{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,11]],"date-time":"2026-05-11T22:26:34Z","timestamp":1778538394943,"version":"3.51.4"},"reference-count":49,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2023,4,10]],"date-time":"2023-04-10T00:00:00Z","timestamp":1681084800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100001537","name":"University of Auckland","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100001537","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J Paediatrics Child Health"],"published-print":{"date-parts":[[2023,7]]},"abstract":"<jats:sec><jats:title>Aim<\/jats:title><jats:p>Pre\u2010school wheeze is a common hospital presentation in Australasia. The aim of this study was to describe the regional hospital presentation and cost of pre\u2010school wheeze.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Audit of children diagnosed with pre\u2010school wheeze at two hospitals in Auckland, New Zealand from October 2017 to September 2019. Guideline adherence was determined.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>One hundred and ninety\u2010two children made 247 pre\u2010school wheeze hospital presentations. Pre\u2010school wheeze accounted for a larger proportion of acute hospital presentations for M\u0101ori versus non\u2010M\u0101ori children (rate ratio 1.76, 95% confidence intervals 1.32\u20132.31). Hospital representations with pre\u2010school wheeze occurred in 38\/192 (20%) children. The proportion with a pre\u2010school wheeze representation was larger for M\u0101ori than non\u2010M\u0101ori (30% vs. 16%, <jats:italic>P<\/jats:italic>\u2009=\u20090.02). Pre\u2010school wheeze event median length of stay increased as household deprivation increased (<jats:italic>P<\/jats:italic>\u2009=\u20090.01). Clinical severity of 247 pre\u2010school wheeze episodes was mild (<jats:italic>n<\/jats:italic>\u2009=\u200964, 26%), moderate (<jats:italic>n<\/jats:italic>\u2009=\u2009153, 62%) and severe (<jats:italic>n<\/jats:italic>\u2009=\u200930, 12%). Of 244 episodes, inhaled bronchodilators only were given for 149 (61%), oxygen for 54 (22%) and intravenous treatment for 41 (17%). Hospital guideline use was evident in 164\/247 (66%) episodes. Neither clinical severity nor treatment intensity varied with child sex, age or ethnicity or household deprivation. The estimated median (interquartile range) direct medical costs of each pre\u2010school wheeze episode were NZ$1279 (NZ$774\u20132158).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>In Auckland, pre\u2010school wheeze accounts for a larger proportion of acute hospital presentations for M\u0101ori compared with non\u2010M\u0101ori and M\u0101ori children have increased odds of pre\u2010school wheeze readmissions. Length of hospital stay for pre\u2010school wheeze episodes increased with household deprivation. In this audit pre\u2010school wheeze guideline adherence was poor.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jpc.16404","type":"journal-article","created":{"date-parts":[[2023,4,10]],"date-time":"2023-04-10T11:54:46Z","timestamp":1681127686000},"page":"871-878","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Pre\u2010school wheeze hospital presentations: A demographic profile and review of clinical management"],"prefix":"10.1111","volume":"59","author":[{"given":"Eamon","family":"Walsh","sequence":"first","affiliation":[{"name":"University of Auckland  Auckland New Zealand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Arun","family":"Gangakhedkar","sequence":"additional","affiliation":[{"name":"Paediatrics and Newborn Services Waitakere Hospital, Waitemat\u0101 District Health Board  Auckland New Zealand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6009-8263","authenticated-orcid":false,"given":"Timothy","family":"Jelleyman","sequence":"additional","affiliation":[{"name":"Paediatrics and Newborn Services Waitakere Hospital, Waitemat\u0101 District Health Board  Auckland New Zealand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4032-7230","authenticated-orcid":false,"given":"Cameron C","family":"Grant","sequence":"additional","affiliation":[{"name":"Department of Paediatrics: Child and Youth Health University of Auckland  Auckland New Zealand"},{"name":"General Paediatrics, Starship Children's Hospital Auckland District Health Board  Auckland New Zealand"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2023,4,10]]},"reference":[{"key":"e_1_2_8_2_1","first-page":"10","article-title":"Asthma and Respiratory Foundation NZ child and adolescent asthma guidelines: A quick reference guide","volume":"130","author":"Asher I","year":"2017","journal-title":"N. 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