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:2/20/2017)... PA (PRWEB) , ... February 20, 2017 , ... Researchers ... of thyroid cancer, as well as a marker that may predict response to a ... with many other types of cancer as well. The new findings were published in ...
(Date:2/20/2017)... ... 20, 2017 , ... The StayWell Company and VUCA Health ... patient health risks, foster behavior change and improve health literacy among patients. VUCA Health, ... a demonstration of its video capability at StayWell booth 3443 during HiMSS. , ...
(Date:2/20/2017)... (PRWEB) , ... February 20, 2017 , ... ... technology, welcomes you to stop by for a visit this week at HIMSS ... clinicians and executives from around the globe. Sensogram will be featured in the ...
(Date:2/20/2017)... Sunapee, NH (PRWEB) , ... February 20, 2017 , ... ReportingMD, a Population Health Software ... rapid growth of the company. The new location will triple the size of the ... location for the town of Sunapee, NH. , “We are excited to expand ...
(Date:2/20/2017)... ... February 20, 2017 , ... Johns Hopkins All Children's ... building. A topping out ceremony on Friday marked the halfway point of construction and ... open in Fall 2018, will serve as a center for innovation aimed at finding ...
Breaking Medicine News(10 mins):
(Date:2/18/2017)... Research and Markets has announced the addition of the ... ... analytics for the US, Canada , Japan ... Latin America , and Rest of World. Annual estimates ... six-year historic analysis is provided for these markets. Market data and analytics ...
(Date:2/17/2017)... , Feb. 17, 2017 Arvinas LLC, a ... based on protein degradation, today announced the presentation of ... PROTAC during a poster session at the American Society ... in Orlando, FL. ... our platform and the potential of PROTACs to drive ...
(Date:2/17/2017)...   Risperdal lawsuits involving gynecomastia (male breast growth) ... of the atypical antipsychotic medication continue to move forward ... Common Pleas, where the state,s Risperdal docket has been ... notice posted on the Court,s website , the ... 9, 2017 at 11:00 a.m. (In Re: Risperdal Litigation, ...
Breaking Medicine Technology: