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Asthma Exacerbation Risk and School Asthma Readiness
Chén C Kenyon1,2,3, DanaRose Negro1,2,3, Jaime Fluehr4
1Division of General Pediatrics, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania.
Pediatrics
|August 9, 2026
Summary
Many schools lack essential asthma care components. Schools with more asthma exacerbations showed higher readiness, indicating a need for improved proactive asthma management in educational settings.
Area of Science:
- Pediatric Pulmonology
- School Health
- Asthma Management
Background:
- School-based asthma management is crucial for child healthcare.
- Many children with asthma require support within the school environment.
Purpose of the Study:
- To determine the proportion of schools with child-specific asthma care components.
- To develop a composite metric for "school asthma readiness".
- To assess the link between past asthma exacerbations and school asthma readiness.
Main Methods:
- A nested cohort of 202 children (aged 5-13) was analyzed.
- "School asthma readiness" was calculated based on available asthma care elements.
- Ordinal logistic regression modeled the association between exacerbations and readiness, controlling for covariates.
Main Results:
- Most schools (79%) were aware of students' asthma diagnoses, but few had asthma care plans (7%) or medications (31%).
- Higher school asthma readiness was significantly associated with increased asthma exacerbations in the prior year (OR 1.31).
- The study population was predominantly Black (95%) and non-Hispanic (98%), with 73% experiencing an ED visit for asthma previously.
Conclusions:
- A significant gap exists in school preparedness for managing childhood asthma.
- Increased past asthma exacerbations correlate with higher school asthma readiness, highlighting a reactive rather than proactive approach.
- Further efforts are needed to enhance proactive asthma care support in schools.
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