Assessing the association between bronchiolitis in infancy and recurrent wheeze: a whole English birth cohort case-control study

Thorax. 2019 May;74(5):503-505. doi: 10.1136/thoraxjnl-2018-212203. Epub 2019 Apr 4.

Abstract

The precise association between bronchiolitis and predisposition to childhood wheeze is unclear. We assessed bronchiolitis aetiology and later wheeze phenotypes in the entire 2007 English birth cohort. All infants admitted to hospital in England during their first year of life with bronchiolitis or urinary tract infection (UTI) were followed using Hospital Episode Statistics to determine risk and characteristics of wheeze admission over the subsequent 8 years. In our cohort of 21 272 children compared with UTI, the risk of wheeze admission was higher with previous bronchiolitis (risk ratio (RR) 2.4), even higher in those with non-respiratory syncytial virus bronchiolitis (RR 3.1) and persisted into late-onset wheeze (RR 1.7).

Keywords: asthma epidemiology; clinical epidemiology; respiratory infection.

Publication types

  • Multicenter Study
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Birth Certificates*
  • Bronchiolitis / complications*
  • Bronchiolitis / epidemiology
  • England / epidemiology
  • Female
  • Follow-Up Studies
  • Hospitalization / trends
  • Humans
  • Incidence
  • Infant
  • Male
  • Odds Ratio
  • Recurrence
  • Respiratory Sounds / etiology*
  • Retrospective Studies
  • Risk Factors