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Clinical guidelines on pediatric asthma exacerbation in emergency department, a narrative review
Shabahang Jafarnejad1, Hamidreza Khoshnezhad Ebrahimi1
1Department of Emergency Medicine, School of Medicine, Iran University of Medical Sciences, Aliasghar Children Hospital, Tehran, Iran.
Insights
Clinical practice guidelines aid in managing pediatric asthma. This review compares evidence-based guidelines to help clinicians make informed decisions for better pediatric asthma care.
Area of Science:
- Pediatric Respiratory Medicine
- Clinical Practice Guidelines
Background:
- Asthma is a common chronic inflammatory airway disease in children.
- Children's narrower airways make them susceptible to asthma complications.
Purpose of the Study:
- To identify and compare clinical practice guidelines for pediatric asthma management.
- To provide clinicians with evidence-based recommendations for optimal patient care.
Main Methods:
- Comprehensive literature review of major biomedical databases (PubMed, EMBASE, MEDLINE, LILACS, Cochrane, Science Direct, Global Index Medicus).
- Analysis focused on pediatric asthma epidemiology, management, and clinical guidelines published between 2000 and 2019.
- Critical comparison of evidence-based guidelines, including BTS/SIGN and NICE.
Main Results:
- Clinical practice guidelines are essential for effective pediatric asthma management.
- Despite variations, key recommendations across guidelines show significant commonalities.
- Analysis of guideline differences can aid clinicians in decision-making.
Conclusions:
- Standardized guidelines improve the quality of pediatric asthma management.
- Understanding guideline nuances supports accurate clinical decision-making for pediatric asthma.
- Evidence-based guidelines are crucial tools for optimizing care for children with asthma.
Abstract:
Asthma has been known as a prevalent chronic-type inflammatory disease in children, because of their narrower respiratory airways. The present study aimed to identify guidelines for children asthma treatments. Extensive research was conducted on biomedical and pharmacological bibliographic database PubMed, EMBASE, MEDLINE, LILACS database, global independent network of Cochrane, Science Direct and global health library of Global Index Medicus. A comprehensive literature review was carried out using the terms Pediatric Asthma, epidemiology, management, and related clinical guidelines published from 2000 to 2019. After the primary assessment, quick diagnosis, clinical practice guidelines are useful tools for proper management of pediatric Asthma. By setting proper guidelines for this particular population, a higher improvement in quality of management of of pediatric Asthma is expected. Given the differences between the recommendations arisen by BTS/SIGN and NICE guidelines, critical comparison of the evidence-base guidelines provide suggestions that have more in common than what might seems at the first glance. The analysis of the variations presented in the present article will assist clinicians to make accurate decisions regarding their patients.
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