Hospital Admission Patterns in Children with CAH

Admission Rates and Adrenal Crises Decline with Age

R. Louise Rushworth, Henrik Falhammar, Craig F. Munns, Ann M. Maguire, David J. Torpy

    Research output: Contribution to journalArticleResearchpeer-review

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    Abstract

    Objective: To examine patterns of hospitalisation for acute medical conditions in children with congenital adrenal hyperplasia (CAH). 

    Design: A retrospective study of hospitalisation using administrative data. 

    Setting: All hospitals in NSW, Australia. Patients. All patients admitted with CAH and a random sample of admissions in patients aged 0 to 18 years without adrenal insufficiency (AI). 

    Main Outcome Measures: Admissions and comorbidities by age and sex.

    Results: Of 573 admissions for medical problems in CAH children, 286 (49.9%) were in males, and 236 (41.2%) had a principal diagnosis of CAH or had an adrenal crisis (AC). 37 (6.5%) ACs were recorded. An infection was found in 43.5% () of the CAH patient admissions and 51.7% () of the non-AI group, . Children aged up to one year had the highest number of admissions () and six ACs (four in males). There were 21 ACs recorded for children aged 1–5 years. Older CAH children had fewer admissions and fewer ACs. No in-hospital deaths were recorded. 

    Conclusions: Admission for medical problems in CAH children declines with age. An AC was recorded in 6.5% of the admissions, with the majority of ACs occurring in the 1 to 5 years age group and there were no deaths.

    Original languageEnglish
    Article number5748264
    Pages (from-to)1-7
    Number of pages7
    JournalInternational Journal of Endocrinology
    Volume2016
    DOIs
    Publication statusPublished - 2016

    Fingerprint

    Congenital Adrenal Hyperplasia
    Patient Admission
    Hospitalization
    Adrenal Insufficiency
    Comorbidity
    Retrospective Studies
    Age Groups
    Outcome Assessment (Health Care)
    Infection

    Cite this

    Louise Rushworth, R. ; Falhammar, Henrik ; Munns, Craig F. ; Maguire, Ann M. ; Torpy, David J. / Hospital Admission Patterns in Children with CAH : Admission Rates and Adrenal Crises Decline with Age. In: International Journal of Endocrinology. 2016 ; Vol. 2016. pp. 1-7.
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    title = "Hospital Admission Patterns in Children with CAH: Admission Rates and Adrenal Crises Decline with Age",
    abstract = "Objective: To examine patterns of hospitalisation for acute medical conditions in children with congenital adrenal hyperplasia (CAH). Design: A retrospective study of hospitalisation using administrative data. Setting: All hospitals in NSW, Australia. Patients. All patients admitted with CAH and a random sample of admissions in patients aged 0 to 18 years without adrenal insufficiency (AI). Main Outcome Measures: Admissions and comorbidities by age and sex.Results: Of 573 admissions for medical problems in CAH children, 286 (49.9{\%}) were in males, and 236 (41.2{\%}) had a principal diagnosis of CAH or had an adrenal crisis (AC). 37 (6.5{\%}) ACs were recorded. An infection was found in 43.5{\%} () of the CAH patient admissions and 51.7{\%} () of the non-AI group, . Children aged up to one year had the highest number of admissions () and six ACs (four in males). There were 21 ACs recorded for children aged 1–5 years. Older CAH children had fewer admissions and fewer ACs. No in-hospital deaths were recorded. Conclusions: Admission for medical problems in CAH children declines with age. An AC was recorded in 6.5{\%} of the admissions, with the majority of ACs occurring in the 1 to 5 years age group and there were no deaths.",
    author = "{Louise Rushworth}, R. and Henrik Falhammar and Munns, {Craig F.} and Maguire, {Ann M.} and Torpy, {David J.}",
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    Hospital Admission Patterns in Children with CAH : Admission Rates and Adrenal Crises Decline with Age. / Louise Rushworth, R.; Falhammar, Henrik; Munns, Craig F.; Maguire, Ann M.; Torpy, David J.

    In: International Journal of Endocrinology, Vol. 2016, 5748264, 2016, p. 1-7.

    Research output: Contribution to journalArticleResearchpeer-review

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    N2 - Objective: To examine patterns of hospitalisation for acute medical conditions in children with congenital adrenal hyperplasia (CAH). Design: A retrospective study of hospitalisation using administrative data. Setting: All hospitals in NSW, Australia. Patients. All patients admitted with CAH and a random sample of admissions in patients aged 0 to 18 years without adrenal insufficiency (AI). Main Outcome Measures: Admissions and comorbidities by age and sex.Results: Of 573 admissions for medical problems in CAH children, 286 (49.9%) were in males, and 236 (41.2%) had a principal diagnosis of CAH or had an adrenal crisis (AC). 37 (6.5%) ACs were recorded. An infection was found in 43.5% () of the CAH patient admissions and 51.7% () of the non-AI group, . Children aged up to one year had the highest number of admissions () and six ACs (four in males). There were 21 ACs recorded for children aged 1–5 years. Older CAH children had fewer admissions and fewer ACs. No in-hospital deaths were recorded. Conclusions: Admission for medical problems in CAH children declines with age. An AC was recorded in 6.5% of the admissions, with the majority of ACs occurring in the 1 to 5 years age group and there were no deaths.

    AB - Objective: To examine patterns of hospitalisation for acute medical conditions in children with congenital adrenal hyperplasia (CAH). Design: A retrospective study of hospitalisation using administrative data. Setting: All hospitals in NSW, Australia. Patients. All patients admitted with CAH and a random sample of admissions in patients aged 0 to 18 years without adrenal insufficiency (AI). Main Outcome Measures: Admissions and comorbidities by age and sex.Results: Of 573 admissions for medical problems in CAH children, 286 (49.9%) were in males, and 236 (41.2%) had a principal diagnosis of CAH or had an adrenal crisis (AC). 37 (6.5%) ACs were recorded. An infection was found in 43.5% () of the CAH patient admissions and 51.7% () of the non-AI group, . Children aged up to one year had the highest number of admissions () and six ACs (four in males). There were 21 ACs recorded for children aged 1–5 years. Older CAH children had fewer admissions and fewer ACs. No in-hospital deaths were recorded. Conclusions: Admission for medical problems in CAH children declines with age. An AC was recorded in 6.5% of the admissions, with the majority of ACs occurring in the 1 to 5 years age group and there were no deaths.

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