Healthcare utilisation by pregnant patients with asthma in South Korea: a cohort study using nationwide claims data
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.P...
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| Format: | Article |
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BMJ Publishing Group
2015-11-01
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| Series: | BMJ Open |
| Online Access: | https://bmjopen.bmj.com/content/5/11/e008416.full |
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| author | Deog Kyeom Kim Chang-Hoon Lee Ho Il Yoon Jae-Joon Yim Eun Jin Jang Jimin Kim Yun Jung Kim Seongmi Choi Joon-Ho Lee |
| author_facet | Deog Kyeom Kim Chang-Hoon Lee Ho Il Yoon Jae-Joon Yim Eun Jin Jang Jimin Kim Yun Jung Kim Seongmi Choi Joon-Ho Lee |
| author_sort | Deog Kyeom Kim |
| collection | DOAJ |
| description | 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 β2-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. |
| format | Article |
| id | doaj-art-e84d6e25ab8341228b0a0541c2d0df38 |
| institution | Kabale University |
| issn | 2044-6055 |
| language | English |
| publishDate | 2015-11-01 |
| publisher | BMJ Publishing Group |
| record_format | Article |
| series | BMJ Open |
| spelling | doaj-art-e84d6e25ab8341228b0a0541c2d0df382025-02-11T16:35:14ZengBMJ Publishing GroupBMJ Open2044-60552015-11-0151110.1136/bmjopen-2015-008416Healthcare utilisation by pregnant patients with asthma in South Korea: a cohort study using nationwide claims dataDeog Kyeom Kim0Chang-Hoon Lee1Ho Il Yoon2Jae-Joon Yim3Eun Jin Jang4Jimin Kim5Yun Jung Kim6Seongmi Choi7Joon-Ho Lee83 Department of Internal Medicine, Seoul National University College of Medicine, Seoul, Korea (the Republic of)4 Division of Pulmonary and Critical Care Medicine, Department of Internal Medicine, Seoul National University Hospital, Jongno-gu, Seoul, The Republic of Korea1Division for Healthcare Technology Assessment Research, National Evidence-based Healthcare Collaborating Agency, Seoul, Republic of Korea, Seoul, Republic of Korea1 Division of Pulmonary and Critical Care Medicine, Department of Internal Medicine, Seoul National University Hospital, Jongno-gu, Seoul, Korea (the Republic of)3 Department of Information Statistics, Andong National University, Andong, Gyeongsangbuk-do, The Republic of Korea1Division for Healthcare Technology Assessment Research, National Evidence-based Healthcare Collaborating Agency, Seoul, Republic of Korea, Seoul, Republic of Korea1Division for Healthcare Technology Assessment Research, National Evidence-based Healthcare Collaborating Agency, Seoul, Republic of Korea, Seoul, Republic of Korea1Division for Healthcare Technology Assessment Research, National Evidence-based Healthcare Collaborating Agency, Seoul, Republic of Korea, Seoul, Republic of Korea5Department of Obstetrics and Gynecology, Seoul National University College of College of Medicine, Seoul National University Hospital, Seoul, Republic of KoreaObjectives 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 β2-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.https://bmjopen.bmj.com/content/5/11/e008416.full |
| spellingShingle | Deog Kyeom Kim Chang-Hoon Lee Ho Il Yoon Jae-Joon Yim Eun Jin Jang Jimin Kim Yun Jung Kim Seongmi Choi Joon-Ho Lee Healthcare utilisation by pregnant patients with asthma in South Korea: a cohort study using nationwide claims data BMJ Open |
| title | Healthcare utilisation by pregnant patients with asthma in South Korea: a cohort study using nationwide claims data |
| title_full | Healthcare utilisation by pregnant patients with asthma in South Korea: a cohort study using nationwide claims data |
| title_fullStr | Healthcare utilisation by pregnant patients with asthma in South Korea: a cohort study using nationwide claims data |
| title_full_unstemmed | Healthcare utilisation by pregnant patients with asthma in South Korea: a cohort study using nationwide claims data |
| title_short | Healthcare utilisation by pregnant patients with asthma in South Korea: a cohort study using nationwide claims data |
| title_sort | healthcare utilisation by pregnant patients with asthma in south korea a cohort study using nationwide claims data |
| url | https://bmjopen.bmj.com/content/5/11/e008416.full |
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