Evidence map›Paper›PMID 19558010›Full record

Trial reportAnnals of allergy, asthma & immunology : official publication of the American College of Allergy, Asthma, & Immunology2009

Home use of albuterol for asthma exacerbations.

Jane M Garbutt, Donna Freiner, Gabrielle R Highstein, Kyle A Nelson, Sharon R Smith, Robert C Strunk

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Annals of allergy, asthma & immunology : official publication of the American College of Allergy, Asthma, & Immunology, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
0.2field-weighted citation impact, top 41% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed, 5 citations in OpenAlex.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 1 institution in 1 country.

Jane M GarbuttDepartment of Pediatrics, Washington University School of Medicine, St Louis, Missouri, USA. jgarbutt@im.wustl.edu
Donna Freiner
Gabrielle R Highstein
Kyle A Nelson
Sharon R Smith
Robert C Strunk
Washington University in St. Louis · US

Funding

Social Support and Education in Asthma Follow-UpR01HL072919 · NHLBI · WASHINGTON UNIVERSITY · PI GARBUTT, JANE M, STRUNK, ROBERT · 2003 to 2012
$6.6M
NHLBI NIH HHS HL 072919NHLBI NIH HHS R01 HL072919
6 · The paper itself

Abstract

backgroundTo reduce symptoms and emergency department (ED) visits, the National Asthma Education and Prevention Program (NAEPP) guidelines recommend early treatment of acute asthma symptoms with albuterol and oral corticosteroids. Yet, ED visits for asthma are frequent and often occur several days after onset of increased symptoms, particularly for children from low-income, urban neighborhoods.

objectivesTo describe home use of albuterol and identify factors associated with appropriate albuterol use.

methodsA total of 114 caregivers in the intervention group of a randomized trial to reduce emergent care for low-income, urban children completed a structured telephone interview with an asthma nurse to evaluate home management of their child's acute asthma symptoms. Interviews lasted approximately 20 minutes and were conducted from November 5, 2003, through September 30, 2005. Albuterol use as reported by caregivers was categorized as appropriate or inappropriate based on NAEPP recommendations.

resultsAlbuterol use for worsening asthma symptoms was categorized as appropriate for only 68% of caregivers and was more likely if the children had an ED visit or hospitalization for asthma in the prior year. The remaining 32% of caregivers used albuterol inappropriately (overtreatment or undertreatment). Appropriate albuterol use was not associated with caregiver report of having an asthma action plan (AAP) or a recent primary care physician visit to discuss asthma maintenance care.

conclusionsCaregivers reported that they would use albuterol to treat their child's worsening asthma symptoms, but many described inappropriate use. Detailed evaluation of proper albuterol use at home may provide insight into how health care professionals can better educate and support parents in their management of acute exacerbations and more effective use of AAPs.

Indexed as

CaregiversHome Care ServicesAlbuterolAsthmaBronchodilator AgentsChildChild, PreschoolCross-Sectional StudiesDisease ProgressionFemaleHumansMaleMissouriSurveys and QuestionnairesTreatment OutcomeAlbuterolBronchodilator Agents

Identifiers

PMID19558010
PMCPMC3809955
OpenAlexW2161367355

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.