Unraveling Racial Disparities in Asthma Emergency Department Visits Using Electronic Healthcare Records and Machine Learning.
Conclusions: In this study, the observed racial and season-specific disparities between AAs and EAs asthmatics for ED visit and FEV1% severity, suggesting the need to address asthma disparities through key predictors including socio-economic status, particulate matter, and mold. PMID: 33112174 [PubMed - as supplied by publisher] (Source: Journal of Asthma)
Source: Journal of Asthma - October 29, 2020 Category: Respiratory Medicine Tags: J Asthma Source Type: research

Asthma Prevalence and Control among Schoolchildren Residing near Outdoor Air Pollution Sites.
Conclusions: These results demonstrate that asthma prevalence and poor disease control are significantly elevated in Pittsburgh schoolchildren exposed to high levels of OAP. Future efforts need to focus on primary prevention of asthma by reducing exposure to OAP in at risk populations. PMID: 33104451 [PubMed - as supplied by publisher] (Source: Journal of Asthma)
Source: Journal of Asthma - October 28, 2020 Category: Respiratory Medicine Tags: J Asthma Source Type: research

Voice bubbling therapy for vocal cord dysfunction in difficult-to-treat asthma - a pilot study.
CONCLUSION: VBT in participants with difficult-to-treat asthma resulted in a higher average pCO2 level, indicating the treatment may improve hyperventilation. However, this did not improve asthma control or quality of life. VBT may have value for a better management of asthma related symptoms. PMID: 33104452 [PubMed - as supplied by publisher] (Source: Journal of Asthma)
Source: Journal of Asthma - October 28, 2020 Category: Respiratory Medicine Tags: J Asthma Source Type: research

Corticosteroid Choice and Clinical Outcomes for Asthma Exacerbations in the Primary Care Setting.
Conclusions: There are no differences in clinical outcomes by type of OCS prescribed for acute asthma exacerbations in the primary care setting. Due to better adherence and side effect profile, primary care providers may consider to use dexamethasone as the preferred OCS. PMID: 33106059 [PubMed - as supplied by publisher] (Source: Journal of Asthma)
Source: Journal of Asthma - October 28, 2020 Category: Respiratory Medicine Tags: J Asthma Source Type: research

Situating household management of children's asthma in the context of social, economic, and environmental injustice.
CONCLUSIONS: By connecting social, economic, and environmental injustices to the everyday circumstances of asthma management, our study can help providers understand how social contexts challenge asthma management and can open conversations about barriers to adherence and strategies for supporting asthma management at home. We offer recommendations for medical system reform, clinical interactions, and policy advocacy. PMID: 33107771 [PubMed - as supplied by publisher] (Source: Journal of Asthma)
Source: Journal of Asthma - October 28, 2020 Category: Respiratory Medicine Tags: J Asthma Source Type: research

Psychometric Evaluation of the Medication Adherence Report Scale in Caregivers of Low-income, Urban, African American Children with Poorly Controlled Asthma.
Authors: Margolis R, Bellin MH, Dababnah S, Sacco P, Butz A Abstract Objective: Accurately assessing asthma medication usage among low-income, urban, African American children is essential to reduce asthma health disparities. The purpose of this study was to examine the factor structure of the five-item Medication Adherence Report Scale (MARS), in a sample of caregivers of low-income, urban, African American youth with poorly controlled asthma. Method: Using baseline data from a randomized clinical trial evaluating the efficacy of an environmental control educational intervention, confirmatory factor analysis (CFA)...
Source: Journal of Asthma - October 28, 2020 Category: Respiratory Medicine Tags: J Asthma Source Type: research

Development and validation of a risk score to identify children at risk of life-threatening asthma.
CONCLUSIONS: Our risk algorithm based on routinely collected clinical data may be used to develop a user-friendly risk score for early identification and monitoring of children at risk of developing LTA. PMID: 33086883 [PubMed - as supplied by publisher] (Source: Journal of Asthma)
Source: Journal of Asthma - October 24, 2020 Category: Respiratory Medicine Tags: J Asthma Source Type: research

