Predicting Hospitalization in Children with Acute Asthma

Büyüktiryaki, Ayşe Betül; Civelek, Ersoy; Can, Demet; Orhan, Fazıl; Aydoğan, Metin; Reisli, İsmail; Keskin, Özlem; Akçay, Ahmet; Yazıcıoğlu, Mehtap; Çokuğraş, Haluk; Yüksel, Hasan; Zeyrek, Dost; Kocak, Abdulkadır; Şekerel, Bülent Enis

doi:10.1016/j.jemermed.2012.10.015

Cited by 14 publications

(11 citation statements)

References 31 publications

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“…In the present study, similar to Carroll et al, 2 we also wanted to examine the correlation of mPIS among raters. As a result, None 2:1 None 96& 1 120e140 100e120 31e45 21e35 Mild 1:1 End expiratory 93e95 2 141e160 121e140 46e60 36e50 Moderate 1:2 Inspiratory and expiratory wheeze, good aeration 90e92 3 160< 140< 60< 50< Severe 1:3 Inspiratory and expiratory wheeze, decreased aeration <90 correlations among 4 raters, of whom 2 were physicians and 2 were nurses, were very high irrespective of their professions or their working experience, supporting the results of the report by Carroll et al 2 Buyuktiryaki et al 11 showed that mPIS might be useful for the determination of admission for asthma attacks by making ROC curves, although they did not evaluate the correlation among raters. Our present study showed the possibility that mPIS might be also useful for the determination of a treatment plan, including the indication of CIT, and prediction of the period of hospitalization in admitted patients.…”

Section: Discussionmentioning

confidence: 76%

Usefulness of modified Pulmonary Index Score (mPIS) as a quantitative tool for the evaluation of severe acute exacerbation in asthmatic children

Koga

Tokuyama

Itano

et al. 2015

Allergology International

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Section: Discussionmentioning

confidence: 76%

Usefulness of modified Pulmonary Index Score (mPIS) as a quantitative tool for the evaluation of severe acute exacerbation in asthmatic children

Koga

Tokuyama

Itano

et al. 2015

Allergology International

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“…As for MPIS, the score was eight on admission. After each of the three doses of salbutamol treatment, the MPIS was eight (5.75–11), seven and six , respectively (p < 0.001) (Table ), reflecting the gradual improvement in respiratory distress.…”

Section: Resultsmentioning

confidence: 99%

Repeated doses of salbutamol and aeroallergen sensitisation both increased salbutamol‐induced hypoxia in children and adolescents with acute asthma

et al. 2018

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“…Various studies with varying methodologies, sample sizes, and different settings had reported factors predicting hospitalization for asthma exacerbations in children ( Lyell et al, 2005 ; Buyuktiryaki et al, 2013 ; Alherbish et al, 2018 ). In a larger multicenter study in Turkey, severity of asthma exacerbations in children was a major predictive factor for hospitalization ( Buyuktiryaki et al, 2013 ). Contrary to our findings, male gender and administration of systemic steroid in the first hour predicted short period of hospitalization in the Turkish study.…”

Section: Discussionmentioning

confidence: 99%

A Retrospective Audit of Pharmacologic and Non-Pharmacologic Management of Childhood Acute Asthma Exacerbation at Usmanu Danfodiyo University Teaching Hospital, Sokoto: Adherence to Global Treatment Guidelines

et al. 2020

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Background Adequate management of childhood acute asthma exacerbation requires optimal non-pharmacotherapy and pharmacotherapy. Global asthma guidelines provide critical information and serves as a quick reference decision-support material for clinicians. Objectives We aimed at evaluating hospital management of childhood acute asthma exacerbation to ascertain its conformity to the global treatment guidelines, and to identify factors that predict short or prolonged observation in the hospital. Method This was a retrospective audit of the management of acute asthma exacerbation in children seen between 01 January 2017 and 31 December 2018 at Usmanu Danfodiyo University Teaching Hospital (UDUTH), Sokoto, Nigeria. Relevant data on demography, asthma triggers and severity, functional and clinical diagnoses, types of controller medications used before and after presentation, non-pharmacotherapy and pharmacotherapy instituted during presentation, duration of observation in the hospital, and treatment outcomes were extracted from the case file of each eligible patient. Results A total of 119 children presented with features of suspected acute asthma exacerbations during the study period but only 63 (52.9%) that met the inclusion criteria for the study were included for analysis. The 63 children that were evaluated had mild (47; 74.6%) and moderate (16; 25.4%) acute asthma exacerbations. Their median (interquartile range) age was 8 (5–15) years. More males (36; 57.1%) than females (27; 42.9%) presented with features of the condition. Majority (50; 79.8%) of the patients had at least one trigger factor and of the 73 trigger factors reported, cold weather (19; 26.0%) was the commonest. Nebulized salbutamol (48; 76.5%), in addition to intravenous (23; 57.9%) and oral (17; 42.5%) corticosteroids, was used during hospital treatment. Patients were discharged mostly on short course of oral corticosteroid only (37; 58.8%). Of the 17 major recommendations in the Global Initiative for Asthma (GINA) guidelines, good (5; 29.4%), moderate (7; 41.2%), and poor (5; 29.4%) levels of adherence were observed. Specifically, moderate and poor levels of adherence were observed in the management of 61(96.8%) and 2(3.2%) patients, respectively. The odds of admission for ≤12 h were higher for female children and patients with mild cases. Conclusion Good and moderate adherence levels to 12 of the 17 GINA recommendations were observed in our center. Nonetheless, reinforcement of institutional guidelines for acute asthma management is suggested to further improve the quality of care of childhood acute asthma exacerbations.

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Predicting Hospitalization in Children with Acute Asthma

Cited by 14 publications

References 31 publications

Usefulness of modified Pulmonary Index Score (mPIS) as a quantitative tool for the evaluation of severe acute exacerbation in asthmatic children

Usefulness of modified Pulmonary Index Score (mPIS) as a quantitative tool for the evaluation of severe acute exacerbation in asthmatic children

Repeated doses of salbutamol and aeroallergen sensitisation both increased salbutamol‐induced hypoxia in children and adolescents with acute asthma

A Retrospective Audit of Pharmacologic and Non-Pharmacologic Management of Childhood Acute Asthma Exacerbation at Usmanu Danfodiyo University Teaching Hospital, Sokoto: Adherence to Global Treatment Guidelines

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