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Outcome of short-term hospitalization for children with severe asthma

A G Weinstein1, D S Faust, L McKee

  • 1Department of Pediatrics, Alfred I. duPont Institute, Wilmington, Del. 19899.

The Journal of Allergy and Clinical Immunology
|July 1, 1992
PubMed

Insights

Short-term residential treatment significantly reduced hospitalizations and emergency care for children with severe asthma. Family involvement in treatment planning and adaptation was key to improving outcomes and compliance.

Area of Science:

  • Pediatrics
  • Pulmonology
  • Family Medicine

Background:

  • Severe asthma significantly impacts children's quality of life and healthcare utilization.
  • Existing treatments often lack comprehensive family involvement, potentially hindering long-term management.

Purpose of the Study:

  • To evaluate the effectiveness of a family-centered, short-term residential program for severe asthma in children.
  • To assess the impact of mandatory family participation on treatment adherence and health outcomes.

Main Methods:

  • A cohort of 44 children with severe asthma participated in a median 15-day residential program.
  • Program included medical, behavioral, and treatment assessments for both the child and family.
  • Family functioning and specific interventions for adaptation and compliance were assessed pre- and post-treatment.

Main Results:

  • A 93% reduction in hospital days and an 81% reduction in emergency care visits were observed post-treatment.
  • Significant improvements in corticosteroid use and forced expiratory volume in 1 second (FEV1) were noted.
  • Higher hospital use was associated with dysfunctional families and difficulties in child discipline.

Conclusions:

  • Short-term residential treatment, with mandatory family participation, leads to substantial improvements in severe pediatric asthma management.
  • Family-centered interventions are crucial for enhancing treatment compliance and reducing healthcare burdens.
  • Addressing family dynamics is vital for optimizing outcomes in children with severe asthma.

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