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Published on: November 5, 2010
Outcome results of a school-based screening program for undertreated asthma
Barbara P Yawn1, Peter Wollan, Paul D Scanlon
1Department of Research, Olmsted Medical Center, Rochester, Minnesota 55904, USA. yawnX002@tc.umn.edu
Summary
School-based screening effectively identified children with undertreated asthma, increasing doctor visits and medication adjustments. This strategy improves pediatric asthma management and reduces school absences.
Area of Science:
- Pediatric Pulmonology
- Public Health
- Epidemiology
Background:
- Undertreatment of pediatric asthma leads to preventable morbidity, including school absences.
- Current strategies like guideline dissemination have limited success.
- School-based identification offers a novel approach to enhance asthma management in children.
Purpose of the Study:
- To assess the efficacy of school-based identification in managing potentially undertreated asthma in children.
Main Methods:
- A controlled trial utilized mailed parent surveys to identify children with symptomatic asthma.
- Referral letters were sent to identified children, followed by medical record review.
- Changes in asthma treatment were evaluated post-referral.
Main Results:
- 79.9% of parents responded to surveys; 19.4% reported a physician diagnosis of asthma.
- Of referred children, 31.2% had physician visits and 18.8% had medication changes.
- The intervention group showed significantly more asthma-related visits and therapy changes compared to the control group.
Conclusions:
- School-based screening successfully increased physician visits for asthma-related issues.
- This method also led to a greater number of documented changes in asthma therapy.
- School-based identification is an effective strategy for improving pediatric asthma care.
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