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Asthma Self-management: It's Not One Size Fits All
Lisa Ulrich1, Sabrina Palacios1
1Department of Pediatrics, Division of Pulmonary Medicine, Nationwide Children's Hospital, The Ohio State University College of Medicine, 700 Childrens Drive, Columbus, OH 43205, USA.
Immunology and Allergy Clinics of North America
|September 30, 2019
Summary
Effective home management of asthma exacerbations can reduce healthcare use. This review explores options for customized asthma self-management plans, including bronchodilators and other therapies for acute episodes.
Area of Science:
- Pulmonology
- Allergy and Immunology
- Pharmacology
Background:
- Asthma exacerbations represent a major burden on healthcare systems and contribute to mortality.
- Home-based management strategies offer a promising approach to mitigate exacerbations before they necessitate institutional care.
Purpose of the Study:
- To review available options for patients and providers to create individualized asthma self-management plans.
- To examine literature on various therapeutic strategies for managing acute asthma exacerbations at home.
Main Methods:
- Literature review of short-acting bronchodilators.
- Analysis of studies on home oral steroids for exacerbations.
- Evaluation of inhaled corticosteroid/beta-agonist combination therapies.
- Review of macrolide use in acute asthma.
Main Results:
- Short-acting bronchodilators are a cornerstone of acute asthma management.
- Evidence for home oral steroids, combination inhalers, and macrolides in acute exacerbations varies and warrants careful consideration.
- Customization of self-management plans is key to effective exacerbation control.
Conclusions:
- Tailored asthma self-management plans incorporating appropriate therapies can potentially reduce severe exacerbations and healthcare utilization.
- Further research may clarify the role of less conventional therapies in home-based acute asthma management.
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