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How Hospitalizations Can Be Effective in Subsequent Care of Children with Asthma?
Samin Sharafian1, Ghasem Barjouei Fard2, Maryam Atabakzadeh3
1Department of Allergy and Clinical Immunology, Mofid Children's Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran. samin.sh2020@yahoo.com.
Insights
Pediatric asthma control often fails due to various factors. Hospitalization in specialized asthma wards improves asthma action plans and specialist follow-up compared to emergency department care.
Area of Science:
- Pediatric Pulmonology
- Clinical Allergy and Immunology
Background:
- Asthma is a common chronic respiratory disease in children.
- Poor therapeutic response in pediatric asthma can stem from multifaceted factors.
Purpose of the Study:
- To identify key factors contributing to inadequate asthma control in children.
- To compare the effectiveness of care in specialized asthma wards versus emergency departments.
Main Methods:
- A questionnaire-based study involving 103 children with asthma in Tehran, Iran.
- Data collected via telephone interviews with parents regarding treatment and follow-up.
- Comparison of outcomes for patients admitted to asthma/allergy wards versus emergency departments.
Main Results:
- Patients in asthma/allergy wards received more asthma action plans (45/53) than those in the emergency department (13/46).
- 85% of patients in asthma/allergy wards saw a specialist, compared to 50% in the emergency department.
- Discharge from asthma/allergy wards led to more action plans, spirometry, and allergist visits.
Conclusions:
- Specialized asthma care settings enhance patient management and follow-up.
- Improved access to action plans and specialist care are critical for pediatric asthma control.
Abstract:
Asthma is a prevalent chronic inflammatory disorder in children, and poor therapeutic response in asthmatic children could result from various factors related to the doctor, patient, disease, and treatment. This study aimed to evaluate the most important causes of failure in asthma control. One hundred three children referred to the Children's Medical Center in Tehran, Iran, participated in this study in 2017. A specific questionnaire was organized and completed by telephone interviews with parents. The mean age of participants was 10.30 years, and 68.9% were male. More action plans (45/53) were received from hospitalized patients in the asthma and allergy ward than from hospitalized patients in the emergency department (13/46). Moreover, 85% of admitted patients in the asthma and allergy ward were visited by a specialist compared with 50% in the emergency department (23/46). Hospitalization in the asthma and allergy ward resulted in receiving more action plans, spirometry tests, and visits by an allergist after discharge compared with admission to the emergency department.
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