Investigation of a cluster of deaths of adolescents from asthma: Evidence implicating inadequate treatment and poor patient adherence with medications

Birkhead, Guthrie S.; Attaway, N; Strunk, Robert C.; Townsend, Mary C.; Teutsch, Steven M.

doi:10.1016/0091-6749(89)90361-8

Cited by 137 publications

(45 citation statements)

References 19 publications

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“…A further difficulty for adolescents is the tendency to focus on the "here and now" [7], which makes it hard for them to comprehend the long-term benefits of adhering to medicines, especially for treatments where immediate feedback of treatment effects is not evident. However, the widespread effects of nonadherence can include disease exacerbation with significant morbidity [6], increased cost to the healthcare system [10], and in some instances premature mortality [11].…”

mentioning

confidence: 99%

A Systematic Review of Adherence-Enhancing Interventions in Adolescents Taking Long-term Medicines

Salema

Elliott

Glazebrook

2011

Journal of Adolescent Health

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mentioning

confidence: 99%

A Systematic Review of Adherence-Enhancing Interventions in Adolescents Taking Long-term Medicines

Salema

Elliott

Glazebrook

2011

Journal of Adolescent Health

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“…An increase in mortality has been observed when severity of asthma was underestimated and when interventions that should have been done were postponed (36).…”

Section: Addressing Difficulties With Asthma Managementmentioning

confidence: 98%

Towards Excellence in Asthma Management (TEAM): A Populational Disease-Management Model

et al. 2002

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Asthma management is not always optimal, and deficiencies such as inadequate treatment and insufficient patient education are often reported. Towards Excellence in Asthma Management (TEAM) is a four-phase disease management program of the Quebec Asthma Education Network (QAEN), to be carried out over a 5-year period. The program aims to achieve a continuous improvement of asthma management by caregivers and patients. The first phase, completed in January 2000, consisted of determining the actual level of asthma-associated morbidity and mortality in various Quebec regions. The second phase, which began in September 1999, included three parts: 1. Definition of the burden of asthma, taking into account the socioeconomic consequences of the disease and the quality of life of the patients, 2. Comparison of current medical practices with the Canadian Asthma Consensus Guidelines for adult and pediatric populations, 3. Evaluation of the level of compliance with medical treatment and with the environmental changes recommended to asthmatic patients. This phase is carried out via a cohort study of physicians, mainly general practitioners and pediatricians, generating a patient cohort study, in addition to substudies evaluating specific aspects of asthma care. Once the care gap is identified, it will be possible to define, apply, and evaluate a series of interventions for physicians, other health professionals, and patients. The interventions will be particularly targeted at regions where asthma incidence and morbidity are higher. We hope that this model of disease management will progressively reduce the burden associated with asthma, and potentially other chronic diseases, and will result in the more effective use of health services.

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“…In Detroit, 2000 asthma death rates for teenagers 15 to 19 years of age were 3.5/100,000 compared with 1.9 per 100,000 for children 0 to 14 years (4). National and local data sources confirm that the majority of asthma deaths among teens have occurred in minorities and in those of lower socioeconomic status (1)(2)(3)(4)(5)(6).…”

Section: Introductionmentioning

confidence: 99%

Agreement Between Teenager and Caregiver Responses to Questions About Teenager's Asthma

Joseph¹,

Havstad²,

Johnson³

et al. 2006

Journal of Asthma

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It is unknown if teenagers and caregivers give similar responses when interviewed about the teen's asthma. We analyzed data for 63 urban African-American teen-caregiver pairs. Caregivers underestimated teen smoking by 30%, gave lower estimates for teen exposure to passive smoke, and disagreed with teens on controller medication usage. Teen-caregiver responses were not significantly different for estimates of symptom-days, activity limitations, or nights awakened; nor were they significantly different for report of emergency department visits or hospitalizations. Agreement was weak for perceived asthma control and severity. Teen-caregiver agreement on asthma depends on the type of information being sought.

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Investigation of a cluster of deaths of adolescents from asthma: Evidence implicating inadequate treatment and poor patient adherence with medications

Cited by 137 publications

References 19 publications

A Systematic Review of Adherence-Enhancing Interventions in Adolescents Taking Long-term Medicines

A Systematic Review of Adherence-Enhancing Interventions in Adolescents Taking Long-term Medicines

Towards Excellence in Asthma Management (TEAM): A Populational Disease-Management Model

Agreement Between Teenager and Caregiver Responses to Questions About Teenager's Asthma

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