Table 1.
Hospitalised children | Non-hospitalised children | Odds ratio | 95% CI | p value | |
---|---|---|---|---|---|
Sociodemographics and past medical history | |||||
Current asthma* | 19/78 (24%) | 731/8316 (9%) | 3·34 | 1·98–5·65 | <0·001 |
Age <2 (years) | 47/78 (60%) | 2781/8316 (33%) | 3·02 | 1·91–4·76 | <0·001 |
≥6 RTI consults in previous 12 months | 9/78 (12%) | 437/8316 (5%) | 2·35 | 1·17–4·74 | 0·01 |
Male | 51/78 (65%) | 4280/8316 (51%) | 1·78 | 1·12–2·85 | 0·01 |
Non-white ethnicity | 8/77 (10%) | 1798/8272 (22%) | 0·42 | 0·20–0·87 | 0·02 |
Carer-reported general symptoms | |||||
Illness duration ≤3 days | 43/78 (55%) | 2352/8312 (28%) | 3·11 | 1·99–4·88 | <0·001 |
Severity of illness ≥7/10 | 33/77 (43%) | 2114/8291 (25%) | 2·19 | 1·39–3·45 | <0·001 |
Carer-reported symptoms (present any time during illness) | |||||
Breathing quickly† | 44/78 (56%) | 2394/8312 (29%) | 2·37 | 1·51–3·72 | <0·001 |
Wheezing | 44/78 (56%) | 3241/8310 (39%) | 2·02 | 1·29–3·18 | 0·002 |
Vomiting‡ | 33/78 (42%) | 2314/8312 (28%) | 1·90 | 1·21–2·99 | 0·005 |
Change in crying | 20/78 (26%) | 1362/8285 (16%) | 1·75 | 1·05–2·92 | 0·03 |
Carer-reported symptoms (in the previous 24 h) | |||||
Moderate-to-severe vomiting‡ | 20/78 (26%) | 820/8303 (10%) | 3·14 | 1·88–5·26 | <0·001 |
Severe fever | 12/78 (15%) | 529/8283 (6%) | 2·69 | 1·43–4·96 | 0·001 |
Severe disturbed sleep | 23/78 (30%) | 1328/8272 (16%) | 2·19 | 1·34–3·57 | 0·001 |
Breathing quickly† | 32/78 (41%) | 1599/8298 (19%) | 2·91 | 1·85–4·59 | 0·001 |
Moderate-to-severe wheezing in chest | 27/78 (35%) | 1589/8297 (19%) | 2·23 | 1·40–3·57 | 0·001 |
Severe reduction in eating | 10/78 (13%) | 419/8277 (5%) | 2·70 | 1·41–5·40 | 0·002 |
Moderate-to-severe reduction in urine passed | 9/78 (12%) | 455/8284 (5%) | 2·24 | 1·11–4·52 | 0·02 |
Severe dry cough | 10/78 (13%) | 551/8285 (7%) | 2·06 | 1·06–4·03 | 0·03 |
Moderate-to-severe diarrhoea | 7/78 (9%) | 337/8305 (4%) | 2·33 | 1·06–5·12 | 0·03 |
Moderate-to-severe reduced fluid intake | 17/78 (22%) | 1140/8291 (14%) | 1·75 | 1·02–3·00 | 0·04 |
General clinical examination | |||||
Irritable or drowsy | 5/78 (6%) | 123/8301 (1%) | 4·55 | 1·81–11·47 | 0·007 |
Pallor | 15/77 (20%) | 808/8306 (10%) | 2·25 | 1·27–3·96 | 0·004 |
Nasal flaring | 5/78 (6%) | 97/8306 (1·2%) | 5·80 | 2·29–14·66 | 0·003 |
Grunting | 4/78 (5%) | 72/8304 (1%) | 6·18 | 2·20–17·36 | 0·005 |
Temperature ≥37·8°C | 20/78 (26%) | 1026/8294 (12%) | 2·75 | 1·64–4·58 | <0·001 |
Oxygen saturation ≤95% | 11/39 (28%) | 392/4155 (9%) | 3·77 | 1·86–7·63 | <0·001 |
Severity of illness ≥ 4/10 | 38/78 (49%) | 1691/8292 (20%) | 3·71 | 2·37–5·80 | <0·001 |
Clinician's gut feeling that something is wrong | 30/78 (39%) | 1676/8299 (20%) | 2·47 | 1·56–3·91 | <0·001 |
Chest examination | |||||
Tachypnoea§ | 21/78 (28%) | 1222/8272 (15%) | 2·12 | 1·28–3·52 | 0·002 |
Recession | 25/78 (32%) | 379/8304 (5%) | 9·86 | 6·06–16·05 | <0·001 |
Wheeze | 34/78 (44%) | 1203/8303 (14%) | 4·56 | 2·90–7·16 | <0·001 |
Crackles or crepitations | 25/78 (32%) | 1575/8303 (19%) | 2·02 | 1·25–3·25 | 0·003 |
RTI=respiratory tract infections.
Defined as present if asthma in medical notes and asthma drugs issued in the previous 12 months27