Environmental_Management_Pediatric_Asthma

Environmental_Management_Pediatric_Asthma - Environmental...

Info iconThis preview shows pages 1–9. Sign up to view the full content.

View Full Document Right Arrow Icon
Environmental Management of Pediatric Asthma: Guidelines for Health Care Providers James R. Roberts MD, MPH Medical University of South Carolina robertsj@musc.edu
Background image of page 1

Info iconThis preview has intentionally blurred sections. Sign up to view the full version.

View Full DocumentRight Arrow Icon
Pediatric Asthma Most prevalent chronic medical condition in childhood 6 million US children annually Low income children more likely to have increased morbidity from asthma Less likely to receive preventive care
Background image of page 2
Variation in Asthma Severity by Race/Ethnicity African-American and Latino children worse asthma status than comparable white children 1 African-American children as compared to white children 2 >3 times as likely to be hospitalized >4 times as likely to die from asthma 1 TA Lieu, P Lozano, et al. Pediatrics 2002; 109(5):857-865. 2 LJ Akinbami, KC Schoendorf. Pediatrics 2002: 110; 315-322.
Background image of page 3

Info iconThis preview has intentionally blurred sections. Sign up to view the full version.

View Full DocumentRight Arrow Icon
Variation in Asthma Care by Race/Ethnicity African-American children less likely to have made office visit for asthma (OR 0.48) – P Lozano, FA Connell, TD Koepsell. Use of health services by African- American children with asthma on Medicaid. JAMA 1995; 274 (6); pages . African-American and Latino children less likely to use inhaled corticosteroids (OR 0.69 and 0.58 respectively) – TA Lieu, et al. Racial/Ethnic Variations in Asthma Status and Management Practices in Managed Medicaid. Pediatrics 2002; 109(5):857-865.
Background image of page 4
National Survey on Environmental Management of Asthma Assessed public’s knowledge of environmental asthma triggers and their actions to manage environmental triggers. People from low income, low education households are more likely to have asthma. Less than 30% of people with asthma are taking all the essential actions recommended to reduce their exposure to indoor environmental asthma triggers. People with written asthma management plans (AMP) are more likely to take actions to reduce exposure to environmental asthma triggers; however, only 30% of people with asthma have a written AMP. Children with asthma are just as likely to be exposed to ETS in their home as children in general. US Environmental Protection Agency 2003
Background image of page 5

Info iconThis preview has intentionally blurred sections. Sign up to view the full version.

View Full DocumentRight Arrow Icon
Barriers to Asthma Care Health Care System Lack of health insurance, primary care, coordination of care High cost of medications and services Health care providers Lack of recognition and severity Suboptimal compliance with guidelines Family Confusion about symptoms and therapies
Background image of page 6
Pediatric Asthma Care 1997 NAEPP Asthma Guidelines Stepwise approach to managing asthma Gaining control Maintaining control Classifying asthma severity Controller medication for persistent asthma Provide WRITTEN asthma action plan Control of factors contributing to severity National Institutes of Health. Practical Guide for the Diagnosis and Management of Asthma. National Asthma Education and Prevention Program (NAEPP) 1997
Background image of page 7

Info iconThis preview has intentionally blurred sections. Sign up to view the full version.

View Full DocumentRight Arrow Icon
National Asthma Education and Prevention Program Expert Panel Report-3: Guidelines for the Diagnosis and Management of Asthma
Background image of page 8
Image of page 9
This is the end of the preview. Sign up to access the rest of the document.

Page1 / 50

Environmental_Management_Pediatric_Asthma - Environmental...

This preview shows document pages 1 - 9. Sign up to view the full document.

View Full Document Right Arrow Icon
Ask a homework question - tutors are online