Perceptions, attitudes, and behaviours of Short-acting Beta2 Agonist users: an Australian cross-sectional community pharmacy-based study.
Authors: Azzi E, Kritikos V, Peters M, Price D, Cvetkovski B, Srour Alphonse P, Bosnic-Anticevich S Abstract Background: High use of short-acting beta-2-agonist (SABA) medication is a significant problem. Attitudes and perceptions towards asthma of over-the-counter (OTC) reliever users are unknown. The study aimed to describe the asthma attitudes, perceptions, medication knowledge and information gathering behaviour of people with asthma with recent high SABA use (i.e. SABA use ≧ twice a week within the last 4 weeks) and compare them to people with asthma with no recent high SABA use. Method: A real-world cross-s...
Source: Journal of Asthma - October 24, 2020 Category: Respiratory Medicine Tags: J Asthma Source Type: research

The impact of clinical and psychological factors on asthma control: the experience of a single asthma center in Poland.
Authors: Przybyszowski M, Pilinski R, Sliwka A, Polczyk R, Nowobilski R, Sladek K, Bochenek G Abstract OBJECTIVE: The Asthma Control Test (ACT) is commonly used to identify patients with uncontrolled asthma. The goal of this study was to determine whether clinical parameters such as asthma history and medications, exacerbation rate, comorbidities, lung function, and socioeconomic status are risk factors for uncontrolled asthma assessed with the ACT, and to evaluate the psychological status of controlled and uncontrolled asthmatics. METHODS: Adult asthmatics (n = 104) were recruited from a single a...
Source: Journal of Asthma - October 24, 2020 Category: Respiratory Medicine Tags: J Asthma Source Type: research

Assessing the cost-effectiveness of mepolizumab as add-on therapy to standard of care for severe eosinophilic asthma in Singapore.
CONCLUSION: At its current price, mepolizumab is not considered a cost-effective use of healthcare resources in Singapore. Substantial price reductions for mepolizumab are required to improve its cost-effectiveness to an acceptable range. These results will be useful to inform national funding decisions. PMID: 33058740 [PubMed - as supplied by publisher] (Source: Journal of Asthma)
Source: Journal of Asthma - October 21, 2020 Category: Respiratory Medicine Tags: J Asthma Source Type: research

Going mobile with primary care: smartphone-telemedicine for asthma management in young urban adults (TEAMS).
DISCUSSION: Based on these findings, we conclude that smartphone telemedicine could substantially improve clinical asthma management, adherence to guidelines, and patient outcomes. PMID: 33064038 [PubMed - as supplied by publisher] (Source: Journal of Asthma)
Source: Journal of Asthma - October 21, 2020 Category: Respiratory Medicine Tags: J Asthma Source Type: research

Functional Tests For Adults With Asthma: Validity, Reliability, Minimal Detectable Change And Feasibility.
Authors: de Oliveira JM, Spositon T, Cerci Neto A, Soares FMC, Pitta F, Furlanetto KC Abstract Objective: To verify the validity, reliability, learning effect, Minimal Detectable Change (MDC) and feasibility of four functional tests (4-Meter Gait Speed [4MGS], Timed Up-and-Go [TUG], Sit-To-Stand [STS] and Short Physical Performance Battery [SPPB]) for adults with asthma. Methods: In this cross-sectional study, fifty-two subjects with stable asthma underwent three sets of different functional tests protocols (4MGS, TUG, STS, SPPB) in a random order by two raters. For validation analysis, tests were compared with a s...
Source: Journal of Asthma - October 21, 2020 Category: Respiratory Medicine Tags: J Asthma Source Type: research

Determinants of exercise capacity in children and adolescents with severe therapy-resistant asthma.
Authors: Schindel CS, Schiwe D, Heinzmann-Filho JP, Gheller MF, Campos NE, Pitrez PM, Donadio MVF Abstract Objective: To evaluate the exercise capacity of children and adolescents with severe therapy resistant asthma (STRA) aiming to identify its main determinants.Methods: Cross-sectional study including individuals aged 6 to 18 years with a diagnosis of STRA. Clinical (age and gender), anthropometric (weight, height and body mass index) and disease control data were collected. Lung function (spirometry), cardiopulmonary exercise testing (CPET) and exercise-induced bronchoconstriction (EIB) test were performed.Resu...
Source: Journal of Asthma - October 9, 2020 Category: Respiratory Medicine Tags: J Asthma Source Type: research

Cost-Utility of use of sputum eosinophil counts to guide management in children with asthma.
ConclusionEO was cost-effective for infants with asthma to guide asthma management in Children. Our study provides evidence that should be used by decision-makers to improve clinical practice guidelines and should be replicated to validate their results in other middle-income countries. PMID: 33026885 [PubMed - as supplied by publisher] (Source: Journal of Asthma)
Source: Journal of Asthma - October 9, 2020 Category: Respiratory Medicine Tags: J Asthma Source Type: research

Estimating the Impact of Self-Management Education, Influenza Vaccines, Nebulizers, and Spacers on Health Utilization and Expenditures for Medicaid-Enrolled Children with Asthma.
CONCLUSIONS: Promoting asthma self-management education, influenza vaccinations, nebulizers, and spacers can decrease the frequency of healthcare utilization and asthma-related expenditures while improving medication adherence. PMID: 33031709 [PubMed - as supplied by publisher] (Source: Journal of Asthma)
Source: Journal of Asthma - October 9, 2020 Category: Respiratory Medicine Tags: J Asthma Source Type: research

The Validity of Diagnostic Algorithms to Identify Asthma Patients in Healthcare Administrative Databases: A Systematic Literature Review.
Authors: Yousif A, Dault R, Courteau M, Blais L, Cloutier AM, Lacasse A, Vanasse A, TORSADE Cohort Working Group PMID: 32990481 [PubMed - as supplied by publisher] (Source: Journal of Asthma)
Source: Journal of Asthma - October 1, 2020 Category: Respiratory Medicine Tags: J Asthma Source Type: research

An eight-year-old girl with tracheal mass treated as a difficult asthma case.
CONCLUSION: Tracheal lesions mimic the symptoms of airway obstruction caused by asthma and should be always be part of the differential diagnosis in young patients with no response to asthma treatment. PMID: 32991249 [PubMed - as supplied by publisher] (Source: Journal of Asthma)
Source: Journal of Asthma - October 1, 2020 Category: Respiratory Medicine Tags: J Asthma Source Type: research

Association of pet-keeping in home with self-reported asthma and asthma-related symptoms in 11611 school children from China.
CONCLUSIONS: Cat-keeping and molds on the wall of the house had the multiplicative and additive interaction in doctor-diagnosed asthma. In conclusion, pet-keeping increased the risk of respiratory symptoms in children. PMID: 32985283 [PubMed - as supplied by publisher] (Source: Journal of Asthma)
Source: Journal of Asthma - September 29, 2020 Category: Respiratory Medicine Tags: J Asthma Source Type: research

Health-Related Internet Use among Adolescents with Uncontrolled Persistent Asthma.
Conclusions: Adolescents with persistent asthma who share responsibility for home management or report uncontrolled disease are more likely to seek health information online. Future interventions to support teens who co-manage asthma should work to engage patients in both clinical and digital spaces, and ensure that all patients can access accurate, patient-centered asthma information when needed. PMID: 32969289 [PubMed - as supplied by publisher] (Source: Journal of Asthma)
Source: Journal of Asthma - September 26, 2020 Category: Respiratory Medicine Tags: J Asthma Source Type: research

Association of Obesity with Severity Outcomes in Hospitalized Pediatric Asthma Exacerbations.
ConclusionWe find no association between obesity and outcomes of length of stay, ICU admission, or magnesium administration. While growing evidence links obesity with asthma, our study suggests it may not be associated with the severity of exacerbation. PMID: 32962448 [PubMed - as supplied by publisher] (Source: Journal of Asthma)
Source: Journal of Asthma - September 25, 2020 Category: Respiratory Medicine Tags: J Asthma Source Type: research

Pediatric asthma hospitalization: individual and environmental characteristics of high utilizers in South Texas.
Authors: Baek J, Kash BA, Xu X, Benden M, Roberts J, Carrillo G PMID: 32962451 [PubMed - as supplied by publisher] (Source: Journal of Asthma)
Source: Journal of Asthma - September 25, 2020 Category: Respiratory Medicine Tags: J Asthma Source Type: research

Mepolizumab as a steroid-sparing agent in eosinophilic granulomatosis with polyangiitis (EGPA): Is a lower dose sufficient?
Conclusion: Our findings suggest that mepolizumab at a third of the recommended dose can achieve reasonable clinical efficacy in the long-term treatment of EGPA in some patients. Initiation of mepolizumab therapy in the early, eosinophilic phase of EGPA-which is characterized by asthma, marked blood eosinophilia, pulmonary infiltrates, and sinonasal abnormalities-may help to prevent the deleterious side-effects of long-term steroid use while reducing the cost of EGPA treatment. PMID: 32962455 [PubMed - as supplied by publisher] (Source: Journal of Asthma)
Source: Journal of Asthma - September 25, 2020 Category: Respiratory Medicine Tags: J Asthma Source Type: research

Nebulisation procedures for children with unknown viral status during the COVID-19 pandemic.
Authors: Rodríguez-Martínez CE, Sinha IP, Whittaker E, Nagakumar P, Fernandes RM PMID: 32962456 [PubMed - as supplied by publisher] (Source: Journal of Asthma)
Source: Journal of Asthma - September 25, 2020 Category: Respiratory Medicine Tags: J Asthma Source Type: research

Ustekinumab Associated with Chronic Eosinophilic Pneumonia.
ConclusionThe association of eosinophilic pneumonia with Ustekinumab, a drug used in the treatment of psoriasis and other autoimmune diseases, is rare and there is a paucity of literature regarding this association. PMID: 32962463 [PubMed - as supplied by publisher] (Source: Journal of Asthma)
Source: Journal of Asthma - September 25, 2020 Category: Respiratory Medicine Tags: J Asthma Source Type: research

The Feasibility of Eucapnic Voluntary Hyperpnoea for the Diagnosis of Exercise-Induced Bronchoconstriction in a Community Pulmonary Practice.
Authors: Temte B, Wells J, Clark C, Lauw J, Mastronarde J Abstract Objective Exercise-induced bronchoconstriction (EIB) is a common condition and is typically treated empirically based on symptoms alone. However, symptoms of EIB are typically non-specific. Objective testing with eucapnic voluntary hyperpnoea (EVH) is a sensitive and specific method to diagnose EIB and may suggest alternative etiologies such as exercise-induced laryngeal obstruction (EILO). To this point, EVH has been primarily utilized in large academic centers and in elite athletes. We intend to discuss the feasibility and clinical application of ...
Source: Journal of Asthma - September 25, 2020 Category: Respiratory Medicine Tags: J Asthma Source Type: research

Alpha-1 Antitrypsin Deficiency is significantly associated to atopy in Asthmatic patients.
Conclusion: Our study shows that the presence of atopy in asthmatic patients with AATD is significantly higher than in asthmatic patients without gene mutation. In addition, a higher percentage of AATD patients self-reported allergic manifestations. No significant differences in respiratory symptoms, physical examination, disease severity or inflammation markers were found between AATD patients and non AATD patients. PMID: 32962473 [PubMed - as supplied by publisher] (Source: Journal of Asthma)
Source: Journal of Asthma - September 25, 2020 Category: Respiratory Medicine Tags: J Asthma Source Type: research

Association analysis of the surfactant protein-C gene to childhood asthma.
This study aims to describe the molecular variability in the SFTPC gene in a childhood chronic respiratory disease, asthma, in the Tunisian population and to identify the implications based on a case-control study of p.Thr138Asn (T138N) and p.Ser186Asn (S186N) variants. Methods: We used direct sequencing for the genotyping of the SFTPC gene within 101 asthmatic children. The study of T138N and S186N variants in 110 controls is conducted by the PCR-RFLP technique. Results: The molecular study revealed 26 variants including 24 intronic variations and 2 exonic variations (T138N and S186N) with respective frequencies of 16.8% ...
Source: Journal of Asthma - September 25, 2020 Category: Respiratory Medicine Tags: J Asthma Source Type: research

Asthma endotypes and COVID-19.
Authors: Alberca RW PMID: 32942904 [PubMed - as supplied by publisher] (Source: Journal of Asthma)
Source: Journal of Asthma - September 21, 2020 Category: Respiratory Medicine Tags: J Asthma Source Type: research

Quality of Life in At-risk School-Aged Children with Asthma.
Authors: Agrawal S, Iqbal S, Patel SJ, Freishtat R, Kochhar-Bryant C Abstract IntroductionAsthma is the most common chronic condition of childhood. Urban, minority children from families of lower socioeconomic status have disproportionately higher rates of asthma and worse outcomes. We investigated the association between the presence of asthma and asthma severity among American, urban, minority children and reported quality of life (QOL) of children and their families.MethodsWe performed a prospective, cross-sectional study comparing QOL of urban, minority children in elementary school-age with and without asthma....
Source: Journal of Asthma - September 21, 2020 Category: Respiratory Medicine Tags: J Asthma Source Type: research

