The <i>Lancet</i> Asthma Commission: treating children in primary care

Bush, Andrew; Pavord, Ian

doi:10.1002/psb.1719

Cited by 3 publications

(9 citation statements)

References 20 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Identification of the features of asthma and modifiable or treatable traits should only be the start of the diagnostic journey. 7 Asthma symptoms are normally intermittent in nature and may not be present at the time of clinical review, making the diagnosis challenging in some cases. 8 Additionally, disease phenotypes are not fixed and may evolve over time, necessitating ongoing review of symptoms and treatment.…”

Section: Presentation Of Asthmamentioning

confidence: 99%

“… 15 Typically, type 2-high asthma responds well to inhaled corticosteroid (ICS) treatment. 7 A number of biologic agents can be used in the management of asthma, under specialist supervision, and their use varies on asthma endotypes (table 8). 18 …”

Section: Paediatric Asthma Phenotypesmentioning

confidence: 99%

“… 19 Overdiagnosis is problematic as it exposes children to unnecessary side effects of medications and runs the risk of trivialising asthma. 7 …”

Section: Differential Diagnoses and Diagnostic Uncertaintymentioning

confidence: 99%

“…However, ‘asthma’ is an umbrella term used to describe this collection of symptoms and, when present, should prompt practitioners to ask, ‘What type of asthma is this?’ There are a number of asthma subtypes that present and respond to treatment differently. Identification of the features of asthma and modifiable or treatable traits should only be the start of the diagnostic journey 7. Asthma symptoms are normally intermittent in nature and may not be present at the time of clinical review, making the diagnosis challenging in some cases 8.…”

Section: Presentation Of Asthmamentioning

confidence: 99%

See 3 more Smart Citations

Diagnosis and management of asthma in children

Martin

Townshend

Brodlie

2022

bmjpo

View full text Add to dashboard Cite

Asthma is the the most common chronic respiratory condition of childhood worldwide, with around 14% of children and young people affected. Despite the high prevalence, paediatric asthma outcomes are inadequate, and there are several avoidable deaths each year. Characteristic asthma features include wheeze, shortness of breath and cough, which are typically triggered by a number of possible stimuli. There are several diagnostic challenges, and as a result, both overdiagnosis and underdiagnosis of paediatric asthma remain problematic.Effective asthma management involves a holistic approach addressing both pharmacological and non-pharmacological management, as well as education and self-management aspects. Working in partnership with children and families is key in promoting good outcomes. Education on how to take treatment effectively, trigger avoidance, modifiable risk factors and actions to take during acute attacks via personalised asthma action plans is essential.This review aimed to provide an overview of good clinical practice in the diagnosis and management of paediatric asthma. We discuss the current diagnostic challenges and predictors of life-threatening attacks. Additionally, we outline the similarities and differences in global paediatric asthma guidelines and highlight potential future developments in care. It is hoped that this review will be useful for healthcare providers working in a range of child health settings.

show abstract

Section: Presentation Of Asthmamentioning

confidence: 99%

Section: Paediatric Asthma Phenotypesmentioning

confidence: 99%

“… 19 Overdiagnosis is problematic as it exposes children to unnecessary side effects of medications and runs the risk of trivialising asthma. 7 …”

Section: Differential Diagnoses and Diagnostic Uncertaintymentioning

confidence: 99%

Section: Presentation Of Asthmamentioning

confidence: 99%

See 2 more Smart Citations

Diagnosis and management of asthma in children

Martin

Townshend

Brodlie

2022

bmjpo

View full text Add to dashboard Cite

show abstract

“…Asthma is a chronic inflammation of the airways and lungs. The Lancet Asthma Commission (Bush & Pavord, 2018) reported that asthma was an “umbrella term” for symptoms of wheeze, chest tightness, breathlessness, and coughing. Asthma is the most common chronic illness for youth, with a prevalence of about 10%, affecting over six million youth (Sullivan et al, 2018).…”

mentioning

confidence: 99%

Predictors of family resilience, emotional, behavioral, and developmental concerns and emergency room visits for children with asthma.

Nabors¹,

Adabla²,

Merianos³

2022

Families, Systems, & Health

View full text Add to dashboard Cite

Introduction:The current study fills a gap in the literature by examining relations among physical health and resilience factors, family functioning, emergency visits, and mental health problems for youth with asthma. The study purpose was to assess associations among four predictors-asthma severity, body mass index (BMI), having an adult mentor, and ability to make and keep friends-and 3 three outcomes-family resilience, emotional, behavioral and developmental concerns, and emergency room (ER) visits among youth with asthma. Method: The sample included 2,589 youth with asthma between 10 and 17 years old from the 2017-2018 National Survey of Children's Health. Multivariable logistic regressions examined associations between asthma severity, BMI, having an adult mentor, ability to make and keep friends and two outcomes: family resilience, and emotional behavioral and developmental concerns. A multinomial logistic regression examined the relationship between predictor variables and number of ER visits. Results: Findings indicated having a mentor, being able to make/keep friends, and being underweight, average, or overweight compared to being obese were related to having family resilience. Making/keeping friends was a protective factor for emotional behavioral and developmental concerns. Having a mentor was related to higher levels of emotional behavioral and developmental concerns than not having a mentor. Youth who had mentors and friendship skills were less likely to have ER visits than youth with no mentors and difficulty with friendships. Youth with mild asthma severity and who were not obese had lower levels of ER visits than those with moderate/severe asthma or obesity. Discussion: Child level protective factors were related to higher levels of family resilience and fewer ER visits for children with asthma. Further research to identify risk and protective factors is needed to develop interventions for youth with asthma.

show abstract

Što se može kriti iza dijagnoze astme?

2023

View full text Add to dashboard Cite

Ključne riječiASTMA; KRONIČNI KAŠALJ; OTEŽANO DISANJE SAŽETAK. Astma je kronična upalna bolest koja se klinički očituje reverzibilnom bronhalnom opstrukcijom. Kašalj i piskanje (engl. wheezing) su učestali simptomi u dječjoj dobi, ali ne označavaju uvijek tešku bolest. Iako je astma najčešći uzrok kašlja, teškog disanja i dispneje u djece i odraslih, dijagnoza astme se često neprimjereno pripisuje simptomima drugih bolesti. Pažljivo uzeta anamneza, prisutnost zvučnih fenomena, spirometrija i mjerenje acidobaznog statusa pružaju nam korisne podatke za rješavanje različitih uzroka i izbjegavanje neprikladnog liječenja kliničkih manifestacija bolesti koje nalikuju na astmu.

show abstract

The Lancet Asthma Commission: treating children in primary care

Cited by 3 publications

References 20 publications

Diagnosis and management of asthma in children

Diagnosis and management of asthma in children

Predictors of family resilience, emotional, behavioral, and developmental concerns and emergency room visits for children with asthma.

Što se može kriti iza dijagnoze astme?

Contact Info

Product

Resources

About