Healthcare utilisation by pregnant patients with asthma in South Korea: a cohort study using nationwide claims data

被引：6

作者：

Lee, Chang-Hoon ^{[1
,2
]}

Kim, Jimin ^{[1
]}

Jang, Eun Jin ^{[1
,3
]}

Kim, Yun Jung ^{[1
]}

Choi, Seongmi ^{[1
,4
]}

Lee, Joon-Ho ^{[5
]}

Kim, Deog Kyeom ^{[1
,6
]}

Yim, Jae-Joon ^{[1
,2
]}

Yoon, Ho Il ^{[1
,7
]}

机构：

[1] Natl Evidence Based Healthcare Collaborating Agcy, Div Healthcare Technol Assessment Res, Seoul, South Korea

[2] Seoul Natl Univ, Coll Med, Dept Internal Med, Div Pulm & Crit Care Med,Seoul Natl Univ Hosp, Seoul 151, South Korea

[3] Andong Natl Univ, Dept Informat Stat, Coll Nat Sci, Andong, South Korea

[4] Korea Appraisal Board, Real Estate R&D Inst, Daegu, South Korea

[5] Seoul Natl Univ, Coll Med, Seoul Natl Univ Hosp, Dept Obstet & Gynecol, Seoul, South Korea

[6] Seoul Natl Univ, Div Pulm & Crit Care Med, Dept Internal Med, Coll Med,Seoul Metropolitan Govt,Boramae Med Ctr, Seoul 151, South Korea

[7] Seoul Natl Univ, Div Pulm & Crit Care Med, Dept Internal Med, Coll Med,Bundang Hosp, Seoul 151, South Korea

来源：

BMJ OPEN | 2015年 / 5卷 / 11期

关键词：

PERINATAL OUTCOMES; MEDICATION USE; WOMEN; RISK; EPIDEMIOLOGY; METAANALYSIS; BUDESONIDE; PREVALENCE;

D O I：

10.1136/bmjopen-2015-008416

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Objectives: Few nationwide population-based studies have examined the burden of asthma during pregnancy. Here, we investigated the burden and medical treatment of asthma during pregnancy requiring healthcare utilisation in South Korea. Design: Cohort study. Setting: Nationwide insurance claims database. Participants: A total of 1 306 281 pregnant women who delivered in South Korea in 2009-2011. Outcomes: The prevalence and exacerbation rates of asthma requiring healthcare utilisation, and the prescription of antiasthmatic drugs during pregnancy. Results: The prevalence of asthma requiring healthcare utilisation was 0.43% among pregnant women. Among those with asthma requiring healthcare utilisation, 6.9% were hospitalised and treated with systemic steroids and short-acting beta(2)-agonists during pregnancy. Oral drugs were prescribed less during the third trimester than during the first trimester (all p values for trends were < 0.001). A significant number of patients with asthma were likely to stop taking antiasthmatic drugs after becoming pregnant. Conclusions: The prevalence of asthma requiring healthcare utilisation during pregnancy was not very high. However, a significant number of women were likely to stop taking antiasthmatic drugs, and those who did tended to experience exacerbations.

引用

页数：5