Association between Asthma and Caries-related Salivary Factors; A qualitative and quantitative synthesis.
Authors: Hatipoğlu Ö, Hatipoglu FP Abstract Objectives: This meta-analysis aimed to examine the comprehensive conclusive evidence of association between asthma and caries-related salivary factors including salivary pH (SpH), salivary flow rate (SFR), salivary buffer capacity (SBC), and other salivary components.Methods: Electronic databases (Web of Science, PubMed, Scopus, Cochrane Library, and Open Grey databases) were searched for relevant studies. After screening, studies were selected and data were collected from each study. The risk of bias in individual studies and across studies was evaluated. Mean dif...
Source: Journal of Asthma - September 21, 2020 Category: Respiratory Medicine Tags: J Asthma Source Type: research

Asthma-COPD overlap in World Trade Center Health Registry enrollees, 2015-2016.
CONCLUSION: Probable ACO is associated with WTC exposures. Further study of ACO is needed to understand the development of this and other environmentally or occupationally-related airway diseases, and how to prevent these in disasters like 9/11. PMID: 32930623 [PubMed - as supplied by publisher] (Source: Journal of Asthma)
Source: Journal of Asthma - September 18, 2020 Category: Respiratory Medicine Tags: J Asthma Source Type: research

Perspectives of General Practitioners about a collaborative asthma care model in primary care.
Conclusion: Sustainable funding and the willingness of practice owners/managers were described as the barriers. The GPs agreed that pharmacists can make a positive difference in patient's asthma management once the barriers were effectively addressed. PMID: 32921189 [PubMed - as supplied by publisher] (Source: Journal of Asthma)
Source: Journal of Asthma - September 16, 2020 Category: Respiratory Medicine Tags: J Asthma Source Type: research

A randomized placebo-controlled study investigating the efficacy of inspiratory muscle training in the treatment of children with bronchial asthma.
Authors: Elnaggar RK Abstract Objective: To investigate the efficacy of inspiratory muscle training (IMT) on respiratory functions, respiratory muscle strength, and asthma symptoms in asthmatic children.Methods: In a randomized placebo-controlled assessor-blinded study, 34 children with asthma were randomized to receive either the IMT at 40% of the maximal inspiratory pressure (IPmax) for 20 minutes/session, thrice/week, over 12 consecutive weeks (IMT group; n = 17) or placebo IMT at 5% of IPmax (placebo group; n = 17). Additionally, both groups received the conventional respirato...
Source: Journal of Asthma - September 11, 2020 Category: Respiratory Medicine Tags: J Asthma Source Type: research

Assessment of asthma severity according to treatment steps in Japanese pediatric patients: A descriptive cross-sectional study using an administrative claims database.
This study aimed to describe the severity of asthma and the prescription patterns for its treatment among pediatric patients, by using a large-scale claims database. The analysis datasets were extracted from the JMDC database for the period of April 1, 2009 to March 30, 2015; included records were restricted to patients between 2 and 15 years of age. The Japanese Pediatric Guidelines for the treatment and management of asthma (JPGL) steps were used as a proxy for asthma treatment and severity. We also described the characteristics of asthma in children by stratifying the prevalence and incidence cohorts by index years. In ...
Source: Journal of Asthma - September 11, 2020 Category: Respiratory Medicine Tags: J Asthma Source Type: research

Change of address as a measure of housing insecurity predicting rural emergency department revisits after asthma exacerbation.
Conclusions: A history of recent address change in the EMR was not independently associated with repeat ED visits for asthma exacerbation. Many children presenting to the ED did not have recent encounters with our health system where address could be ascertained. This EMR-based proxy for housing insecurity may be more applicable to patients under continuous follow-up. PMID: 32878515 [PubMed - as supplied by publisher] (Source: Journal of Asthma)
Source: Journal of Asthma - September 5, 2020 Category: Respiratory Medicine Tags: J Asthma Source Type: research

Risk factors of non-adherence to guidelines for the prevention of COVID-19 among young adults with asthma in a region with a high risk of a COVID-19 outbreak.
Conclusions: It is important for health professionals to advise asthma patients to comply with the basic measures of protection against COVID-19 and timely use medications for asthma control. PMID: 32878518 [PubMed - as supplied by publisher] (Source: Journal of Asthma)
Source: Journal of Asthma - September 5, 2020 Category: Respiratory Medicine Tags: J Asthma Source Type: research

