ArticleAnnals of thoracic medicine
Poor asthma education and medication compliance are associated with increased emergency department visits by asthmatic children.
Article in Annals of thoracic medicine. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 40 papers.
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Who cites it
40 citing papers in PubMed, 83 citations in OpenAlex.
- Usability testing of two co-designed discharge communication tools for use in pediatric emergency departments: findings from the EDUCATE study.BMC pediatrics · 2026Article
- The digital gatekeeper: a practical operational framework for differentiating pseudo-severe from severe asthma.Frontiers in medicine · 2026Article
- ASTHMAXcelED: A Patient-Facing Asthma Mobile Application with High User Acceptance and Improved Clinical Outcomes.ACI open · 2026Article
- Exacerbation of Asthma Among Pediatric Patients Presenting to the Emergency Department.Journal of clinical medicine · 2025Review
- Validation of an Asthma Knowledge Tool to Assess the Efficacy of Comprehensive Asthma Education.Pediatric pulmonology · 2025Article
- Asthma Exacerbation in Indonesia: Analysis of Mental, Socio-demographic, Behavioral, and Biological Risk Factors Using the 2018 Indonesian Basic Health Research.Journal of preventive medicine and public health = Yebang Uihakhoe chi · 2025Article
- A Mixed-Methods Evaluation of a Novel, Augmented Reality Educational App for Asthma.Journal of medical extended reality · 2025Review
- Control of Asthma and its Influencing Factors in Children Followed in Pneumo-pediatrics Consultation at the Mother-child Hospital in the City of Marrakech, Morocco.The open respiratory medicine journal · 2025Article
- Improving asthma self-management education through inhaler labeling.PEC innovation · 2024Article
- Utilization of electronic portal referrals to a community agency for children presenting with an asthma exacerbation to a pediatric emergency department.The Journal of asthma : official journal of the Association for the Care of Asthma · 2024Review
- Article
- Adverse Drug Reactions (ADRs) of Montelukast in Children.Children (Basel, Switzerland) · 2022Article
- Perceived Stress in the Primary Caregivers of Adolescents with Asthma: A Cross-Sectional Study.Children (Basel, Switzerland) · 2022Article
- Assessment of level of asthma control and related factors in children attending pediatric respiratory clinics in Addis Ababa, Ethiopia.BMC pulmonary medicine · 2022Article
- Assessment of Predictor Factors Associated with Multiple Emergency Department Attendance with Asthma Attack: A Qualitative and Multicentric Prospective Observational Study.Journal of asthma and allergy · 2022Article
- When is asthma not guilty?International journal of pediatrics & adolescent medicine · 2021Review
- Primary Healthcare in Saudi Arabia: An Evaluation of Emergent Health Trends.Global journal on quality and safety in healthcare · 2021Article
- Socio-demographics and asthma prevalence, management, and outcomes among children 1-11 years of age in California.Global health research and policy · 2021Article
- Prevalence of asthma symptoms and associated factors in adolescents and adults in southern Brazil: AThe World Allergy Organization journal · 2021Article
- The Care of Asthma Patients in Communities with Limited Resources.Research and reports in tropical medicine · 2021Review
Corrections and comments
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Authors and funding
7 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundAcute exacerbations of bronchial asthma remain a major cause of frequent Emergency Department (ED) visits by pediatric patients. However, other factors including psychosocial, behavioural and educational, are also reportedly associated with repetitive ED visits. Therefore, it is necessary to determine whether such visits are justifiable.
objectiveThe objective of this cross-sectional study was to identify risk factors associated with visits to ED by asthmatic children.
methodsAsthmatic children (n = 297) between 1-17 years old were recruited and information collected at the time of visiting an ED facility at two major hospitals.
resultsAsthmatic patients visited the ED 3.9 3.2 times-per-year, on average. Inadequately controlled asthma was perceived in 60.3% of patients. The majority of patients (56.4%) reported not receiving education about asthma. Patients reflected misconceptions about the ED department, including the belief that more effective treatments are available (40.9%), or that the ED staff is better qualified (27.8%). About half of patients (48.2%) visited the ED because of the convenience of being open 24 hours, or because they are received immediately (38.4%). Uncontrolled asthma was associated with poor education about asthma and/or medication use. Patients educated about asthma, were less likely to stop corticosteroid therapy when their symptoms get better (OR:0.55; 95% CI:0.3-0.9; P = 0.04).
conclusionThis study reports that most patients had poor knowledge about asthma and were using medications improperly, thus suggesting inefficient application of management action plan. Unnecessary and frequent visits to the ED for asthma care was associated with poor education about asthma and medication use. Potential deficiencies of the health system at directing patients to the proper medical facility were uncovered and underline the necessity to improve education about the disease and medication compliance of patients and their parents/guardians.
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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.