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Published on: November 4, 2010
Severe Asthma in Childhood
Angela Marko1, Kristie R Ross2
1Division of Pediatric Pulmonology, University Hospitals Rainbow Babies and Children's Hospital, 11100 Euclid Avenue, Cleveland, OH 44106, USA.
Insights
Severe asthma in children requires a thorough evaluation. This includes assessing alternative diagnoses, adherence, and environmental factors for optimal management of difficult-to-control asthma.
Area of Science:
- Pediatric Pulmonology
- Allergy and Immunology
Background:
- Severe asthma is defined as asthma uncontrolled despite high-dose inhaled corticosteroids.
- Children with severe asthma represent a heterogeneous group with significant disease burden and healthcare needs.
Purpose of the Study:
- To outline the comprehensive evaluation process for children with severe asthma.
- To emphasize the importance of considering alternative diagnoses and comorbidities.
Main Methods:
- Comprehensive clinical assessment.
- Review of medication adherence.
- Evaluation of environmental control measures.
- Frequent disease monitoring.
Main Results:
- Children with severe asthma require a multi-faceted approach to management.
- Identification of contributing factors is crucial for treatment optimization.
Conclusions:
- A systematic and comprehensive evaluation is essential for managing severe pediatric asthma.
- Addressing adherence, environmental factors, and comorbidities improves outcomes in severe asthma cases.
Abstract:
Severe asthma is broadly defined as asthma requiring a high level of therapy, usually high doses of inhaled corticosteroids, to bring under control. Children who remain symptomatic despite such treatment are a heterogeneous population, and bear a high burden of disease and require high resource utilization. Children with severe asthma require a comprehensive evaluation, careful consideration of alternative diagnoses and comorbid conditions, assessment of medication adherence and environmental conditions, and frequent disease monitoring.
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