ArticleAnnals of allergy, asthma & immunology : official publication of the American College of Allergy, Asthma, & Immunology2017
Factors associated with poor controller medication use in children with high asthma emergency department use.
Article in Annals of allergy, asthma & immunology : official publication of the American College of Allergy, Asthma, & Immunology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01981564 (Asthma Express Intervention to Bridge Emergency to Primary Care for High Risk Children With Asthma), which is not on this map. Cited by 11 papers.
What it found
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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.
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.
Asthma Express Intervention to Bridge Emergency to Primary Care for High Risk Children With Asthma
Who cites it
11 citing papers in PubMed.
- Implementation of Coach McLungsBMC medical informatics and decision making · 2022Trial
- Psychometric evaluation of the medication adherence report scale in caregivers of low-income, urban, African American children with poorly controlled asthma.The Journal of asthma : official journal of the Association for the Care of Asthma · 2022Trial
- Characteristics of inner-city children with life-threatening asthma.Annals of allergy, asthma & immunology : official publication of the American College of Allergy, Asthma, & Immunology · 2019Trial
- Very Poorly Controlled Asthma in Urban Minority Children: Lessons Learned.The journal of allergy and clinical immunology. In practiceTrial
- Fostering Effective Asthma Self-Management Transfer in High-Risk Children: Gaps and Opportunities for Family Engagement.Journal of pediatric health care : official publication of National Association of Pediatric Nurse Associates & PractitionersTrial
- Improving Care of Inner-City Children with Poorly Controlled Asthma: What Mothers Want You to Know.Journal of pediatric health care : official publication of National Association of Pediatric Nurse Associates & PractitionersTrial
- Health Insurance Type and Outpatient Specialist Care Among Children With Asthma.JAMA network open · 2024Article
- Defining and Promoting Pediatric Pulmonary Health: Equitable Family and Community Partnerships.Pediatrics · 2023Article
- Cost barriers to asthma care by health insurance type among children with asthma.The Journal of asthma : official journal of the Association for the Care of Asthma · 2020Article
- Evaluation of MOS social support in low-income caregivers of African American children with poorly controlled asthma.The Journal of asthma : official journal of the Association for the Care of Asthma · 2019Article
- Child Poverty, Toxic Stress, and Social Determinants of Health: Screening and Care Coordination.Online journal of issues in nursing · 2018Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
9 authors.
Funding
Abstract
backgroundUnderstanding health and social factors associated with controller medication use in children with high-risk asthma may inform disease management in the home and community.
objectiveTo examine health and social factors associated with the Asthma Medication Ratio (AMR), a measure of guideline-based care and controller medication use, in children with persistent asthma and frequent emergency department (ED) use.
methodsStudy questionnaires, serum allergen sensitization, salivary cotinine, and pharmacy record data were collected for 222 children enrolled from August 2013 to February 2016 in a randomized clinical trial that tested the efficacy of an ED- and home-based intervention. Logistic regression was used to examine factors associated with an AMR greater than 0.50, reflecting appropriate controller medication use.
resultsMost children were male (64%), African American (93%), Medicaid insured (93%), and classified as having uncontrolled asthma (44%). Almost half (48%) received non-guideline-based care or low controller medication use based on an AMR less than 0.50. The final regression model predicting an AMR greater than 0.50 indicated that children receiving specialty care (odds ratio [OR], 4.87; 95% confidence interval [CI], 2.06-11.50), caregivers reporting minimal worry about medication adverse effects (OR, 0.50; 95% CI, 0.25-1.00), positive sensitization to ragweed allergen (OR, 3.82; 95% CI, 1.63-8.96), and negative specific IgE for dust mite (OR, 0.33; 95% CI, 0.15-0.76) were significantly associated with achieving an AMR greater than 0.50.
conclusionClinical decision making for high-risk children with asthma may be enhanced by identification of sensitization to environmental allergens, ascertaining caregiver's concerns about controller medication adverse effects and increased referral to specialty care.
trial registrationClinicalTrials.gov Identifier: NCT01981564.
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Registered trials
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.