ArticlePediatrics2009
Asthma morbidity among children evaluated by asthma case detection.
Article in Pediatrics, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.
What it found
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Who cites it
5 citing papers in PubMed.
- Psychological Factors Influencing the Decision of Urban Adolescents With Undiagnosed Asthma to Obtain Medical Care.The Journal of adolescent health : official publication of the Society for Adolescent Medicine · 2016Trial
- Burden of Illness, Primary Care Use, and Medication Utilization among US-México Border Children with Wheezing.Journal of racial and ethnic health disparities · 2019Article
- Estimates of the Global Burden of AmbientEnvironmental health perspectives · 2018Article
- The knowledge, attitudes and practices of parents of children with asthma in 29 cities of China: a multi-center study.BMC pediatrics · 2013Article
- The association of health insurance and disease impairment with reported asthma prevalence in U.S. children.Health services research · 2012Article
Corrections and comments
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Authors and funding
4 authors.
Funding
Abstract
objectivePopulation-based asthma detection is a potential strategy to reduce asthma morbidity in children; however, the burden of respiratory symptoms and health care use among children identified by case detection is not well known.
methodsData come from a school-based asthma case detection validation study of 3539 children. Respiratory symptoms, emergency department (ED) visits, and hospitalizations were assessed by questionnaire for children whose case detection result and physician study diagnosis agreed.
resultsPhysician evaluation of 530 case detection results yielded 420 cases of agreement (168 children with previously diagnosed asthma, 39 with undiagnosed asthma, and 213 without asthma). Children with previously diagnosed asthma were more likely to be male (P < .0001). No differences in severity were observed in children with previously and undiagnosed asthma (P = .31). Children with undiagnosed asthma reported less frequent daytime and nighttime symptoms than children with previously diagnosed asthma but more than those without asthma (P < .0001). The proportion of children with at least 1 respiratory-related ED visit in the past year was 32%, 3%, and 3% for those with previously diagnosed, undiagnosed, and no asthma, respectively (P < .0001). The proportion with at least 1 respiratory-related hospitalization was 8%, 0%, and 0%, respectively (P < .0001). There were no differences in nonrespiratory ED visits (P = .93).
conclusionsDespite similar physician-rated severity, children with undiagnosed asthma reported significantly less frequent respiratory symptoms and health care use than children with previously diagnosed asthma. These findings suggest that the potential health gains from case detection may be smaller than expected.
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