Children and Adults With Frequent Hospitalizations for Asthma Exacerbation, 2012-2013: A Multicenter Observational Study

Hasegawa, Kohei; Bittner, Jane C.; Nonas, Stephanie; Stoll, Samantha J.; Watase, Taketo; Gabriel, Stuart A.; Herrera, Vivian; Camargo, Carlos A.; Aurora, Taruna; Brenner, Barry E.; Brown, Mark A.; Calhoun, William J.; Gough, John E.; Gutta, Ravi; Heidt, Jonathan; Khosravi, Mehdi; Moore, Wendy C.; Mould‐Millman, Nee‐Kofi; Nowak, Richard M.; Ahn, Jason; Pei, Veronica; Press, Valerie G.; Probst, Beatrice D.; Ramratnam, Sima; Hartman, Heather; Snipes, Carly; Teuber, Suzanne S.; Trent, Stacy A.; Villarreal, Roberto; Youngquist, Scott T.

doi:10.1016/j.jaip.2015.05.003

Cited by 32 publications

(23 citation statements)

References 24 publications

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“…Participants in the focus group affirmed and validated each other’s frustration related to accessing providers who may prescribe and refill medications, which in turn left them relying on the ED for prescriptions. This increased healthcare utilization contributes to the significant expenditures on asthma and inadequate guideline-based asthma care [26] and is reflective of barriers to timely telephone or office visit access to providers.…”

Section: Discussionmentioning

confidence: 99%

Caregiver perception of asthma management of children in the context of poverty

et al. 2016

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Objective Low-income caregivers of young children with high-risk asthma experience social stressors and illness-related demands that may impede effective home asthma management. Knowledge of the caregiving experience in the context of poverty is limited. Methods Convenience sampling methods were used to recruit low-income caregivers of children aged 7–12 years, who are frequently in the Emergency Room (ED) for uncontrolled asthma. Thirteen caregivers participated in focus groups that were designed to elicit reflections on asthma home and community management from the caregiver perspective. A grounded theory approach was used in the open coding of transcript data from three focus groups, as well as to revise and reorganize emerging themes and sub-themes. Results Participants (Mean age = 33.9 years) were predominantly the biological mother (92.3%), single (84.6%), and impoverished (69.2% reported annual household income ≤ $30,000). Their children (Mean age = 7.8 years) were African-American (100%), enrolled in Medicaid (92.3%), averaged 1.38 (SD = 0.7) ED visits over the prior 3 months, resided in homes with at least one smoker (61.5%), and nearly all (84.6%) experienced activity limitations due to asthma. Five themes emerged in the analysis: intensive caregiving role, complex and shared asthma management responsibility, parental beliefs and structural barriers to guideline-based care, lack of control over environmental triggers, and parent advocacy to improve child asthma care and outcomes. Conclusions Caregivers managing a child with high-risk asthma in the context of poverty indicate the need for ongoing asthma education, increased sensitivity to the complexity of home asthma management, and family-centered interventions that enhance communication and collaboration between caregivers and providers.

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Section: Discussionmentioning

confidence: 99%

Caregiver perception of asthma management of children in the context of poverty

et al. 2016

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“…The study design, setting, participants, and measured variables have been reported previously [13,14]. Briefly, we used a primary discharge diagnosis of Abbreviations: CI, confidence interval; IQR, interquartile range; MARC, Multicenter Airway Research Collaboration.…”

Section: Introductionmentioning

confidence: 99%

Prevalence of eosinophilia in hospitalized patients with asthma exacerbation

Hasegawa

Stoll

Ahn

et al. 2015

Respiratory Medicine

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“…In the present study, NIV was used frequently in PICU patients, 66.6% versus the 3% reported in an American study and the 36% reported in a Saudi study. 1,11,12 Despite the potential beneficial effects attributed to NIV, there is no consensus in the literature on its use in clinical practice. A 2016 Cochrane review concluded that the available evidence at the time was insufficient to evaluate the effect of NIV on asthma exacerbations in children and that better designed studies with larger samples size are required.…”

Section: Discussionmentioning

confidence: 99%

“…They are also related to important healthcare expenses, roughly equivalent to two billion dollars a year in developed countries such as the United States. 1 A recently published study in Chile showed a significant increase in asthma hospitalization rates in 5---15year-old children, from 3.8 per 10,000 inhabitants in 2001 to 7.8 per 10,000 in 2014. 2 Most children hospitalized for asthma in Chile are younger than 12 years of age and almost 50% of them do not have an established diagnosis of asthma, and thus do not receive any controller treatment.…”

Section: Introductionmentioning

confidence: 98%