Relationship of asthma management, socioeconomic status, and medication insurance characteristics to exacerbation frequency in children with asthma

Ungar, Wendy J.; Paterson, J. Michael; Gomes, Tara; Bikangaga, Peter; Gold, Milton; To, Teresa; Kozyrskyj, Anita L.

doi:10.1016/j.anai.2010.10.006

Cited by 74 publications

(65 citation statements)

References 33 publications

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“…This result is in accordance with that of Zedan et al (2013) who found that asthma symptom was insignificantly related to the age and gender of asthmatic children, with that of Ungar et al (2011) who found that asthma were more predominant in boys especially those younger than 10 years old, and with that of Pradel et al ( 2001) who found that older children have less severe asthma symptom and better control than younger children, and Petsios et al (2013) who also found that asthma was more severe in boys than girls. In contrast to two other in which they found that girls have more severe asthma symptom then the boys (Van De Ven, Engels, Sawyer, Otten, & Van Den Eijnden, 2007;Nordlund, Konradsen, Pedroletti, Kull, & Hedlin, 2011) ).…”

Section: Resultssupporting

confidence: 81%

Assessment of Asthma Control and Severity among Children According to Global Initiative for Asthma Guidelines in Sulaimani City-Iraq

Hamawandi

Ali

Naji

2016

ESJ

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Background: Asthma is a common and potentially serious chronic disease that imposes a substantial burden on patients, their families and the community. Objective: Assessment of the level of asthma control and severity in asthmatic children in Sulaimani city according to the global initiative for asthma (GINA) guidelines. Methods: A cross-sectional study of 82 patients who are known cases of asthma, aged 5 -15 years , from 1st of March 2014 to 1st of August 2014. Results: Out of 82 patients in our study, 20.8%were classified as having intermittent asthma all of them have well controlled asthma, 42.7% of those classified as having mild persistent asthma 65.7% of them have well controlled asthma, 26.8% of those classified as having moderate persistent asthma 54.5% of them have partly controlled asthma, and 9.8%of those classified as having severe persistent asthma the majority of them 87.5% have uncontrolled asthma and none of them reached to the controlled asthma level according to GINA guidelines. Regarding the peak expiratory flow (PFT) we notice that 58.8% of asthmatic children who were classified as having intermittent severity, their PEF measurements ranged between 160-250 l/min while those with severe persistent asthma 75% of them have readings between 50-150 l/min. Conclusion: Current levels of asthma control in the Sulaimani city fall far short of the goals specified in the GINA guidelines for asthma management. Also there is a strong correlation between PEF measurements and the level of asthma severity,

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Section: Resultssupporting

confidence: 81%

Assessment of Asthma Control and Severity among Children According to Global Initiative for Asthma Guidelines in Sulaimani City-Iraq

Hamawandi

Ali

Naji

2016

ESJ

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“…However in a study by Ungar et al [43] in the Canadian universal healthcare system found that families with a medium or high income adequacy had 28% fewer exacerbations as compare to those with a low income adequacy. The study from Ungar et al [43], in a single payer system, depicted that despite universal healthcare coverage, asthma may not be adequately managed in the socially disadvantaged.…”

Section: Asthmamentioning

confidence: 99%

Socioeconomic Status and Its Relationship to Chronic Respiratory Disease

Sahni

Talwar

Khanijo

et al. 2017

Advances in Respiratory Medicine

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Socioeconomic status (SES) is defined as an individual's social or economic standing, and is a measure of an individual's or family's social or economic position or rank in a social group. It is a composite of several measures including income, education, occupation, location of residence or housing. Studies have found a lower SES has been linked to disproportionate access to health care in many diseases. There is emerging data in pulmonary diseases such as COPD, asthma, cystic fibrosis, pulmonary hypertension and other chronic respiratory conditions that allude to a similar observation noted in other chronic diseases. In the setting of COPD, SES has an inverse relationship with COPD prevalence, mortality, health utilization costs and HRQoL. Asthma and cystic fibrosis show an increased severity and hospitalizations in relationship to a lower SES. Similar observations were seen in sarcoidosis, PHTN and obstructive sleep apnea. There remains a limited data on non-CF bronchiectasis and interstitial lung diseases. Population SES may be gauged by various measures such as education, occupation, marital status but no value is more indicative than income. Currently guidelines and management algorithms do not factor the effect of SES in the disease process. Despite the great amount of data available, a standardized method must be created to include SES in the prognostic calculations and management of chronic pulmonary diseases.

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“…The risk of exacerbations is increased in children with inadequate adherence to controller therapy, poor asthma control, frequent prior exacerbations and elevated FeNO levels, but none of these factors reliably predict exacerbations [82][83][84][85]. Obviously, severity, frequency and management of exacerbations outlined in an asthma action plan should be reviewed at each consultation.…”

Section: Exacerbationsmentioning

confidence: 99%

Monitoring asthma in children

et al. 2015

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The goal of asthma treatment is to obtain clinical control and reduce future risks to the patient. To reach this goal in children with asthma, ongoing monitoring is essential. While all components of asthma, such as symptoms, lung function, bronchial hyperresponsiveness and inflammation, may exist in various combinations in different individuals, to date there is limited evidence on how to integrate these for optimal monitoring of children with asthma. The aims of this ERS Task Force were to describe the current practise and give an overview of the best available evidence on how to monitor children with asthma.22 clinical and research experts reviewed the literature. A modified Delphi method and four Task Force meetings were used to reach a consensus.This statement summarises the literature on monitoring children with asthma. Available tools for monitoring children with asthma, such as clinical tools, lung function, bronchial responsiveness and inflammatory markers, are described as are the ways in which they may be used in children with asthma. Management-related issues, comorbidities and environmental factors are summarised.Despite considerable interest in monitoring asthma in children, for many aspects of monitoring asthma in children there is a substantial lack of evidence. @ERSpublications ERS statement summarising and discussing the available literature on monitoring children with asthma

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Relationship of asthma management, socioeconomic status, and medication insurance characteristics to exacerbation frequency in children with asthma

Abstract: Background-Less than 25% of asthmatic children are well controlled.

Cited by 74 publications

References 33 publications

Assessment of Asthma Control and Severity among Children According to Global Initiative for Asthma Guidelines in Sulaimani City-Iraq

Assessment of Asthma Control and Severity among Children According to Global Initiative for Asthma Guidelines in Sulaimani City-Iraq

Socioeconomic Status and Its Relationship to Chronic Respiratory Disease

Monitoring asthma in children

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