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Published on: November 4, 2010
Parent-initiated oral corticosteroid therapy for acute asthma: a survey of current practice
Peter J Vuillermin1, Mike South, John B Carlin
1Murdoch Childrens Research Institute, and Department of Paediatrics, University of Melbourne, Melbourne, Australia. peterv@barwonhealth.org.au
Insights
Most doctors recommend parent-initiated oral corticosteroids (PIOCS) for childhood asthma, but few parents report receiving this advice. This highlights a significant gap in asthma management communication.
Area of Science:
- Pediatric Asthma Management
- Respiratory Medicine
Background:
- Parent-initiated oral corticosteroids (PIOCS) are a recommended treatment for acute asthma in children.
- Effective communication between healthcare providers and parents is crucial for optimal asthma care.
Purpose of the Study:
- To assess the proportion of doctors recommending PIOCS for acute asthma.
- To determine the proportion of parents who have received advice on PIOCS.
Main Methods:
- An internet-based survey of doctors caring for children with asthma.
- A questionnaire survey of parents of children aged 4-13 years in Victoria, Australia.
Main Results:
- 85% of surveyed doctors reported recommending PIOCS to parents.
- Only 16.5% of parents of children with recent asthma symptoms reported receiving PIOCS advice.
Conclusions:
- A majority of doctors recommend PIOCS for childhood asthma.
- There is a notable discrepancy between doctor recommendations and parental reports of receiving this advice, indicating a communication gap in asthma management.
Aim:
To determine (i) the proportion of doctors who recommend parent-initiated oral corticosteroids (PIOCS) for acute asthma; and (ii) the proportion of parents who have received this advice.
Methods:
(i) An internet-based survey of doctors involved in the care of children with asthma; and (ii) a questionnaire-based survey of parents of children aged 4-13 years who were identified from a random sample of primary schools within the Barwon region of Victoria.
Results:
Eight-five per cent (95% confidence interval 80.0-89.1%) of responding doctors reported recommending PIOCS to parents of children with asthma. However, only 16.5% (95% confidence interval 14.2-18.7%) of parents of children with recent asthma symptoms report that they have received such advice.
Conclusion:
The majority of responding doctors involved in the care of children with asthma report recommending PIOCS to parents. By contrast, a minority of parents of children with asthma report that they have received such advice.
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