Empowering children and young people who have asthma

Sinha, Ian; Brown, Lynsey; Fulton, Olivia; Gait, Lucy; Grime, Christopher; Hepworth, Claire; Lilley, Andrew; Murray, M.; Simba, Justus

doi:10.1136/archdischild-2020-318788

Cited by 4 publications

(2 citation statements)

References 67 publications

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“…Most studies regarding patients’ knowledge on fever have focused on caregivers of young children,35 36 as do many online information sources 37. Previous research on how to improve empowerment in adolescents with medical problems can aid in optimally addressing this specific population as this requires a different approach from addressing adults or parents of younger children 38 39…”

Section: Discussionmentioning

confidence: 99%

Characteristics and management of adolescents attending the ED with fever: a prospective multicentre study

et al. 2022

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ObjectiveMost studies on febrile children have focused on infants and young children with serious bacterial infection (SBI). Although population studies have described an increased risk of sepsis in adolescents, little is known about febrile adolescents attending the emergency department (ED). We aimed to describe patient characteristics and management of febrile adolescents attending the ED.Design and settingThe MOFICHE/PERFORM study (Management and Outcome of Febrile Children in Europe/Personalised Risk assessment in Febrile illness to Optimise Real-life Management across the European Union), a prospective multicentre study, took place at 12 European EDs. Descriptive and multivariable regression analyses were performed, comparing febrile adolescents (12–18 years) with younger children in terms of patient characteristics, markers of disease severity (vital signs, clinical alarming signs), management (diagnostic tests, therapy, admission) and diagnosis (focus, viral/bacterial infection).Results37 420 encounters were included, of which 2577 (6.9%) were adolescents. Adolescents were more often triaged as highly urgent (38.9% vs 34.5%) and described as ill appearing (23.1% vs 15.6%) than younger children. Increased work of breathing and a non-blanching rash were present less often in adolescents, while neurological signs were present more often (1% vs 0%). C reactive protein tests were performed more frequently in adolescents and were more often abnormal (adjusted OR (aOR) 1.7, 95% CI 1.5 to 1.9). Adolescents were more often diagnosed with SBI (OR 1.8, 95% CI 1.6 to 2.0) and sepsis/meningitis (OR 2.3, 95% CI 1.1 to 5.0) and were more frequently admitted (aOR 1.3, 95% CI 1.2 to 1.4) and treated with intravenous antibiotics (aOR 1.7, 95% CI 1.5 to 2.0).ConclusionsAlthough younger children presented to the ED more frequently, adolescents were more often diagnosed with SBI and sepsis/meningitis. Our data emphasise the importance of awareness of severe infections in adolescents.

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Section: Discussionmentioning

confidence: 99%

Characteristics and management of adolescents attending the ED with fever: a prospective multicentre study

et al. 2022

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“…Children who can express themselves, rather than only perceiving them by their chronological age, should be empowered to have symptom free lives. [9] Empowering these children and young adults require that we listen to them and be less judgmental even when faced with patients who are non-adherent to medications. This will enable us to ensure proper childhood asthma control in our setup.…”

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confidence: 99%