296 Impact of prospective, randomized asthma education program on emergency department visits for children with asthma

OBJECTIVE The objective of this study was to determine if a multidisciplinary asthma education and management program within a general pediatric clinic impacts clinical outcomes of children with asthma. METHODS An asthma education and management clinic was started by a general pediatrician, a pharmacist, and a nurse. At a patient's initial clinic visit, data were collected summarizing hospitalizations, emergency department visits, and number of systemic corticosteroid courses for the previous year. The same data were collected at each subsequent visit. A retrospective review of this data was performed for patients who enrolled in the clinic between February 1999 and 2002 to compare outcomes between the year before enrollment in the clinic and the following year. Patients were included if they received follow-up for at least one year. RESULTS Fifty-seven patients with a mean age of 8.5 years qualified for data analysis. Forty-eight percent of the study population was classified as having moderate persistent asthma, and 11% of patients were severe persistent. Compared to the year prior to clinic enrollment, the number of hospitalizations per patient decreased by 82% (P < .001). Emergency department visits decreased by 81% (P < .001). The number of systemic corticosteroid courses decreased by 72% (P < 0.001). CONCLUSIONS Patient enrollment in a general pediatric clinic-based multidisciplinary asthma education and management program decreases hospitalizations, emergency department visits, and systemic corticosteroid exposure.

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Predicting frequent emergency department visits among children with asthma using EHR data

Pediatric Pulmonology ◽

10.1002/ppul.23735 ◽

2017 ◽

Vol 52 (7) ◽

pp. 880-890 ◽

Cited By ~ 8

Author(s):

Lala T. Das ◽

Erika L. Abramson ◽

Anne E. Stone ◽

Janienne E. Kondrich ◽

Lisa M. Kern ◽

...

Keyword(s):

Emergency Department ◽

Emergency Department Visits ◽

Children With Asthma

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Emergency department visits for children with acute asthma: discharge instructions, parental plans, and follow-through of care—a prospective study

CJEM ◽

10.1017/s1481803500003481 ◽

2014 ◽

Vol 16 (06) ◽

pp. 467-476 ◽

Cited By ~ 2

Author(s):

Pat G. Camp ◽

Seamus P. Norton ◽

Ran D. Goldman ◽

Salomeh Shajari ◽

M. Anne Smith ◽

...

Keyword(s):

Emergency Department ◽

Acute Care ◽

Family Doctor ◽

Emergency Department Visits ◽

Upper Respiratory Tract ◽

Asthma Exacerbations ◽

Initial Care ◽

Children With Asthma ◽

Tract Infections ◽

The Impact

Abstract Objective: Communication between emergency department (ED) staff and parents of children with asthma may play a role in asthma exacerbation management. We investigated the extent to which parents of children with asthma implement recommendations provided by the ED staff. Method: We asked questions on asthma triggers, ED care (including education and discharge recommendations), and asthma management strategies used at home shortly after the ED visit and again at 6 months. Results: A total of 148 children with asthma were recruited. Thirty-two percent of children were not on inhaled corticosteroids prior to their ED visit. Eighty percent of parents identified upper respiratory tract infections (URTIs) as the primary trigger for their child’s asthma. No parent received or implemented any specific asthma strategies to reduce the impact of URTIs; 82% of parents did not receive any printed asthma education materials. Most (66%) parents received verbal instructions on how to manage their child’s future asthma exacerbations. Of those, one-third of families were told to return to the ED. Parents were rarely advised to bring their child to their family doctor in the event of a future exacerbation. At 6 months, parents continued to use the ED services for asthma exacerbations in their children, despite reporting feeling confident in managing their child’s asthma. Conclusion: Improvements are urgently needed in developing strategies to manage pediatric asthma exacerbations related to URTIs, communication with parents at discharge in acute care, and using alternate acute care services for parents who continue to rely on EDs for the initial care of mild asthma exacerbations.

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Risk factors for frequent emergency department visits among children with asthma*1

Journal of Allergy and Clinical Immunology ◽

10.1016/j.jaci.2004.01.507 ◽

2004 ◽

Vol 113 (2) ◽

pp. S286 ◽

Cited By ~ 1

Author(s):

G EROGLU

Keyword(s):

Risk Factors ◽

Emergency Department ◽

Emergency Department Visits ◽

Children With Asthma

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A Children’s Asthma Education Program: Roaring Adventures of Puff (RAP), Improves Quality of Life

Canadian Respiratory Journal ◽

10.1155/2010/327650 ◽

2010 ◽

Vol 17 (2) ◽

pp. 67-73 ◽

Cited By ~ 27

Author(s):

Shawna L McGhan ◽

Eric Wong ◽

Heather M Sharpe ◽

Patrick A Hessel ◽

Puish Mandhane ◽

...

