a1652021-12-02T20:04:22ZPediatric thalassemic patients have higher incidence of asthma: A nationwide population-based retrospective cohort study.1932-620310.1371/journal.pone.0258727https://doaj.org/article/2e91dded84064c9baeee521c1466a1652021-01-01T00:00:00Zhttps://doi.org/10.1371/journal.pone.0258727https://doaj.org/toc/1932-6203<h4>Introduction</h4>Patients with hemoglobinopathies have been reported to have higher rates of pulmonary complications. Few studies have investigated the association between thalassemia and asthma in children.<h4>Methods</h4>We used the data of one million individuals randomly selected from the Registry for Beneficiaries of the National Health Insurance Research Database. One thalassemic child was matched with four control children without thalassemia according to sex, birth year, birth season, prematurity, and previous enteroviral infection.<h4>Results</h4>A total of 800 hundred thalassemic children and 3200 controls were included. Children with thalassemia had higher rates of developing asthma (41.81 vs 25.70 per 1000 person-years, P < 0.001) than the non-thalassemia controls with an adjusted hazard ratio of 1.37 (95% confidence interval [CI] = 1.19-1.58). Boys in the thalassemia cohort had a significantly higher adjusted incidence hazard ratio (IRR) of asthma than those in the non-thalassemia cohort (adjusted IRR = 1.45, 95% CI = 1.02-1.73). The risk of atopic and nonatopic asthma was higher in the thalassemia cohort than in the non-thalassemia cohort (IRR = 1.3, 1.61, respectively).<h4>Conclusions</h4>Children with thalassemia were more likely to develop asthma. More attention should be paid to the early diagnosis of asthma and prevention of asthma attacks.Hsin-Yi HsiehLin-Chi HuangHong-Ren YuKuang-Che KuoWan-Hsuan ChenChung-Hao SuChuan-Pin LeeKo-Jung ChenYao-Hsu YangJiunn-Ming SheenPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 16, Iss 11, p e0258727 (2021)
institution DOAJ
collection DOAJ
language EN
topic Medicine
R
Science
Q
spellingShingle Medicine
R
Science
Q
Hsin-Yi Hsieh
Lin-Chi Huang
Hong-Ren Yu
Kuang-Che Kuo
Wan-Hsuan Chen
Chung-Hao Su
Chuan-Pin Lee
Ko-Jung Chen
Yao-Hsu Yang
Jiunn-Ming Sheen
Pediatric thalassemic patients have higher incidence of asthma: A nationwide population-based retrospective cohort study.
description <h4>Introduction</h4>Patients with hemoglobinopathies have been reported to have higher rates of pulmonary complications. Few studies have investigated the association between thalassemia and asthma in children.<h4>Methods</h4>We used the data of one million individuals randomly selected from the Registry for Beneficiaries of the National Health Insurance Research Database. One thalassemic child was matched with four control children without thalassemia according to sex, birth year, birth season, prematurity, and previous enteroviral infection.<h4>Results</h4>A total of 800 hundred thalassemic children and 3200 controls were included. Children with thalassemia had higher rates of developing asthma (41.81 vs 25.70 per 1000 person-years, P < 0.001) than the non-thalassemia controls with an adjusted hazard ratio of 1.37 (95% confidence interval [CI] = 1.19-1.58). Boys in the thalassemia cohort had a significantly higher adjusted incidence hazard ratio (IRR) of asthma than those in the non-thalassemia cohort (adjusted IRR = 1.45, 95% CI = 1.02-1.73). The risk of atopic and nonatopic asthma was higher in the thalassemia cohort than in the non-thalassemia cohort (IRR = 1.3, 1.61, respectively).<h4>Conclusions</h4>Children with thalassemia were more likely to develop asthma. More attention should be paid to the early diagnosis of asthma and prevention of asthma attacks.
format article
author Hsin-Yi Hsieh
Lin-Chi Huang
Hong-Ren Yu
Kuang-Che Kuo
Wan-Hsuan Chen
Chung-Hao Su
Chuan-Pin Lee
Ko-Jung Chen
Yao-Hsu Yang
Jiunn-Ming Sheen
author_facet Hsin-Yi Hsieh
Lin-Chi Huang
Hong-Ren Yu
Kuang-Che Kuo
Wan-Hsuan Chen
Chung-Hao Su
Chuan-Pin Lee
Ko-Jung Chen
Yao-Hsu Yang
Jiunn-Ming Sheen
author_sort Hsin-Yi Hsieh
title Pediatric thalassemic patients have higher incidence of asthma: A nationwide population-based retrospective cohort study.
title_short Pediatric thalassemic patients have higher incidence of asthma: A nationwide population-based retrospective cohort study.
title_full Pediatric thalassemic patients have higher incidence of asthma: A nationwide population-based retrospective cohort study.
title_fullStr Pediatric thalassemic patients have higher incidence of asthma: A nationwide population-based retrospective cohort study.
title_full_unstemmed Pediatric thalassemic patients have higher incidence of asthma: A nationwide population-based retrospective cohort study.
title_sort pediatric thalassemic patients have higher incidence of asthma: a nationwide population-based retrospective cohort study.
publisher Public Library of Science (PLoS)
publishDate 2021
url https://doaj.org/article/2e91dded84064c9baeee521c1466a165
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