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Related Concept Videos

Asthma-I: Introduction01:29

Asthma-I: Introduction

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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...
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Asthma-III: Symptoms and Complications01:24

Asthma-III: Symptoms and Complications

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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
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Asthma-II: Pathophysiology and Classification01:26

Asthma-II: Pathophysiology and Classification

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Asthma is a prevalent chronic respiratory condition marked by inflammation and hyperresponsiveness of the airways. Its pathophysiology involves complex interactions among inflammatory pathways, immune responses, and neural mechanisms.
Additionally, environmental and genetic factors play crucial roles in determining an individual's susceptibility to asthma and the severity of their condition.
Critical processes in asthma pathophysiology include:
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Asthma-IV: Diagnostic and Management01:30

Asthma-IV: Diagnostic and Management

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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:
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Asthma: Pathogenesis and Management01:20

Asthma: Pathogenesis and Management

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Asthma is a chronic pulmonary condition involving inflammation of the airways, hyper-reactivity, and reversible obstruction of the airways. This condition can significantly impact a person's quality of life, making breathing difficult and leading to distressing symptoms.
Asthma is classified as allergic and non-allergic. Allergens such as dust mites, pollen, and pet dander trigger allergic asthma, while factors like cold air, intense emotions, or exercise can induce non-allergic asthma.
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Asthma-IV: Nursing Management01:30

Asthma-IV: Nursing Management

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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...
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Bronchial Thermoplasty: A Novel Therapeutic Approach to Severe Asthma
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Risk Factors for Pediatric Asthma Readmissions: A Systematic Review.

Alexander H Hogan1, Christopher L Carroll2, Marissa G Iverson3

  • 1Division of Hospital Medicine, Connecticut Children's Medical Center, Hartford, CT; Department of Pediatrics, University of Connecticut School of Medicine, Farmington, CT.

The Journal of Pediatrics
|May 15, 2021
PubMed
Summary
This summary is machine-generated.

Identifying pediatric asthma readmission risk factors is crucial. Prior hospitalizations, longer stays, and chronic conditions consistently predict early and late readmissions in children with asthma.

Keywords:
asthma exacerbationpediatric asthmarehospitalizationstatus asthmaticus

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Area of Science:

  • Pediatric Pulmonology
  • Health Services Research
  • Systematic Review Methodology

Background:

  • Asthma is a leading cause of pediatric hospitalizations.
  • Readmissions for pediatric asthma represent a significant burden on healthcare systems.
  • Understanding readmission predictors is vital for targeted interventions.

Purpose of the Study:

  • To systematically review and synthesize evidence on risk factors for pediatric asthma readmissions.
  • To identify factors associated with early (≤30 days) and late (>30 days) readmissions.
  • To inform strategies for reducing pediatric asthma readmission rates.

Main Methods:

  • Comprehensive literature search across multiple databases (PubMed/MEDLINE, CINAHL, Scopus, PsycINFO, Cochrane).
  • Independent screening and data extraction by multiple authors.
  • Assessment of bias risk for included studies.

Main Results:

  • 74 studies met inclusion criteria, exhibiting significant heterogeneity.
  • Early readmission predictors: prolonged length of stay and chronic comorbidities.
  • Late readmission predictors: female sex, chronic comorbidities, summer discharge, and prolonged length of stay.
  • Prior asthma admission was a consistent predictor across both intervals.

Conclusions:

  • Pediatric asthma readmission risk factors are time-dependent.
  • Prolonged length of stay, chronic comorbidities, and prior asthma admissions are key predictors.
  • Targeted interventions considering these factors may reduce pediatric asthma readmissions.