How Hospitalizations Can Be Effective in Subsequent Care of Children with Asthma?
-
Samin Sharafian
,
Ghasem Barjouei Fard
,
Maryam Atabakzadeh
,
Masoud Movahedi
,
Nima Parvaneh
,
Mansoureh Shariat
,
Mohammad Gharagozlou
Abstract
Asthma is a prevalent chronic inflammatory disorder in children, and poor therapeutic response in asthmatic children could result from various factors related to the doctor, patient, disease, and treatment. This study aimed to evaluate the most important causes of failure in asthma control.
One hundred three children referred to the Children’s Medical Center in Tehran, Iran, participated in this study in 2017. A specific questionnaire was organized and completed by telephone interviews with parents.
The mean age of participants was 10.30 years, and 68.9% were male. More action plans (45/53) were received from hospitalized patients in the asthma and allergy ward than from hospitalized patients in the emergency department (13/46). Moreover, 85% of admitted patients in the asthma and allergy ward were visited by a specialist compared with 50% in the emergency department (23/46).
Hospitalization in the asthma and allergy ward resulted in receiving more action plans, spirometry tests, and visits by an allergist after discharge compared with admission to the emergency department.
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16. Grover C, Goel N, Armour C, Van Asperen PP, Gaur SN, Moles RJ, et al. Medication education program for Indian children with asthma: A feasibility stud. Niger J Clin Pract. 2016;19(1):76-84.
17. Herrera AM, Brand P, Cavada G, Koppmann A, Rivas M, Mackenney J, et al. Hospitalizations for asthma exacerbation in Chilean children: A multicenter observational study. Allergologia et Immunopathologia. 2018;46(6):533-8.
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19. Zemek RL, Bhogal SK, Ducharme FM. Systematic review of randomized controlled trials examining written action plans in children: what is the plan? Archives of pediatrics & adolescent medicine. 2008;162(2):157-63.
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21. Chung HS, Hathaway DK, Lew DB. Risk factors associated with hospital readmission in pediatric asthma. J Pediatr Nurs. 2015;30(2):364-84.
22. Gharagozlou M, Abdollahpour H, Moinfar Z, Bemanian MH, Sedaghat M. A survey of pediatricians' knowledge on asthma management in children. Iran J Allergy Asthma Immunol. 2008;7(2):85-90.
23. Haktanir Abul M, Phipatanakul W. Severe asthma in children: Evaluation and management. Allergol Int. 2019;68(2):150-7.
2. Stern J, Pier J, Litonjua AA. Asthma epidemiology and risk factors. Semin Immunopathol. 2020;42(1):5-15.
3. Papi A, Brightling C, Pedersen SE, Reddel HK. Asthma. Lancet. 2018;391(10122):783-800.
4. Fazlollahi MR, Najmi M, Fallahnezhad M, Sabetkish N, Kazemnejad A, Bidad K, et al. Paediatric asthma prevalence: The first national population-based survey in Iran. Clin Res J. 2019;13(1):14-22.
5. Castillo JR, Peters SP, Busse WW. Asthma Exacerbations: Pathogenesis, Prevention, and Treatment. J Allergy Clin Immunol Pract. 2017;5(4):918-27.
6. Braido F. Failure in asthma control: reasons and consequences. Scientifica. 2013;2013:549252-.
7. Bianchi M, Clavenna A, Sequi M, Bortolotti A, Fortino I, Merlino L, et al. Childhood asthma management pre- and post-incident asthma hospitalization. PLoS One. 2013;8(10):e76439.
8. Schatz M, Clark S, Camargo CA, Jr. Sex differences in the presentation and course of asthma hospitalizations. Chest. 2006;129(1):50-5.
9. Shah R, Newcomb DC. Sex Bias in Asthma Prevalence and Pathogenesis. Front Immunol. 2018;9(2997).
10. Mirsadraee R, Gharagozlou M, Movahedi M, Behniafard N, Nasiri R. Evaluation of factors contributed in nonadherence to medication therapy in children asthma. Iran J Allergy Asthma Immunol. 2012;11(1):23-7.
11. Weinstein SM, Pugach O, Rosales G, Mosnaim GS, Walton SM, Martin MA. Family Chaos and Asthma Control. Pediatrics. 2019;144(2).
12. Strömberg Celind F, Wennergren G, Vasileiadou S, Alm B, Åberg N, Goksör E. Higher parental education was associated with better asthma control. Acta paediatrica (Oslo, Norway : 1992). 2019;108(5):920-6.
13. Thakur N, Martin M, Castellanos E, Oh SS, Roth LA, Eng C, et al. Socioeconomic status and asthma control in African American youth in SAGE II. J Asthma. 2014;51(7):720-8.
14. Klok T, Kaptein AA, Duiverman EJ, Brand PL. High inhaled corticosteroids adherence in childhood asthma: the role of medication beliefs. Eur Respir J. 2012;40(5):1149-55.
15. Scott L, Morphew T, Bollinger ME, Samuelson S, Galant S, Clement L, et al. Achieving and maintaining asthma control in inner-city children. J Allergy Clin Immunol. 2011;128(1):56-63.
16. Grover C, Goel N, Armour C, Van Asperen PP, Gaur SN, Moles RJ, et al. Medication education program for Indian children with asthma: A feasibility stud. Niger J Clin Pract. 2016;19(1):76-84.
17. Herrera AM, Brand P, Cavada G, Koppmann A, Rivas M, Mackenney J, et al. Hospitalizations for asthma exacerbation in Chilean children: A multicenter observational study. Allergologia et Immunopathologia. 2018;46(6):533-8.
18. Lakupoch K, Manuyakorn W, Preutthipan A, Kamalaporn H. The effectiveness of newly developed written asthma action plan in improvement of asthma outcome in children. Asian Pac J Allergy Immunol. 2018;36(2):88-92.
19. Zemek RL, Bhogal SK, Ducharme FM. Systematic review of randomized controlled trials examining written action plans in children: what is the plan? Archives of pediatrics & adolescent medicine. 2008;162(2):157-63.
20. Jafarnejad S, Khoshnezhad Ebrahimi H. Clinical guidelines on pediatric asthma exacerbation in emergency department, a narrative review. Europ J Trans Myol. 2020;30(1):8682-.
21. Chung HS, Hathaway DK, Lew DB. Risk factors associated with hospital readmission in pediatric asthma. J Pediatr Nurs. 2015;30(2):364-84.
22. Gharagozlou M, Abdollahpour H, Moinfar Z, Bemanian MH, Sedaghat M. A survey of pediatricians' knowledge on asthma management in children. Iran J Allergy Asthma Immunol. 2008;7(2):85-90.
23. Haktanir Abul M, Phipatanakul W. Severe asthma in children: Evaluation and management. Allergol Int. 2019;68(2):150-7.
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| Issue | Articles in Press | |
| Section | Brief Communication | |
| Keywords | ||
| Action plan Asthma Children Education Hospitalization Spirometry | ||
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How to Cite
1.
Sharafian S, Barjouei Fard G, Atabakzadeh M, Movahedi M, Parvaneh N, Shariat M, Gharagozlou M. How Hospitalizations Can Be Effective in Subsequent Care of Children with Asthma?. Iran J Allergy Asthma Immunol. 2024;:1-7.