Pediatric Sleep Questionnaire Predicts More Severe Sleep Apnea in Children with Uncontrolled Asthma.
Authors: Dooley AA, Jackson JH, Gatti ML, Fanous H, Martinez C, Prue D, Phull G, Richmond M, Weinstein NA, Chorvinsky E, Shukla PJ, Pillai DK Abstract Objective: While up to 35% of children with asthma have evidence of sleep disordered breathing (SDB), it is unclear if nocturnal symptoms stem from asthma itself or SDB. The Pediatric Sleep Questionnaire (PSQ) is a validated tool for identifying SDB in childhood asthma. We hypothesize children with asthma and abnormal PSQ demonstrate decreased asthma control and are at higher risk of obstructive sleep apnea (OSA).Methods: We performed a retrospective, chart review of...
Source: Journal of Asthma - September 5, 2020 Category: Respiratory Medicine Tags: J Asthma Source Type: research

Clinical factors associated with the use of dexamethasone for asthma in the pediatric emergency department.
CONCLUSIONS: Dexamethasone is less commonly used in the PED for asthmatic patients triaged as most urgent. Triage acuity and level of training were associated with single-dose treatment of asthma in those receiving dexamethasone. Further studies are needed to clarify the use of dexamethasone across the spectrum of asthma severity. PMID: 32876509 [PubMed - as supplied by publisher] (Source: Journal of Asthma)
Source: Journal of Asthma - September 3, 2020 Category: Respiratory Medicine Tags: J Asthma Source Type: research

Family Resilience and Health among Adolescents with Asthma Only, Anxiety Only, and Comorbid Asthma and Anxiety.
Conclusions: Results indicated that anxiety is linked to family resilience of adolescents with and without comorbid asthma. Experiencing a higher number of ACEs was a risk factor for lower family resilience scores and health status. Future research should consider the impact of other mental health problems and family resilience and health status. PMID: 32867555 [PubMed - as supplied by publisher] (Source: Journal of Asthma)
Source: Journal of Asthma - September 2, 2020 Category: Respiratory Medicine Tags: J Asthma Source Type: research

Targeted multimodality inhaler technique education pilot to self-identify errors for primarily Mandarin-speaking subjects.
Conclusion: A multimodality inhaler technique education intervention helped self-identify errors in inhaler technique among non-English speaking subjects. Implementation and use of language-targeted educational interventions is feasible in an outpatient clinic setting. PMID: 32867559 [PubMed - as supplied by publisher] (Source: Journal of Asthma)
Source: Journal of Asthma - September 2, 2020 Category: Respiratory Medicine Tags: J Asthma Source Type: research

Provider-Adolescent Discussion and Provider Education about Asthma Triggers during Pediatric Visits: Results of a Randomized Trial.
Conclusions: More trigger areas were significantly more likely to be discussed and providers educated about more trigger areas during visits of adolescents who received the intervention and when adolescents asked one or more questions. PMID: 32867560 [PubMed - as supplied by publisher] (Source: Journal of Asthma)
Source: Journal of Asthma - September 2, 2020 Category: Respiratory Medicine Tags: J Asthma Source Type: research

The economic burden of severe asthma in children: a comprehensive study.
Authors: Pamuk G, Bourgeois ML, Abou Taam R, de Blic J, Delacourt C, Lezmi G Abstract OBJECTIVE: The economic burden of severe asthma (SA) in children is poorly described. We aimed to determine the healthcare costs of SA in children for the French national health insurance (NHI). METHODS: Children (6-18 years of age) with a well-defined population of children with physician-confirmed diagnoses of SA or non-SA (NSA) were identified. Direct and indirect expenditures related to asthma and associated co-morbidities in the previous six months were determined, based on a physician-guided parental questionnaire...
Source: Journal of Asthma - August 23, 2020 Category: Respiratory Medicine Tags: J Asthma Source Type: research

