Theophylline compliance in asthmatic children

Weinstein, Andrew; Cuskey, Walter R.; Wilm,

doi:10.1016/s0091-6749(62)80461-8

Cited by 9 publications

(15 citation statements)

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“…Poor compliance caused most referrals to ER. Inadequate compliance of asthmatic children has been noted before (7)(8)(9)(10)(11)(12)(13). Eney et al found subtherapeutic STC in only 11% of chronically treated asthmatic children (7).…”

Section: Discussionmentioning

confidence: 87%

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Why do asthmatic children need referral to an emergency room?

Ashkenazi

Amir

Volovitz

et al. 1993

Pediatric Allergy Immunology

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Asthmatic attacks continue to be a major cause of referral to the emergency room (ER), despite currently available effective treatments. We have prospectively evaluated 100 consecutive children who were referred to the ER with acute asthma and were followed by their primary physicians. Only 46% were able to recognize acute attacks, and 26% had the knowledge and skills for self-management. The prophylactic therapy recommended was usually appropriate, but the compliance was poor and mean serum theophylline levels (STL) was 6.8 micrograms/ml, with subtherapeutic values (< 10 micrograms/ml) in 44 (88%). We studied an additional group of 50 consecutive children who were on a routine follow-up in the hospital asthma clinic. All were examined periodically and were instructed on the disease. The compliance of these children was much better and STL were within the therapeutic range in 73%, significantly higher than in the ER patients (p < 0.001). Their need for ER treatment or hospitalization was much lower than the former group. Poor compliance is a major factor causing referral of asthmatic children to ER, and careful education can improve patient compliance with reduced referral and subsequent hospitalization.

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Section: Discussionmentioning

confidence: 87%

“…"Limited intervention" only was of no value. Prolonged behavioral intervention was also shown to affect compliance (12,17).…”

Section: Discussionmentioning

confidence: 99%

Why do asthmatic children need referral to an emergency room?

Ashkenazi

Amir

Volovitz

et al. 1993

Pediatric Allergy Immunology

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show abstract

“…Many experts on asthma adherence advocate the use of medication checklists or charts by patients (Spector, 1985;A. G. Weinstein & Cuskey, 1985).…”

Section: Monitoringmentioning

confidence: 99%

“…A. G. Weinstein and Cuskey (1985) employed weekly telephone calls to track medication adherence in asthmatic children. This contact proved a useful means of monitoring the patients' behavior, and it prompted adherence.…”

Section: Monitoringmentioning

confidence: 99%

Adherence to Asthma Regimens

Creer

Levstek

1997

Handbook of Health Behavior Research II

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“…Although several studies combining education with behavioral methods have been conducted to improve adherence with inhaled corticosteroids, results have been inconsistent. For instance, four studies have yielded promising results (Bartlett, Lukk, Butz, Lampros-Klein, & Rand, 2002;Smith, Seale, Ley, Mellis, & Shaw, 1994;Smith, Seale, Ley, Shaw, & Bracs, 1986;Weinstein & Cuskey, 1985), whereas others have demonstrated mixed results (da Costa, Rapoff, Lemanek, & Goldstein, 1997;Lemanek, Rapoff, Carr, & Hope, 1996).…”

mentioning

confidence: 99%