PMID- 33691639 OWN - NLM STAT- MEDLINE DCOM- 20211004 LR - 20211004 IS - 1471-2261 (Electronic) IS - 1471-2261 (Linking) VI - 21 IP - 1 DP - 2021 Mar 10 TI - Effect of congenital heart disease on the recurrence of cough variant asthma in children. PG - 130 LID - 10.1186/s12872-021-01940-8 [doi] LID - 130 AB - BACKGROUND: The research into the recurrence of cough variant asthma (CVA) in congenital heart disease (CHD) are few in number. The purpose of this study is to investigate the effect of CHD on the risk of the recurrence of CVA. METHODS: This study was a retrospective cohort study of 489 children with CVA aged between one and 14 years, of whom 67 had CHD complicated with CVA and 134 had CVA without CHD at a ratio of 1:2 according to age, sex and index year. The adjusted hazard ratio (aHR) of CVA recurrence in both the CHD cohort and the non-CHD cohort was determined by multivariate analysis using the Cox proportional hazard regression model. RESULTS: Adjusting for CHD classification, Mycoplasma pneumonia (MP) infection and immunoglobulin E (IgE) sensitization, the recurrence hazard of CVA in the complex congenital heart disease (CCHD) group (aHR = 3.281; 95% CI 1.648-6.530; P < 0.01) was significantly higher than that in the simple congenital heart disease group (aHR = 2.555; 95% CI 1.739-3.752; P < 0.01). Further, children with IgE sensitization (aHR = 2.172; 95% CI 1.482-3.184; P < 0.01) had a higher recurrence hazard of CVA than those without IgE sensitization, and children with MP infection (aHR = 1.777; 95% CI 1.188-2.657; P < 0.01) had a higher recurrence hazard of CVA than those without the MP infection. CONCLUSION: The hazard of recurrent CVA is higher in children with CHD, especially in the CCHD children. In addition, those children with IgE sensitization or a MP infection had an increased hazard of recurrent CVA. FAU - Feng, B W AU - Feng BW AD - The Second School of Clinical Medicine, Southern Medical University, Guangzhou, Guangdong, China. AD - Department of Neonatology of Guangdong Provincial People's Hospital, Guangdong Academy of Medical Sciences, Guangzhou, Guangdong, China. FAU - He, C Y AU - He CY AD - The Second School of Clinical Medicine, Southern Medical University, Guangzhou, Guangdong, China. AD - Department of Neonatology of Guangdong Provincial People's Hospital, Guangdong Academy of Medical Sciences, Guangzhou, Guangdong, China. FAU - Liu, X Q AU - Liu XQ AD - Department of Epidemiology, Guangdong Provincial People's Hospital, Guangzhou, Guangdong, China. FAU - Chen, Y S AU - Chen YS AD - Department of Neonatology of Guangdong Provincial People's Hospital, Guangdong Academy of Medical Sciences, Guangzhou, Guangdong, China. FAU - He, S R AU - He SR AUID- ORCID: 0000-0002-0229-4060 AD - The Second School of Clinical Medicine, Southern Medical University, Guangzhou, Guangdong, China. heshaoru2020@163.com. AD - Department of Neonatology of Guangdong Provincial People's Hospital, Guangdong Academy of Medical Sciences, Guangzhou, Guangdong, China. heshaoru2020@163.com. AD - Department of Pediatrics of Guangdong Provincial People's Hospital, 106 Zhongshan Er Road, Guangzhou, 510080, Guangdong, China. heshaoru2020@163.com. LA - eng GR - 81671529/National Natural Foundation of China/ GR - 2018YFC1002600/National key R & D Program of China/ GR - 2011BAI11B22/"twelve five" National Science and Technology Support Program/ PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20210310 PL - England TA - BMC Cardiovasc Disord JT - BMC cardiovascular disorders JID - 100968539 RN - 0 (Anti-Asthmatic Agents) RN - 37341-29-0 (Immunoglobulin E) SB - IM MH - Adolescent MH - Age Factors MH - Anti-Asthmatic Agents/therapeutic use MH - Asthma/drug therapy/*etiology/immunology/microbiology MH - Child MH - Child, Preschool MH - Cough/drug therapy/*etiology/immunology/microbiology MH - Female MH - Heart Defects, Congenital/*complications MH - Humans MH - Immunoglobulin E/blood MH - Infant MH - Male MH - Mycoplasma pneumoniae/pathogenicity MH - Pneumonia, Mycoplasma/complications/microbiology MH - Recurrence MH - Retrospective Studies MH - Risk Assessment MH - Risk Factors PMC - PMC7949247 OTO - NOTNLM OT - CHD OT - CVA OT - Hazard of recurrent CVA COIS- The authors declare that they have no competing interests. EDAT- 2021/03/12 06:00 MHDA- 2021/10/05 06:00 PMCR- 2021/03/10 CRDT- 2021/03/11 05:45 PHST- 2020/10/23 00:00 [received] PHST- 2021/03/01 00:00 [accepted] PHST- 2021/03/11 05:45 [entrez] PHST- 2021/03/12 06:00 [pubmed] PHST- 2021/10/05 06:00 [medline] PHST- 2021/03/10 00:00 [pmc-release] AID - 10.1186/s12872-021-01940-8 [pii] AID - 1940 [pii] AID - 10.1186/s12872-021-01940-8 [doi] PST - epublish SO - BMC Cardiovasc Disord. 2021 Mar 10;21(1):130. doi: 10.1186/s12872-021-01940-8.