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School asthma documentation associated with student return to class after stock inhaler use
Summer Reyes1, Alexandra Knitter1, Lynn B Gerald2
1University of Chicago, Chicago, IL.
Academic Pediatrics
|July 18, 2026
Summary
Students with documented asthma diagnoses and action plans at school were more likely to return to class after using stock inhalers. This highlights the importance of school asthma documentation for better student outcomes.
Area of Science:
- Pediatric respiratory health
- School-based health programs
- Asthma management
Background:
- Stock albuterol inhalers are available in Illinois public schools.
- Asthma documentation (diagnosis and action plans) is variable among students.
- Outcomes after school inhaler use require further investigation.
Purpose of the Study:
- To assess the association between school-based asthma documentation and student outcomes following stock inhaler use.
- To determine if an asthma diagnosis or an asthma action plan (AAP) on file impacts return-to-class rates.
- To evaluate the effectiveness of school asthma record-keeping in managing respiratory events.
Main Methods:
- Observational study of a statewide stock inhaler program in Illinois schools (2023-2024).
- Data collected on student characteristics, asthma documentation, and outcomes after inhaler use.
- Statistical analyses included Chi-squared tests, Fisher's exact tests, Wilcoxon rank-sum tests, and logistic regression.
Main Results:
- 656 stock inhaler uses were reported.
- Students with an asthma diagnosis had 2.6 times higher odds of returning to class.
- Students with both an asthma diagnosis and an AAP had 2.41 times higher odds of returning to class.
- These associations remained significant after adjustments.
Conclusions:
- School-documented asthma diagnoses and AAPs are linked to improved outcomes after stock inhaler use.
- Effective asthma record-keeping in schools supports quicker return to class for students experiencing respiratory symptoms.
- The findings emphasize the value of maintaining up-to-date asthma information for students in school settings.
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