Asthma mortality among Swedish children and young adults, a 10-year study

Bergström, Sten-Erik; Boman, Gunnar; Eriksson, Lars; Formgren, Hans; Foucard, Tony; Hörte, Lars‐Gunnar; Janson, Christer; Spetz-Nyström, Ulrike; Hedlin, Gunilla

doi:10.1016/j.rmed.2008.03.020

Cited by 48 publications

(46 citation statements)

References 30 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Food allergy is commonly considered to be a risk factor for poor asthma control, and it may cause severe and even fatal asthma exacerbations, although food allergy in most studies has not been diagnosed with a double-blind-placebo-controlled food challenge [86,193]. However, it appears that not the food allergy per se but sensitisation to multiple foods and aeroallergens is a risk factor associated with poor asthma control or severe exacerbations [194][195][196].…”

Section: Side-effects Of Drug Treatmentmentioning

confidence: 99%

Monitoring asthma in children

et al. 2015

Self Cite

View full text Add to dashboard Cite

The goal of asthma treatment is to obtain clinical control and reduce future risks to the patient. To reach this goal in children with asthma, ongoing monitoring is essential. While all components of asthma, such as symptoms, lung function, bronchial hyperresponsiveness and inflammation, may exist in various combinations in different individuals, to date there is limited evidence on how to integrate these for optimal monitoring of children with asthma. The aims of this ERS Task Force were to describe the current practise and give an overview of the best available evidence on how to monitor children with asthma.22 clinical and research experts reviewed the literature. A modified Delphi method and four Task Force meetings were used to reach a consensus.This statement summarises the literature on monitoring children with asthma. Available tools for monitoring children with asthma, such as clinical tools, lung function, bronchial responsiveness and inflammatory markers, are described as are the ways in which they may be used in children with asthma. Management-related issues, comorbidities and environmental factors are summarised.Despite considerable interest in monitoring asthma in children, for many aspects of monitoring asthma in children there is a substantial lack of evidence. @ERSpublications ERS statement summarising and discussing the available literature on monitoring children with asthma

show abstract

Section: Side-effects Of Drug Treatmentmentioning

confidence: 99%

Monitoring asthma in children

et al. 2015

Self Cite

View full text Add to dashboard Cite

show abstract

“…Symptom perception, stress and other psychosocial issues Psychological risk factors are prominent in children and young adults who subsequently die of asthma [31,32]. Similarly, in near-fatal asthma episodes in children, the children also showed significant denial, psychosocial pathology and delay in seeking treatment [33].…”

Section: Contributory Factorsmentioning

confidence: 99%

Problematic severe asthma in children, not one problem but many: a GA²LEN initiative

Hedlin

Bush²,

Carlsen³

et al. 2010

Eur Respir J

146

130

View full text Add to dashboard Cite

Although most children with asthma are easy to treat with low doses of safe medications, many remain symptomatic despite every therapeutic effort. The nomenclature regarding this group is confusing, and studies are difficult to compare due to the proliferation of terms describing poorly defined clinical entities.In this review of severe asthma in children, the term problematic severe asthma is used to describe children with any combination of chronic symptoms, acute severe exacerbations and persistent airflow limitation despite the prescription of multiple therapies.The approach to problematic severe asthma may vary with the age of the child, but, in general, three steps need to be taken in order to separate difficult-to-treat from severe therapy-resistant asthma. First, confirmation that the problem is really due to asthma requires a complete diagnostic re-evaluation. Secondly, the paediatrician needs to systematically exclude comorbidity, as well as personal or family psychosocial disorders. The third step is to re-evaluate medication adherence, inhaler technique and the child's environment.There is a clear need for a common international approach, since there is currently no uniform agreement regarding how best to approach children with problematic severe asthma. An essential first step is proper attention to basic care.

show abstract

“…Food allergy is commonly considered to be a risk factor for poor asthma control based on its association with severe and even fatal asthma exacerbations [49,50]. However, it should be realised that the diagnosis of food allergy was not based on the gold standard for food allergy, the double-blind, placebo-controlled food challenge, in any of these studies.…”

Section: Monitoring Diseases That May Aggravate Asthmamentioning

confidence: 99%

Monitoring asthma in childhood: management-related issues

et al. 2015

Self Cite

View full text Add to dashboard Cite

Management-related issues are an important aspect of monitoring asthma in children in clinical practice. This review summarises the literature on practical aspects of monitoring including adherence to treatment, inhalation technique, ongoing exposure to allergens and irritants, comorbid conditions and side-effects of treatment, as agreed by the European Respiratory Society Task Force on Monitoring Asthma in Childhood.The evidence indicates that it is important to discuss adherence to treatment in a non-confrontational way at every clinic visit, and take into account a patient's illness and medication beliefs. All task force members teach inhalation techniques at least twice when introducing a new inhalation device and then at least annually. Exposure to second-hand tobacco smoke, combustion-derived air pollutants, house dust mites, fungal spores, pollens and pet dander deserve regular attention during follow-up according to most task force members. In addition, allergic rhinitis should be considered as a cause for poor asthma control. Task force members do not screen for gastro-oesophageal reflux and food allergy. Height and weight are generally measured at least annually to identify individuals who are susceptible to adrenal suppression and to calculate body mass index, even though causality between obesity and asthma has not been established.In cases of poor asthma control, before stepping up treatment the above aspects of monitoring deserve closer attention. @ERSpublications ERS review summarising and discussing the management-related issues regarding the monitoring of asthma in childhood

show abstract

Asthma mortality among Swedish children and young adults, a 10-year study

Cited by 48 publications

References 30 publications

Monitoring asthma in children

Monitoring asthma in children

Problematic severe asthma in children, not one problem but many: a GA²LEN initiative

Monitoring asthma in childhood: management-related issues

Contact Info

Product

Resources

About

Asthma mortality among Swedish children and young adults, a 10-year study

Cited by 48 publications

References 30 publications

Monitoring asthma in children

Monitoring asthma in children

Problematic severe asthma in children, not one problem but many: a GA2LEN initiative

Monitoring asthma in childhood: management-related issues

Contact Info

Product

Resources

About

Problematic severe asthma in children, not one problem but many: a GA²LEN initiative