Do the residents in the emergency department appropriately manage patients with acute asthma attack? A study of self-criticism

2004 ◽  
Vol 21 (6) ◽  
pp. 348-356 ◽  
Author(s):  
Sebahat Akoglu ◽  
Hakan Topacoglu ◽  
Ozgur Karcioglu ◽  
Arif Hikmet Cimrin
Keyword(s):  
Emergency Department ◽  
Acute Asthma ◽  
Asthma Attack

Independent Parental Administration of Prednisone in Acute Asthma: A Double-Blind, Placebo-Controlled, Crossover Study

PEDIATRICS ◽  
1995 ◽  
Vol 96 (2) ◽  
pp. 224-229
Author(s):  
Cameron C. Grant ◽  
Anne K. Duggan ◽  
Catherine DeAngelis
Keyword(s):  
Primary Care ◽  
Emergency Department ◽  
Single Dose ◽  
Acute Asthma ◽  
Primary Care Clinic ◽  
Double Blind ◽  
Care Clinic ◽  
Double Blind Placebo ◽  
Outpatient Visits ◽  
Asthma Attack

Objective. To determine the effectiveness of a single dose of prednisone administered by a parent to a child early in an asthma attack. Design. A randomized, double-blind, placebo-controlled, crossover study with children enrolled for 12 months (6 months prednisone, 6 months placebo). Setting. A primary-care clinic and emergency department of an inner-city teaching hospital from March 1992 through May 1993. Children. Children 2 to 14 years of age enrolled in this clinic who had made two or more outpatient (emergency department or primary-care clinic) visits for acute asthma in the preceding year. Selection. There were 204 eligible children, of whom 86 were contacted and enrolled; of these, 78 (91%) completed the study. Intervention. Capsules containing prednisone (2 mg/kg up to 60 mg) or placebo. Parents were instructed to give their child one capsule for an asthma attack that had not improved after a dose of the child's regular acute asthma medicine. Measurements. Parents were interviewed every 3 months. Computerized patient records and chart reviews were used to verify parent reports. Outcome measures were the numbers of outpatient visits and hospitalizations for treatment of acute asthma. Results. Neither the total number of attacks nor the number for which medicine was used differed significantly by arm of study. There was a larger number of attacks resulting in outpatient visits when children were in the group that received prednisone (1.1 ± 0.59 versus 0.59 ± 0.86). This trend was less pronounced but persisted when limited to attacks for which the medicine was given (0.58 ± 0.99 versus 0.35 ± 0.55). Neither the number of attacks resulting in admission nor the number of hospital days differed significantly by arm of study. Conclusions. A single dose of prednisone available for use at home early in an asthma attack was associated with an increase in outpatient visits made for acute asthma. When prednisone was given for an attack, there was no reduction in outpatient visits. This intervention can not be recommended for children with asthma. These results should be confirmed in other pediatric populations.

Questioning Asthma Treatment Study

PEDIATRICS ◽  
1991 ◽  
Vol 88 (1) ◽  
pp. 186-186
Author(s):  
ASHER TAL ◽  
NISSIM LEVY ◽  
Jacob E. Bearman
Keyword(s):  
Emergency Department ◽  
Lung Function ◽  
Young Children ◽  
Respiratory Rate ◽  
Peak Expiratory Flow ◽  
Flow Rate ◽  
Peak Expiratory Flow Rate ◽  
Acute Asthma ◽  
Asthma Treatment ◽  
Function Measure

In Reply.— We thank Drs McJunkin and Stallo for their interest in our paper. Their suggestion of using objective lung function measurements in young children and infants with acute asthma in the emergency department is impractical. The pulmonary index score we used includes at least one important lung function measure, namely, respiratory rate; this score also has been shown to be very reliable in children.1 Although we routinely use the peak expiratory flow rate in children in the emergency department, most of our patients were younger than 3 years of age and could not cooperate with this objective measurement.

Multicenter study of cigarette smoking among patients presenting to the emergency department with acute asthma

2009 ◽  
Vol 103 (2) ◽  
pp. 121-127 ◽  
Author(s):  
Sundip N. Patel ◽  
Chu-Lin Tsai ◽  
Edwin D. Boudreaux ◽  
J Hope Kilgannon ◽  
Ashley F. Sullivan ◽  
...  
Keyword(s):  
Emergency Department ◽  
Cigarette Smoking ◽  
Multicenter Study ◽  
Acute Asthma

Prospective multicenter study of relapse after treatment for acute asthma among children presenting to the emergency department

2001 ◽  
Vol 138 (3) ◽  
pp. 318-324 ◽  
Author(s):  
Charles L. Emerman ◽  
Rita K. Cydulka ◽  
Ellen F. Crain ◽  
Brian H. Rowe ◽  
Michael S. Radeos ◽  
...  
Keyword(s):  
Emergency Department ◽  
Multicenter Study ◽  
Acute Asthma ◽  
Prospective Multicenter Study
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