TITLE

Outpatient management of childhood asthma by paediatrician or asthma nurse: randomised controlled study with one year follow up

AUTHOR(S)
Kamps A W A; Brand P L P; Kimpen J L L; Maill'' A R; Overgoor-van de Groes A W; van Helsdingen-Peek L C J A M; Roorda R J
PUB. DATE
November 2003
SOURCE
Thorax;Nov2003, Vol. 58 Issue 11, p968
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
BACKGROUND: Until now, care provided by asthma nurses has been additional to care provided by paediatricians. A study was undertaken to compare nurse led outpatient management of childhood asthma with follow up by a paediatrician. METHODS: Seventy four children referred because of insufficient control of persistent asthma were randomly allocated to 1 year follow up by a paediatrician or asthma nurse. The main outcome measure was the percentage of symptom-free days. Additional outcome measures were airway hyperresponsiveness, lung function, daily dose of inhaled corticosteroids (ICS), number of exacerbations, number of additional visits to the general practitioner, absence from school, functional health status, and disease specific quality of life. RESULTS: There were no significant differences at the end of the 1 year study period between the two treatment groups in percentage of symptom-free days (mean difference 2.5%; 95% CI -8.8 to 13.8), airway hyperresponsiveness (log10 PD20 0.06; -0.19 to 0.32), functional health status (10.1; -0.3 to 19.8), disease specific quality of life of patients (0.08; -0.9 to 0.7), and disease specific quality of life of caregivers (0.09; -0.2 to 0.3), nor in any other outcome parameters. Most outcome parameters improved considerably over the 1 year study period. These improvements were achieved although the daily dose of ICS was reduced by a mean of 26% compared with the dose received by children at referral. All parents were satisfied with the asthma care received. CONCLUSIONS: After initial assessment in a multidisciplinary clinic, childhood asthma can be successfully managed by an asthma nurse in close cooperation with a paediatrician. During close follow up by paediatrician or asthma nurse, asthma control improved despite a reduction in ICS dose.
ACCESSION #
11582895

 

Related Articles

  • Assessing health-related quality of life in chronically ill children with the German KINDL: first psychometric and content analytical results. Ravens-Sieberer, U.; Bullinger, M. // Quality of Life Research;Aug1998, Vol. 7 Issue 5, p399 

    Health-related quality of life is increasingly being considered as a relevant end-point and outcome criterion in evaluating the effects of medical treatment. While in adults quality of life instruments have been developed in terms of generic as well as disease-specific measures, quality of life...

  • FEEDING FRENZY. Springen, Karen // Newsweek;12/16/2002, Vol. 140 Issue 25, p74 

    Offers a look at a report in 'Pediatrics' magazine which suggests that feeding a child in his or her crib can increase the risk of asthma. Speculation as to why no such risk is associated with breast feeding; Criticism of the report by some pediatricians.

  • When children with asthma go swimming, the benefits can be many and long-lasting. Wardell, Colleen; Shih-Wen Huang; Isbister, Clair // Contemporary Pediatrics;Oct2006, Vol. 23 Issue 10, p89 

    The article explains the benefits of swimming to children with asthma. It identifies the reasons why children with asthma had difficulty learning to swim in general swimming classes. It discusses the result of a study conducted in the U.S. which examined the effect of a swimming program on...

  • Respiratory Disease. Phelps, Jerry // Environmental Health Perspectives;Feb2004, Vol. 112 Issue 2, pA95 

    Examines the association of low-level ozone and fine particles with respiratory symptoms in children with asthma. Medical and family background of the children; Vulnerability of asthmatic children to ozone at low levels.

  • US children's study escapes knife.  // CMAJ: Canadian Medical Association Journal;6/5/2007, Vol. 176 Issue 12, p1694 

    The article offers information on the study of the genetic and environmental causes of children's illnesses in the U.S. The study, which sets to begin recruiting subject in 2008 after a late cash infusion from the Congress, aims to determine the causes of many diseases of American children...

  • From the Archives of Clinical Pediatrics.  // Clinical Pediatrics;Feb1991, Vol. 30 Issue 2, p101 

    Presents the series entitled "From the Archives of Clinical Pediatrics."

  • Pediatric practice in a summer sleep-away camp. Trachtman, Howard; Wolowski-Wruble, Anna C. // Clinical Pediatrics;Nov1994, Vol. 33 Issue 11, p649 

    Investigates the nature of pediatric practice in a summer camp and the difference of health and psychological problems that arise in a camp from those observed at home. Increase in minor sports-related injuries; Similarity in health problems in the camp with those experienced at home;...

  • Parent Knowledge, Attitudes, and Household Practices Regarding SHS Exposure: A Case-Control Study of Urban Children With and Without Asthma. Halterman, Jill S.; Conn, Kelly M.; Hernandez, Telva; Tanski, Susanne E. // Clinical Pediatrics;Aug2010, Vol. 49 Issue 8, p782 

    Impoverished children suffer disproportionately from asthma and are more likely than other children to be exposed to secondhand smoke (SHS). We conducted a case-control study to describe and compare knowledge, attitudes, and household practices regarding SHS exposure among parents of young urban...

  • From Eczema to Asthma.  // Clinician Reviews;Oct2008, Vol. 18 Issue 10, p16 

    The article discusses research being done on eczema and asthma. It references a study by J. A. Burgess et al, published in a 2008 issue of "Journal of Allergy and Clinical Immunology." Researchers revealed the link between childhood eczema and development of asthma in later life. Their analysis...

  • Infections in pediatric ICUs decline.  // AHA News;4/19/2004, Vol. 40 Issue 8, p1 

    Reports on the decline in the rate of hospital-acquired infections in pediatric intensive care units (ICU) from 1986 to 2003 according to a Commonwealth Fund report released in April 2004 in the U.S. Comparison of the rate of bloodstream infections associated with the use of central intravenous...

Share

Read the Article

Courtesy of VIRGINIA BEACH PUBLIC LIBRARY AND SYSTEM

Sign out of this library

Other Topics