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Children with asthma on inhaled corticosteroids managed in general practice or by hospital paediatricians: is there a

Maarten C Kuethe1, Anja A Vaessen-Verberne, Patrick J Bindels

  • 1Department of Paediatrics, Amphia Hospital, Breda, Noord Brabant, Netherlands.

Primary Care Respiratory Journal : Journal of the General Practice Airways Group
|December 10, 2009
PubMed

Insights

Children with moderate asthma treated in general practice had poorer asthma control and fewer review visits compared to those in hospital care. This highlights the need for regular follow-ups, especially in general practice settings.

Area of Science:

  • Pediatric Pulmonology
  • General Practice Asthma Management
  • Respiratory Medicine

Background:

  • Asthma management in children requires consistent monitoring and appropriate treatment strategies.
  • Differences in healthcare settings may influence asthma control and patient outcomes.

Purpose of the Study:

  • To compare asthma characteristics in children with moderate asthma treated in general versus hospital practice.
  • To evaluate lung function, asthma control, and medication use between the two groups.

Main Methods:

  • A comparative analysis of 45 children from general practice and 62 from hospital practice.
  • Participants were diagnosed with asthma and required inhaled corticosteroids (ICS).
  • Evaluated lung function, Asthma Control Questionnaire (ACQ) scores, and medication patterns.

Main Results:

  • No significant differences in age, lung function, or ICS dosage were observed.
  • Children in general practice had higher median ACQ scores (poorer control) (0.67 vs. 0.33).
  • Fewer general practice patients had planned reviews (22.7% vs. 98.4%), and more used combination ICS/LABA therapy (28.9% vs. 6.5%).

Conclusions:

  • Hospital-based pediatric asthma care was associated with better control and less combination therapy use.
  • Regular review visits are crucial for children with moderate-to-severe asthma, particularly those managed in general practice.
Abstract

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