Navigation Links
Urban kids with asthma need more frequent check-ups, Hopkins study suggests
Date:11/4/2007

Because even mild asthma among young inner-city children appears to be more unpredictable than ever, four or more check-ups a year after diagnosis is a wise move as a hedge against dangerous flare-ups of wheezing and trips to the emergency room, according to a study from the Johns Hopkins Childrens Center. Current asthma guidelines call for follow-up of one to six months after diagnosis, but six months may be too long for many patients, researchers report in the November issue of Pediatrics.

Hopkins Childrens researchers studied 150 Baltimore City asthmatic children 2 to 6 years of age and were surprised to find that nearly half of those with the mildest asthma at their first visit had worsening symptoms as early as three months later. The changes were so serious that they required either new drugs or new doses.

We know asthma is an unstable disease, but we underestimated just how unpredictably it could behave over time, especially in inner-city kids, said researcher Hemant Sharma, M.D., a pediatric allergist at Hopkins Childrens. Doctors and parents need to be more vigilant and schedule at least three-month check-ups even if the child appears to be doing fine.

The findings also suggest that pediatricians should shift their focus away from disease severity at diagnosis to disease control.

Asthma control appears to be a better barometer of a childs risk for a flare-up than is initial assessment of symptoms, a staple that many doctors use as their yardstick for treatment and follow-up, said lead investigator Gregory Diette, M.D., M.H.S., a lung specialist at the Johns Hopkins School of Medicine.

Asthma is the most common pediatric chronic illness, affecting 6.2 million children in the United States. Severe illness is most prevalent in inner-city children, doctors say, because of pollution, poor access to regular health care and disproportionate exposure to allergens like mice and cockroaches as well as to dust, cigarette smoke and automobile fumes.

In the study, researchers found that children with poorly controlled disease were two to three times more likely than those with good control to end up at the doctors office or in the emergency department with bad asthma symptoms in the three months following diagnosis.

The Hopkins scientists defined four levels of asthma control - mild intermittent, mild persistent, moderate persistent and severe persistent - determined by the frequency of coughing, wheezing, shortness of breath, waking up at night, use of rescue medications to stop an asthma attack and limitations on physical activity.

How often children needed medical attention for their symptoms varied greatly from one level to the next, researchers found, and each higher level of severity doubled a childs risk of emergency medical care.


'/>"/>

Contact: Katerina Pesheva
epeshev1@jhmi.edu
410-516-4996
Johns Hopkins Medical Institutions
Source:Eurekalert

Related medicine news :

1. Oral examination may not predict relationship between snoring and sleep disturbance
2. Attention! Spells of momentary blindness following visual disturbance
3. Incidence of breast cancer increasing in urban India
4. Sleep Disturbance in Atopic Dermatitis
5. Urban Monkeys Source Of Virus Infections
6. Disturbance In REM May Signal Onset Of Parkinsons Disease
7. Urban Built Environment May Play a Vital Role in Influencing the Body Size
8. Disturbance in Serotonin Levels Result in Reduced Gasping In Kids with SIDS
9. ISB To Establish Research Chair On Real Estate And Urban Studies
10. The new urban exercise hazard: pollution!
11. Indian Boy Invited to Tie Turbans for a Wedding in Mauritius
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:6/26/2016)... ... June 26, 2016 , ... Pixel Film Studios Released ProSlice ... "Film editors can give their videos a whole new perspective by using the ... of Pixel Film Studios. , ProSlice Levels contains over 30 Different presets to ...
(Date:6/25/2016)... ... June 25, 2016 , ... Austin residents seeking Mohs ... College of Mohs Surgery and to Dr. Russell Peckham for medical and surgical dermatology. ... treatment for skin cancer. The selective fellowship in Mohs Micrographic Surgery completed by Dr. ...
(Date:6/25/2016)... ... June 25, 2016 , ... Dr. Calvin Johnson has dedicated ... has implemented orthobiologic procedures as a method for treating his patients. The procedure ... doctors to perform the treatment. Orthobiologics are substances that orthopaedic surgeons use to ...
(Date:6/24/2016)... ... 2016 , ... June 19, 2016 is World Sickle Cell Observance Day. In ... benefits of holistic treatments, Serenity Recovery Center of Marne, Michigan, has issued ... Sickle Cell Disease (SCD) is a disorder of the red blood cells, which can ...
(Date:6/24/2016)... San Diego, CA (PRWEB) , ... June 24, 2016 , ... ... up with the American Cancer Society and the Road To Recovery® program to drive ... care to seniors and other adults to ensure the highest quality of life and ...
Breaking Medicine News(10 mins):
(Date:6/23/2016)... -- Research and Markets has announced the addition ... 2022" report to their offering. ... with kidney failure, it replaces the function of kidneys by ... and thus the treatment helps to keep the patient body,s ... Increasing number of ESRD patients & substantial healthcare ...
(Date:6/23/2016)... , June 23, 2016 Roche (SIX: ... 510(k) clearance for its Elecsys BRAHMS PCT (procalcitonin) assay ... sepsis or septic shock. With this clearance, Roche is ... a fully integrated solution for sepsis risk assessment and ... with bacterial infection and PCT levels in blood can ...
(Date:6/23/2016)... , June 23, 2016 Bracket , ... launch its next generation clinical outcomes platform, Bracket eCOA (SM) ... held on June 26 – 30, 2016 in ... first electronic Clinical Outcome Assessment product of its kind to ... #715. Bracket eCOA 6.0 is a flexible platform ...
Breaking Medicine Technology: