Outpatient management of asthma in children age 5–11 years: Guidelines for practice

Watts, Barbara E.L.

doi:10.1111/j.1745-7599.2009.00403.x

Cited by 7 publications

(3 citation statements)

References 75 publications

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“…Acute severe or life-threatening asthma is a medical emergency that requires distinct treatments in accordance with evidence-based guidelines 10–20. Accordingly, this emergency presentation is outlined separately in order to emphasise and recognise the key, disease-specific steps in initial management.…”

Section: Discussionmentioning

confidence: 99%

The 'unified airway': the RCPCH care pathway for children with asthma and/or rhinitis

Vance

Lloyd²,

Scadding³

et al. 2011

Archives of Disease in Childhood

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The pathway recommends that acute presentations of asthma and/or rhinitis should be treated separately. Where both conditions exist, ongoing management should address the upper and lower airways. The authors recommend that this pathway is implemented locally by a multidisciplinary team (MDT) with a focus on creating networks. The MDT within these networks should work with patients to develop and agree on care plans that are age and culturally appropriate.

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Section: Discussionmentioning

confidence: 99%

The 'unified airway': the RCPCH care pathway for children with asthma and/or rhinitis

Vance

Lloyd²,

Scadding³

et al. 2011

Archives of Disease in Childhood

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“…Although asthma often starts in early childhood [43,44], in most preschool children asthma can not reliably be diagnosed [18,45]. On the other hand, many young children do have asthma symptoms, and asthma may be underdiagnosed and/or undertreated in this group [14,46]. Diagnosing asthma is difficult in preschool children due to the nonspecific symptoms and because conventional lung function tests cannot be carried out [7].…”

Section: Discussionmentioning

confidence: 99%

Early detection and counselling intervention of asthma symptoms in preschool children: study design of a cluster randomised controlled trial

et al. 2010

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BackgroundPrevention of childhood asthma is an important public health objective. This study evaluates the effectiveness of early detection of preschool children with asthma symptoms, followed by a counselling intervention at preventive child health centres. Early detection and counselling is expected to reduce the prevalence of asthma symptoms and improve health-related quality of life at age 6 years.Methods/designThis cluster randomised controlled trial was embedded within the Rotterdam population-based prospective cohort study Generation R in which 7893 children (born between April 2002 and January 2006) participated in the postnatal phase. Sixteen child health centres are involved, randomised into 8 intervention and 8 control centres. Since June 2005, an early detection tool has been applied at age 14, 24, 36 and 45 months at the intervention centres. Children who met the intervention criteria received counselling intervention (personal advice to parents to prevent smoke exposure of the child, and/or referral to the general practitioner or asthma nurse). The primary outcome was asthma diagnosis at age 6 years. Secondary outcomes included frequency and severity of asthma symptoms, health-related quality of life, fractional exhaled nitric oxide and airway resistance at age 6 years. Analysis was according to the intention-to-treat principle. Data collection will be completed end 2011.DiscussionThis study among preschool children provides insight into the effectiveness of early detection of asthma symptoms followed by a counselling intervention at preventive child health centres.Trial registrationCurrent Controlled Trials ISRCTN15790308.

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“…Despite the publication of numerous guidelines for the care of children with allergies,16–40 morbidity due to allergic diseases remains high. Much of this can be explained by inadequate service delivery which all too often treats the acute phase of allergy (eg, anaphylaxis, asthma exacerbation, severe eczema) but fails to address the chronic phase (eg, long term aspects of food allergy, daily prevention of asthma, daily treatment of eczema) where long lasting or recurrent bouts of the chronic illness affect quality of life.…”

Section: Introductionmentioning

confidence: 99%

Shared learning for chronic conditions: a methodology for developing the Royal College of Paediatrics and Child Health (RCPCH) care pathways for children with allergies

Warner

Lloyd²

2011

Archives of Disease in Childhood

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The authors present eight national care pathways for allergic conditions based on evidence review, expert consensus and stakeholder input. They provide a guide for training and development of services to facilitate improvements in delivery as close to the patient's home as possible. The authors recommend that these pathways are implemented locally by a multidisciplinary team with a focus on creating networks between primary, secondary and tertiary care to improve services for children with allergic conditions.

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Outpatient management of asthma in children age 5–11 years: Guidelines for practice

Cited by 7 publications

References 75 publications

The 'unified airway': the RCPCH care pathway for children with asthma and/or rhinitis

The 'unified airway': the RCPCH care pathway for children with asthma and/or rhinitis

Early detection and counselling intervention of asthma symptoms in preschool children: study design of a cluster randomised controlled trial

Shared learning for chronic conditions: a methodology for developing the Royal College of Paediatrics and Child Health (RCPCH) care pathways for children with allergies

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