Changing Patterns of Asthma Hospitalization Among Children: 1979 to 1987

Peter J. Gergen*, Kevin B. Weiss

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

377 Scopus citations


The National Hospital Discharge Survey was used to evaluate the trends in asthma hospitalizations among children under International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM): 1979 to 1987. During this period, asthma hospitalizations among children aged 0 to 17 years increased 4.5% per annum (95% confidence interval [CI], 2% to 7.1%). The increase was largest among 0 to 4 year olds, 5.0% per annum (95% CI, 3.4% to 6.7%), vs 2.9% per annum (95% CI, -0.3% to 6.2%) observed among 5 to 17 year olds. Among children aged 0 to 4 years, blacks had approximately 1.8 times the increase of whites. During this time, total hospitalizations decreased - 4.6% (95% CI, - 6.6% to - 2.5%), while admissions for lower respiratory tract disease had a statistically insignificant decrease: -1.3%. Acute and chronic/unspecified bronchitis hospitalizations decreased -6.1% (95% CI, -9.4% to -2.7%), but this decrease did not begin until 1983. Thus, a shift in coding from bronchitis to asthma does not seem to fully explain the increase.

Original languageEnglish (US)
Pages (from-to)1688-1692
Number of pages5
JournalJAMA: The Journal of the American Medical Association
Issue number13
StatePublished - Oct 3 1990

ASJC Scopus subject areas

  • Medicine(all)


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