Asthma attacks in children are always preceded by poor asthma control: myth or maxim?

Keyser, Heather Hoch De; Szefler, Stanley J.

doi:10.1183/20734735.0169-2020

Cited by 5 publications

(3 citation statements)

References 65 publications

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“…Some publications have not observed such an association [44] , [65] . Other publications advocate the opinion that while asthma can exacerbate despite supreme therapy adherence [66] (potentially, due to the complex biological nature of this disease [67] ), poor adherence almost inevitably leads to poor asthma control [68] . In this regard, mHealth technology can enable an instantaneous alert about dangerous levels of extrinsic factors (e.g., pollen counts [69] , air pollution [70] , or viral factors [71] , [72] , [73] ) that commonly trigger an asthma exacerbation.…”

Section: Discussionmentioning

confidence: 99%

A scoping review of mHealth monitoring of pediatric bronchial asthma before and during COVID-19 pandemic

Dauletbaev

Oftring

Akik

et al. 2022

Paediatric Respiratory Reviews

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Mobile (m) Health technology is well-suited for Remote Patient Monitoring (RPM) in a patient’s habitual environment. In recent years there have been fast-paced developments in mHealth-enabled pediatric RPM, especially during the COVID-19 pandemic, necessitating evidence synthesis. To this end, we conducted a scoping review of clinical trials that had utilized mHealth-enabled RPM of pediatric asthma. MEDLINE, Embase and Web of Science were searched from September 1, 2016 through August 31, 2021. Our scoping review identified 25 publications that utilized synchronous and asynchronous mHealth-enabled RPM in pediatric asthma, either involving mobile applications or via individual devices. The last three years has seen the development of evidence-based, multidisciplinary, and participatory mHealth interventions. The quality of the studies has been improving, such that 40% of included studies reported were randomized controlled trials. In conclusion, there exists high-quality evidence on mHealth-enabled RPM in pediatric asthma, warranting future systematic reviews and/or meta-analyses of the benefits of such RPM.

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Section: Discussionmentioning

confidence: 99%

A scoping review of mHealth monitoring of pediatric bronchial asthma before and during COVID-19 pandemic

Dauletbaev

Oftring

Akik

et al. 2022

Paediatric Respiratory Reviews

View full text Add to dashboard Cite

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“… 5 Patients with inadequately controlled severe persistent asthma are at a particularly high risk of exacerbations, hospitalization and death, and often have severely impaired quality of life. 3 , 4 , 6 Uncontrolled asthma in early childhood has also been shown to be associated with impaired lung function in adolescence and early adulthood, especially in females. 7 The 2014 National Review of Asthma Deaths (NRAD) recommended referral for specialist review in people with asthma who have received three or more courses of oral steroids (OCS), had two or more visits to accident and emergency (A&E), or have been admitted to hospital due to asthma-related episodes.…”

Section: Introductionmentioning

confidence: 99%

“…1 In the UK, a child with asthma is admitted to a hospital every 20 minutes, and children with asthma lose up to 2.8 million school days per year. 2,3 Asthma management aims to achieve and maintain overall asthma control by reducing the severity of symptoms and minimising the future risk of adverse outcomes (including exacerbations), thus maintaining normal activity levels and good quality of life. 4 Despite the availability of effective treatments, the prevalence of suboptimal or poor control among children with asthma remains high.…”

Section: Introductionmentioning

confidence: 99%

Prevalence of Poorly Controlled Asthma and Factors Associated with Specialist Referral in Those with Poorly Controlled Asthma in a Paediatric Asthma Population

Kallis,

Morgan,

Fleming

et al. 2023

JAA

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Background Significant morbidity and mortality are associated with poor asthma control. The aim of this study was to determine factors associated with poor control and referral to specialist secondary care services. Methods We used primary care data from the Clinical Practice Research Datalink Aurum (CPRD) linked with Hospital Episode Statistics (HES) records from 1st January 2007 to 31st December 2019. We selected patients aged 6–17 years old. Poor control was defined as six or more prescriptions of short-acting beta-agonist (SABA) inhalers, two or more courses of oral corticosteroids (OCS), an Asthma Control test (ACT) or childhood ACT <20, one hospital admission for asthma, or one visit to Accident & Emergency (A&E) department for asthma-related episodes in the 12 months following asthma diagnosis. Asthma severity was defined following GINA guidelines 2021. Results About 17.6% of children aged between 6 and 17 years with active asthma had poor control. Severe asthma, eczema, food allergies, increased BMI and living in deprived areas were identified as risk factors for poor control. Among those with poor control, referral rates to specialist care were extremely low, only 2% overall. Those with severe asthma were three-times more likely to be referred than those with mild-to-moderate asthma [HR crude = 4.04 (95% CI, 3.35–4.87); HR adj = 2.72 (95% CI: 2.13–3.49)]. Other factors associated with referral were food allergy and living in a more deprived area. Conclusion Around 1 in 6 children and adolescents with active asthma are not achieving adequate control of their symptoms. Among the subset of 6–17-year olds with poorly controlled asthma, timely referral for specialist advice in secondary care is rare, especially in those with so-called mild asthma who nevertheless are at significant risk for poor asthma outcomes.

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Prise en charge de la crise d’asthme de l’enfant âgé de 6 à 12 ans

Marguet,

Benoist,

Werner

et al. 2024

Revue des Maladies Respiratoires

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Asthma attacks in children are always preceded by poor asthma control: myth or maxim?

Cited by 5 publications

References 65 publications

A scoping review of mHealth monitoring of pediatric bronchial asthma before and during COVID-19 pandemic

A scoping review of mHealth monitoring of pediatric bronchial asthma before and during COVID-19 pandemic

Prevalence of Poorly Controlled Asthma and Factors Associated with Specialist Referral in Those with Poorly Controlled Asthma in a Paediatric Asthma Population

Prise en charge de la crise d’asthme de l’enfant âgé de 6 à 12 ans

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