title: [Admissions for pediatric asthma in France].
abstract: BACKGROUND
  Most hospital admissions for asthma exacerbation are avoidable with adequate disease management. The objective of this study was to describe admissions for asthma in children in France using data from the French nationwide hospital database.
  
  
  METHODS
  We selected admissions having either a main diagnosis of asthma or a main diagnosis of acute respiratory failure (ARF) with asthma as an associated diagnosis, occurring in children (age<15years) between 2002 and 2010 in France (excluding French Guyana).
  
  
  RESULTS
  In 2010, 35,004 asthma admissions and 1381 cases of asthma-related ARF were recorded (crude admission rate, 30.1/10,000 children); the mean length of stay was 2days. The in-hospital lethality rate ranged from 0.01% to 0.03% depending on the year. The annual age-standardized admission rate increased between 2002 and 2010 (+2.5% per year on average in metropolitan France). In 2010, 11.8% of children admitted for asthma or asthma-related ARF were readmitted for asthma or asthma-related ARF at least once within the same calendar year, and 1.3% were readmitted within the week following admission. The proportion of children aged less than 5 years who were readmitted within the same calendar year increased between 2002 and 2010.
  
  
  CONCLUSIONS
  The increase in admission and readmission rates indicates non-optimal management of asthma in children in France.
authors.affiliation: Département des maladies chroniques, institut de veille sanitaire, 12, rue du Val-d'Osne, 94415 Saint-Maurice cedex, France. mc.delmas@invs.sante.fr
authors.forename: M-C
authors.initials: MC
authors.lastname: Delmas
authors.forename: C
authors.initials: C
authors.lastname: Marguet
authors.forename: C
authors.initials: C
authors.lastname: Raherison
authors.forename: J
authors.initials: J
authors.lastname: Nicolau
authors.forename: C
authors.initials: C
authors.lastname: Fuhrman
mesh_terms: D000293:Adolescent; D001249:Asthma / Q000453:epidemiology* / Q000628:therapy; D002648:Child; D002675:Child, Preschool; D003422:Critical Care / Q000706:statistics & numerical data; D005260:Female; D005602:France / Q000453:epidemiology; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D007902:Length of Stay / Q000706:statistics & numerical data; D008297:Male; D010102:Oxygen Inhalation Therapy / Q000706:statistics & numerical data; D010343:Patient Admission / Q000706:statistics & numerical data*; D010359:Patient Readmission / Q000706:statistics & numerical data; D012121:Respiration, Artificial / Q000706:statistics & numerical data