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2022 Year in Review: Pediatric Asthma
1Breathing Institute, Children's Hospital Colorado, Aurora, Colorado. joyce.baker@childrenscolorado.org.
Insights
Pediatric asthma management is evolving, with recent pandemic insights prompting shifts in clinical practice. This summary highlights 8 key topics for improved child asthma care and control.
Area of Science:
- Pediatric Pulmonology
- Allergy and Immunology
- Public Health
Background:
- Asthma is the most prevalent chronic childhood illness, characterized by variable airway obstruction and hyperresponsiveness.
- Poorly controlled pediatric asthma incurs significant economic costs due to emergency visits and hospitalizations.
- Extensive research on pediatric asthma diagnosis, treatment, and management continues, with thousands of papers published annually.
Purpose of the Study:
- To summarize 8 pivotal topics in pediatric asthma management.
- To address shifts in clinical practice and lessons learned from the recent pandemic.
- To provide insights with potential future applications in asthma care.
Main Methods:
- Review and synthesis of recent literature and expert discussions.
- Identification of 8 key areas influencing pediatric asthma clinical practice.
- Focus on topics with demonstrated shifts or pandemic-related implications.
Main Results:
- Key topics include evolving diagnostic criteria and treatment strategies for pediatric asthma.
- The pandemic has influenced remote monitoring and telehealth in asthma management.
- Expert consensus highlights the need for personalized approaches to pediatric asthma control.
Conclusions:
- Clinical practice for pediatric asthma is adapting to new evidence and experiences.
- Pandemic-derived strategies may offer lasting benefits for asthma management.
- Continued expert dialogue is crucial for optimizing the care of children with asthma.
Abstract:
Asthma is the most common chronic disease in children. Asthma is a heterogeneous disease characterized by variable, reversible airway obstruction and hyper-responsive airways. There is a high economic burden due to a child having poorly controlled asthma with one or more asthma exacerbations resulting in an emergency department visit or hospitalization in a year. Publications on diagnosis, treatment, and management of pediatric asthma are ongoing with over 2,549 papers published from January-November 2022. The intent of this paper is to summarize 8 key topics that have prompted discussions with local, regional, and national asthma experts due to a shift in clinical practice or lessons learned from the recent pandemic that may have future application.
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