Role of Parental Smoking in Severe Bronchiolitis: A Hospital Based Case-Control Study

Objective. Bronchiolitis is one of the commonest causes of hospitalization of infants and young children in Bangladesh. About 21% of under 5 children attending different hospitals of Bangladesh have bronchiolitis. Fifty percent (50%) men and three percent (3%) women of Bangladesh are smokers. Parent...

Full description

Saved in:
Bibliographic Details
Main Authors: Rubina Farzana, Mujibul Hoque, Mohammad Shah Kamal, Md. Moseh Uddin Choudhury
Format: Article
Language:English
Published: Wiley 2017-01-01
Series:International Journal of Pediatrics
Online Access:http://dx.doi.org/10.1155/2017/9476367
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1850221626932592640
author Rubina Farzana
Mujibul Hoque
Mohammad Shah Kamal
Md. Moseh Uddin Choudhury
author_facet Rubina Farzana
Mujibul Hoque
Mohammad Shah Kamal
Md. Moseh Uddin Choudhury
author_sort Rubina Farzana
collection DOAJ
description Objective. Bronchiolitis is one of the commonest causes of hospitalization of infants and young children in Bangladesh. About 21% of under 5 children attending different hospitals of Bangladesh have bronchiolitis. Fifty percent (50%) men and three percent (3%) women of Bangladesh are smokers. Parental smoking is an important risk factor for both susceptibility and severity of bronchiolitis. The aim of this study was to find out the role of parental smoking in severe bronchiolitis. Design. Case-control study. Place and Duration of Study. The study was conducted in the Department of Paediatrics, Sylhet MAG Osmani Medical College Hospital, Bangladesh, from July 2013 to December 2015. Patients and Methods. Sixty-four patients admitted into the ward with severe bronchiolitis were enrolled as cases and sixty-four suitably matched apparently healthy children attending EPI centre and outpatient department presenting with nonrespiratory illness were enrolled as controls. Sample size was calculated using Guilford and Frucher formula. The technique was systematic random sampling. Every second case satisfying the inclusion and exclusion criteria was enrolled in the study. Results. The mean age of the patients was 7.53 (SD ± 4.75) months. Forty (62.5%) patients were male and twenty four (37.5%) patients were female. Male-to-female ratio was 1.7 : 1. Most of the cases (60.95%) came from low socioeconomic background. More than half of the cases (53.13%) were not exclusively breastfed babies. Mean length of hospital stay was 6.41 (SD ± 2.82) days. Thirty eight (59%) cases and twenty six (34%) controls were exposed to parental smoking. Result was highly significant (p=0.005). Odds ratio was 2.8 (95% CI from 1.36 to 5.72). Conclusion. Exposure to parental smoking causes a statistically significant (p=0.005, odds ratio = 2.8) increase in the risk of developing severe bronchiolitis in the first year of life.
format Article
id doaj-art-656b54350a9a47b98f873f5dfd47e8dd
institution OA Journals
issn 1687-9740
1687-9759
language English
publishDate 2017-01-01
publisher Wiley
record_format Article
series International Journal of Pediatrics
spelling doaj-art-656b54350a9a47b98f873f5dfd47e8dd2025-08-20T02:06:40ZengWileyInternational Journal of Pediatrics1687-97401687-97592017-01-01201710.1155/2017/94763679476367Role of Parental Smoking in Severe Bronchiolitis: A Hospital Based Case-Control StudyRubina Farzana0Mujibul Hoque1Mohammad Shah Kamal2Md. Moseh Uddin Choudhury3Leprosy Hospital, Sylhet, BangladeshDepartment of Paediatrics, Sylhet MAG Osmani Medical College, BangladeshUpazila Health Complex, Gowainghat, Sylhet, BangladeshDepartment of Paediatrics, Sylhet MAG Osmani Medical College, BangladeshObjective. Bronchiolitis is one of the commonest causes of hospitalization of infants and young children in Bangladesh. About 21% of under 5 children attending different hospitals of Bangladesh have bronchiolitis. Fifty percent (50%) men and three percent (3%) women of Bangladesh are smokers. Parental smoking is an important risk factor for both susceptibility and severity of bronchiolitis. The aim of this study was to find out the role of parental smoking in severe bronchiolitis. Design. Case-control study. Place and Duration of Study. The study was conducted in the Department of Paediatrics, Sylhet MAG Osmani Medical College Hospital, Bangladesh, from July 2013 to December 2015. Patients and Methods. Sixty-four patients admitted into the ward with severe bronchiolitis were enrolled as cases and sixty-four suitably matched apparently healthy children attending EPI centre and outpatient department presenting with nonrespiratory illness were enrolled as controls. Sample size was calculated using Guilford and Frucher formula. The technique was systematic random sampling. Every second case satisfying the inclusion and exclusion criteria was enrolled in the study. Results. The mean age of the patients was 7.53 (SD ± 4.75) months. Forty (62.5%) patients were male and twenty four (37.5%) patients were female. Male-to-female ratio was 1.7 : 1. Most of the cases (60.95%) came from low socioeconomic background. More than half of the cases (53.13%) were not exclusively breastfed babies. Mean length of hospital stay was 6.41 (SD ± 2.82) days. Thirty eight (59%) cases and twenty six (34%) controls were exposed to parental smoking. Result was highly significant (p=0.005). Odds ratio was 2.8 (95% CI from 1.36 to 5.72). Conclusion. Exposure to parental smoking causes a statistically significant (p=0.005, odds ratio = 2.8) increase in the risk of developing severe bronchiolitis in the first year of life.http://dx.doi.org/10.1155/2017/9476367
spellingShingle Rubina Farzana
Mujibul Hoque
Mohammad Shah Kamal
Md. Moseh Uddin Choudhury
Role of Parental Smoking in Severe Bronchiolitis: A Hospital Based Case-Control Study
International Journal of Pediatrics
title Role of Parental Smoking in Severe Bronchiolitis: A Hospital Based Case-Control Study
title_full Role of Parental Smoking in Severe Bronchiolitis: A Hospital Based Case-Control Study
title_fullStr Role of Parental Smoking in Severe Bronchiolitis: A Hospital Based Case-Control Study
title_full_unstemmed Role of Parental Smoking in Severe Bronchiolitis: A Hospital Based Case-Control Study
title_short Role of Parental Smoking in Severe Bronchiolitis: A Hospital Based Case-Control Study
title_sort role of parental smoking in severe bronchiolitis a hospital based case control study
url http://dx.doi.org/10.1155/2017/9476367
work_keys_str_mv AT rubinafarzana roleofparentalsmokinginseverebronchiolitisahospitalbasedcasecontrolstudy
AT mujibulhoque roleofparentalsmokinginseverebronchiolitisahospitalbasedcasecontrolstudy
AT mohammadshahkamal roleofparentalsmokinginseverebronchiolitisahospitalbasedcasecontrolstudy
AT mdmosehuddinchoudhury roleofparentalsmokinginseverebronchiolitisahospitalbasedcasecontrolstudy