Background severity of asthma in children discharged from the emergency department

Khan, M.; O’Meara, Matthew; Rl, Henry

doi:10.1046/j.1440-1754.2003.00183.x

Cited by 23 publications

(12 citation statements)

References 23 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…18 For the ED visit, and taking into account use of controller medications, 83.6% of the children in our study met the criteria for persistent asthma. Scribano et al 25 reported that 51% of children with acute asthma presenting to an ED had persistent asthma, whereas Khan et al 26 noted that 13% of children discharged to home from an ED had persistent asthma. Our finding of a higher frequency of persistent asthma may be accounted for by regional differences, acute asthma severity, and different interpretations of national guidelines.…”

Section: Discussionmentioning

confidence: 99%

Improving Pediatric Asthma Care Through Surveillance: The Illinois Emergency Department Asthma Collaborative

Lenhardt¹,

Catrambone²,

McDermott³

et al. 2006

Pediatrics

View full text Add to dashboard Cite

OBJECTIVES. To better understand and improve the care of asthma patients who require emergency department (ED) care, the Illinois Emergency Department Asthma Collaborative (IEDAC) was created to develop, test, and disseminate an ED-based surveillance system. This report describes the development and testing of the pediatric IEDAC surveillance instruments and demonstrates how these instruments can be used to describe the health status, healthcare delivery, and outcome of children using ED services.METHODS. A convenience sample of 128 children presenting to 5 EDs in Illinois for asthma care was the study base. Data were collected on monthly samples of children aged 2 through 17 years who presented to these EDs from May to November 2003. Three instruments were used to collect data regarding the children's pre-ED, ED, and post-ED experience.RESULTS. At the ED visit, 73.4% of children met national guideline criteria for persistent-level asthma symptoms. Among this group, 53.2% were using inhaled corticosteroid (ICS) medications. At 1 month follow-up, 66.6% of the children met the criteria for persistent-level asthma symptoms, which was statistically unchanged from the ED visit. Among the latter group, 64.2% were using ICS medications, again statistically unchanged compared with the ED visit. At followup, 24.5% of children were reported to have returned to an ED or were subsequently hospitalized. The majority of children were noted at follow-up to have limitation of at least some activity.CONCLUSIONS. Children who presented to IEDAC EDs were found to have a high level of asthma burden that continued at follow-up despite treatment. Moreover, a substantial proportion of children had returned to an ED or were subsequently hospitalized. Encouraging trends in medication use were observed, although suboptimal medication use was also observed.

show abstract

Section: Discussionmentioning

confidence: 99%

Improving Pediatric Asthma Care Through Surveillance: The Illinois Emergency Department Asthma Collaborative

Lenhardt¹,

Catrambone²,

McDermott³

et al. 2006

Pediatrics

View full text Add to dashboard Cite

show abstract

“…Children included in this study were those who were discharged from the Emergency Department of Sydney Children's Hospital with asthma between 16 October 2000 and 28 February 2002. The details of the cohort have been described previously 14 . Parents of 310 children, who were seen in the ED and were subsequently discharged home, completed an asthma control questionnaire, the Newcastle asthma knowledge questionnaire 15 and the Juniper caregiver's quality of life questionnaire 16 .…”

Section: Methodsmentioning

confidence: 99%

Randomized controlled trial of asthma education after discharge from an emergency department

Khan

O’Meara

Stevermuer

et al. 2004

J Paediatrics Child Health

Self Cite

View full text Add to dashboard Cite

show abstract

“…Analysis of predefined subgroups was performed to compare the similarity of efficacy for age (2)(3)(4)(5)(6)(7)(8)(9)(10)(11)(12)(13)(14), sex (male/female), immunoglobulin E (р 130 IU, Ͼ 130 IU), family history of asthma, rhinitis history, and number of episodes in previous year (р 5, Ͼ 5). No significant differences were observed (Figure 2).…”

Section: Other Analysesmentioning

confidence: 99%

Short-Course Montelukast for Intermittent Asthma in Children

Robertson¹,

Price²,

Henry³

et al. 2007

Am J Respir Crit Care Med

200

137

View full text Add to dashboard Cite

show abstract

Background severity of asthma in children discharged from the emergency department

Cited by 23 publications

References 23 publications

Improving Pediatric Asthma Care Through Surveillance: The Illinois Emergency Department Asthma Collaborative

Improving Pediatric Asthma Care Through Surveillance: The Illinois Emergency Department Asthma Collaborative

Randomized controlled trial of asthma education after discharge from an emergency department

Short-Course Montelukast for Intermittent Asthma in Children

Contact Info

Product

Resources

About