Related Experiment Video

Updated: Jun 23, 2026

Bronchial Thermoplasty: A Novel Therapeutic Approach to Severe Asthma
14:39

Bronchial Thermoplasty: A Novel Therapeutic Approach to Severe Asthma

Published on: November 4, 2010

Extended-stay hospitalization for childhood asthma in Japan

Hidekazu Tani1, Kentaro Matsuda, Takao Matsumoto

  • 1Department of Pediatrics, Kurume University School of Medicine, Fukuoka, Japan.

Pediatrics International : Official Journal of the Japan Pediatric Society
|April 30, 2009
PubMed

Insights

Extended-stay hospitalizations for pediatric asthma declined, with increasing complications. While beneficial for severe cases, improved outpatient care limits their role, necessitating further research into long-term program components.

Area of Science:

  • Pediatric Pulmonology
  • Hospital Medicine
  • Asthma Management

Background:

  • Advances in asthma management improve outpatient control.
  • Children with poorly controlled asthma are referred to extended-stay hospitals.
  • Study examines trends and current status of extended-stay hospitalizations.

Purpose of the Study:

  • To examine trends in extended-stay hospitalizations for pediatric asthma.
  • To evaluate the current utility of extended-stay hospitalizations.

Main Methods:

  • Retrospective study of 408 children with extended stays (1989-2005).
  • Analysis of medical and laboratory data for 236 patients admitted since 1994.

Main Results:

  • Extended-stay hospitalizations decreased significantly after 2000.
  • Increased prevalence of asthma complications (atopic dermatitis, obesity, absenteeism).
  • Demonstrated benefits: improved exercise performance, pulmonary function, reduced IgE, fewer relapses.

Conclusions:

  • Pharmacotherapy advances limit the role of extended-stay hospitalizations.
  • Severe or psychologically complex asthma cases may still benefit from group care.
  • Further research needed to define effective long-term programs.
Abstract

Related Concept Videos

Asthma-IV: Diagnostic and Management01:30

Asthma-IV: Diagnostic and Management

The diagnosis and management of asthma are comprehensive, encompassing clinical assessments, lung function tests, and pharmacological interventions. Here's an overview:
Clinical Assessment for Asthma:
This is the first step in diagnosing and managing asthma. It includes:
Asthma-IV: Nursing Management01:30

Asthma-IV: Nursing Management

The nursing management of asthma is a comprehensive approach that relies heavily on the expertise and dedication of healthcare professionals. It involves thorough assessment, accurate diagnosis, strategic planning, effective implementation, and diligent evaluation. By meticulously following this step-by-step process, healthcare professionals play a crucial role in providing the best possible care and treatment for patients with asthma, enhancing their overall health and well-being.
First, in...
Asthma III: Clinical Manifestations01:13

Asthma III: Clinical Manifestations

Asthma presents with a characteristic pattern of episodic respiratory symptoms that reflect underlying airway inflammation, bronchoconstriction, and mucus hypersecretion. Although severity varies among individuals, certain clinical manifestations are considered hallmarks of the disorder and often guide diagnosis and assessment.Respiratory SymptomsA persistent cough is one of the most common early features of asthma. It is frequently dry and tends to worsen at night or in the early morning,...
Asthma-III: Symptoms and Complications01:24

Asthma-III: Symptoms and Complications

Asthma, a common chronic respiratory condition, is classified considering the frequency and severity of symptoms alongside lung function impairment. Understanding this classification is essential for appropriate treatment and management. Here's a detailed look at the classification of asthma and its clinical features and complications:
Classification of Asthma
Asthma-I: Introduction01:29

Asthma-I: Introduction

Asthma is a chronic respiratory ailment that requires careful management due to its varying symptoms and influencing factors. It is characterized by airway inflammation, bronchial hyperresponsiveness, and reversible airflow obstruction, leading to symptoms like wheezing, shortness of breath, chest tightness, and coughing. The symptom frequency and intensity may vary considerably over time. It is also linked to immune system responses to allergens and irritants, highlighting the complex...
Asthma I: Introduction01:28

Asthma I: Introduction

Asthma is a chronic inflammatory disorder of the airways characterized by variable airflow obstruction and heightened bronchial responsiveness to a wide range of triggers. The underlying inflammation leads to airway swelling, mucus hypersecretion, and smooth muscle constriction, all of which narrow the airway lumen and impede airflow. Clinically, asthma presents with recurrent episodes of wheezing, shortness of breath, chest tightness, and coughing, symptoms that typically vary in intensity and...