Keyword(s):

Quality Of Life ◽

Usual Care ◽

Education Program ◽

Intervention Group ◽

Asthma Management ◽

Control Group ◽

Asthma Education ◽

Children With Asthma

BACKGROUND: It is postulated that children with asthma who receive an interactive, comprehensive education program would improve their quality of life, asthma management and asthma control compared with children receiving usual care.OBJECTIVE: To assess the feasibility and impact of ‘Roaring Adventures of Puff’ (RAP), a six-week childhood asthma education program administered by health professionals in schools.METHODS: Thirty-four schools from three health regions in Alberta were randomly assigned to receive either the RAP asthma program (intervention group) or usual care (control group). Baseline measurements from parent and child were taken before the intervention, and at six and 12 months.RESULTS: The intervention group had more smoke exposure at baseline. Participants lost to follow-up had more asthma symptoms. Improvements were significantly greater in the RAP intervention group from baseline to six months than in the control group in terms of parent’s perceived understanding and ability to cope with and control asthma, and overall quality of life (P<0.05). On follow-up, doctor visits were reduced in the control group.CONCLUSION: A multilevel, comprehensive, school-based asthma program is feasible, and modestly improved asthma management and quality of life outcomes. An interactive group education program offered to children with asthma at their school has merit as a practical, cost-effective, peer-supportive approach to improve health outcomes.

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Emergency department visits by urban African American children with asthma

Journal of Allergy and Clinical Immunology ◽

10.1016/s0091-6749(00)90182-9 ◽

2000 ◽

Vol 105 (1) ◽

pp. 83-90 ◽

Cited By ~ 102

Author(s):

Cynthia S. Rand ◽

Arlene M. Butz ◽

Ken Kolodner ◽

Karen Huss ◽

Peyton Eggleston ◽

...

Keyword(s):

Emergency Department ◽

African American ◽

Emergency Department Visits ◽

African American Children ◽

Children With Asthma ◽

American Children

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Needs and expectations for an AR program for asthma education for school-age children in South Korea: The perspectives of children, parents, and teachers

Child Health Nursing Research ◽

10.4094/chnr.2021.27.4.365 ◽

2021 ◽

Vol 27 (4) ◽

pp. 365-376

Author(s):

Yunsoo Kim ◽

Hyojin Ju

Keyword(s):

Education Program ◽

Cross Sectional Study ◽

School Age Children ◽

School Age ◽

Cross Sectional ◽

Test Analysis ◽

Asthma Education ◽

Education Data ◽

Asthma Attack ◽

Children With Asthma

Purpose: This study examined the needs for asthma education programs as perceived by school-age children, parents, and teachers and investigated parents' and teachers' expectations for incorporating augmented reality (AR) in asthma education.Methods: This descriptive, cross-sectional study included 339 participants: 125 school-age children, 132 parents, and 82 teachers. Data were collected from children, parents, and teachers on the need for asthma education, the requirements for asthma education, and the expectations of parents and teachers for incorporating AR in asthma education. Data were analyzed using descriptive statistics, the t-test, analysis of variance, and the Scheffé test.Results: Asthmatic children and their peers, parents, and teachers all felt there was a significant need for education about asthma, with education on how to deal with an asthma attack being needed the most. The incorporation of AR programs in asthma education was viewed positively by both parents and teachers.Conclusion: An AR children's asthma education program should be developed in which children with asthma and their peers, parents, and teachers can participate together. Furthermore, it is expected that children with asthma will independently undertake more effective disease management after attending an AR asthma education program.

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Social Determinants of Emergency Department Visits in Mild Compared To Moderate and Severe Asthma

10.21203/rs.3.rs-1157040/v1 ◽

2021 ◽

Author(s):

Kamel Alachraf ◽

Caroline Currie ◽

William Wooten ◽

Dmitry Tumin

Keyword(s):

Emergency Department ◽

Severe Asthma ◽

Social Determinants ◽

Insurance Coverage ◽

Asthma Severity ◽

Emergency Department Visits ◽

Data Set ◽

The Past ◽

Children With Asthma ◽

Ed Visits

Abstract Social determinants of health (SDH) influence emergency department (ED) use among children with asthma. We aimed to examine if SDH were more strongly associated with ED use among children with moderate/severe compared to mild asthma. This study utilized the 2016-2019 data from the National Survey of Children’s Health. Children with asthma ages 0-17 years (N=9,937) were included in the analysis. Asthma severity and all-cause ED use in the past year were reported by caregivers. The association between patient factors and ED visits was evaluated using ordinal logistic regression. Based on the study sample, 29% of children with asthma had moderate/severe asthma. In the mild group, 30% visited the ED at least once in the past 12 months, compared to 49% in the moderate/severe group. SDH associated with ED visits included race/ethnicity, insurance coverage, and parental educational attainment, but the strength of these associations did not vary according to asthma severity. In a nationally-representative data set, SDH were equally predictive of ED use regardless of children’s asthma severity. Interventions to reduce ED use among children with asthma should be considered for children with any severity of asthma, especially children in socially disadvantaged groups at higher risk of ED utilization.

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