The Role of Supervised School Therapy in Poorly Controlled Asthma in Children

Authors

Muppala Raju
Malvika Sagar
Andrew Bush
Eugene Quaye
Shekhar Ghamande
Sonal Malhotra
Mercedes E Arroliga

Publication Date

1-1-2023

Journal

Proceedings - Baylor University. Medical Center

DOI

10.1080/08998280.2023.2204522

PMID

37334099

PMCID

PMC10269411

PubMedCentral® Posted Date

4-27-2023

PubMedCentral® Full Text Version

Post-print

Published Open-Access

yes

Keywords

Asthma, hospitalizations, inhaled corticosteroids, lung function, oral corticosteroids, school therapy

Abstract

BACKGROUND: In children, nonadherence to inhaled corticosteroid (ICS) therapy leads to poor asthma control and complications.

METHODS: We evaluated the benefit from initiation of ICS administration once daily at school. We retrospectively chose patients from our pediatric pulmonary clinic who had poorly controlled asthma and prescribed ICS daily. For the study period, we examined the number of corticosteroid courses, emergency room visits, hospital admissions, symptom history, and pulmonary function tests.

RESULTS: Thirty-four patients who satisfied the inclusion criteria began the intervention. Preintervention, there were a mean number of 2.6 oral corticosteroid courses compared to 2 courses in the year following intervention (

CONCLUSION: These findings suggest that ICS administration in schools may help reduce hospital admissions and improve lung function in patients with poorly controlled asthma.