RT Journal Article
SR Electronic
T1 Investigation for asthma-related healthcare utilization and prescription of pregnant women with asthma in Korea
JF European Respiratory Journal
JO Eur Respir J
FD European Respiratory Society
SP P976
VO 42
IS Suppl 57
A1 Sujeong Kim
A1 Yunjin Park
A1 Jinhee Kim
A1 Hyouk-Soo Kwon
A1 Tae-Bum Kim
YR 2013
UL http://erj.ersjournals.com/content/42/Suppl_57/P976.abstract
AB Background:National Health Insurance(NHI) claims data is an ideal source to study real-world effectiveness and utilization patterns of asthma.However, there have been few studies about pregnant asthmatis using NHI claims database.Objective:To evaluate asthma-related healthcare use and prescriptions in pregnant asthmatics in Korea.To investigate the association between asthma exacerbations during pregnancy and adverse perinatal outcomes.Method:Of the NHI claim records from January, 2006 to December, 2010, pregnant women who had ICD-10 codes related to delivery during 2008 were enrolled. Asthma-related healthcare use and prescription of pregnant asthmatics compared with non-pregnant asthmatics.And perinatal outcomes of patients who had acute asthma exacerbation during pregnancy against patients who had no acute exacerbation were measured.Result:About 19.3% of the pregnant subjects were hospitalized and 18.8% were treated in ED at least once due to exacerbation during pregnancy.Pregnant asthmatics underwent asthma-related hospitalization, ED and outpatient visits more frequently than non-pregnant asthmatics.The 45.7%experienced acute attacks of asthma at least once during pregnancy.There was no significant difference in the incidence of preterm labor, placenta previa, preeclampsia, gestational dibetes mellitus, caesarean section, and spontaneous abortion between subjects who had acute exacerbation and others.Conclusion:Pregnant asthmatic subjects had more acute asthma exacerbations and related healthcare needs than non-pregnant women asthmatics.Adverse perinatal outcomes between women who had acute asthma attack and women had no attack during pregnanct were not differed.