Patient characteristics associated with improvements in asthma control and reduction in emergency department visits for older adults with asthma.
Authors: Federman AD, Thanik E, O'Conor R, Arora A, Wolf MS, Wisnivesky JP Abstract OBJECTIVE: To identify patient characteristics associated with improvements in asthma control among older adults with asthma. METHODS: Secondary analysis of data from a randomized controlled trial of an asthma self-management support intervention for adults ages 60 and older with moderate-severe persistent asthma (n = 391). We tested the association of baseline patient characteristics with reduced emergency department (ED) visits and improvement in asthma control equal to or exceeding the minimal clinically importa...
Source: Journal of Asthma - August 20, 2020 Category: Respiratory Medicine Tags: J Asthma Source Type: research

Are adults with asthma less physically active? A systematic review and meta-analysis.
Conclusion: Adults with current or ever asthma had lower levels of total, moderate and vigorous physical activity than those without asthma and may be missing out on the health benefits of being physically active. The association between asthma control and physical activity warrants further investigation. PMID: 32791878 [PubMed - as supplied by publisher] (Source: Journal of Asthma)
Source: Journal of Asthma - August 16, 2020 Category: Respiratory Medicine Tags: J Asthma Source Type: research

Electronic Cigarette (e-cigarette) Use and Frequency of Asthma Symptoms in Adult Asthmatics in California.
CONCLUSION: Our findings suggest that e-cigarette use is associated with more frequent asthma symptoms and disproportionally affects male asthmatics. PMID: 32746661 [PubMed - as supplied by publisher] (Source: Journal of Asthma)
Source: Journal of Asthma - August 13, 2020 Category: Respiratory Medicine Tags: J Asthma Source Type: research

The diagnostic utility of the frequency scale for the symptoms of gastroesophageal reflux disease questionnaire (FSSG) for patients with subacute/chronic cough.
Authors: Kurokawa R, Kanemitsu Y, Fukumitsu K, Takeda N, Yap JM, Suzuki M, Mori Y, Fukuda S, Uemura T, Tajiri T, Ohkubo H, Maeno K, Ito Y, Oguri T, Takemura M, Niimi A Abstract BACKGROUND: The frequency scale for the symptoms of GERD (FSSG) questionnaire, which originally consists of acid-reflux and dysmotility symptom domains, is a succinct questionnaire to evaluate gastroesophageal reflux disease (GERD) symptoms. OBJECTIVES: To evaluate the utility of subjective questionnaire of GERD for the diagnosis of GERD-related cough by using FSSG questionnaire. METHODS: We recruited 256 patients with subacute/chron...
Source: Journal of Asthma - August 13, 2020 Category: Respiratory Medicine Tags: J Asthma Source Type: research

Intravenous magnesium sulphate in children with acute wheeze: a nationwide survey.
CONCLUSIONS: IV MgSO4 is reported to be widely used in Dutch practice in both young children with AEVW and older children with AA by respondents, while the national guidelines advise only to consider this treatment option. PMID: 32746742 [PubMed - as supplied by publisher] (Source: Journal of Asthma)
Source: Journal of Asthma - August 13, 2020 Category: Respiratory Medicine Tags: J Asthma Source Type: research

Impact of Psychological Impairment on Quality of Life and Work Impairment in Severe Asthma.
Conclusions: In severe asthma, patients with psychological impairment have poorer ASQOL and greater work impairment than those without psychological impairment. There is an urgent need to mitigate this problem. PMID: 32777181 [PubMed - as supplied by publisher] (Source: Journal of Asthma)
Source: Journal of Asthma - August 13, 2020 Category: Respiratory Medicine Tags: J Asthma Source Type: research

Intravenous Methylprednisolone versus Intravenous Methylprednisolone Combined with Inhaled Budesonide in Acute Severe Pediatric Asthma.
Authors: Gummalla P, Weaver D, Ahmed Y, Shah V, Keenaghan M, Doymaz S Abstract Introduction: Corticosteroids are important part of acute severe asthma (ASA) management in pediatric intensive care units. Few studies look at the efficacy of inhaled corticosteroids (ICS) in critical care settings. We aimed to investigate the potential beneficial effects of ICS when added to intravenous corticosteroids in pediatric patients with ASA admitted to the pediatric intensive care unit (PICU)Methods: This was a randomized controlled trial involving pediatric patients aged 1-21 years admitted to PICU with ASA. Patients were ran...
Source: Journal of Asthma - August 13, 2020 Category: Respiratory Medicine Tags: J Asthma Source Type: research

Managing asthma in the COVID-19 pandemic and current recommendations from professional bodies: a review.
CONCLUSION: Understanding similarities and differences among the recommendations of the various professional bodies will aid in medical decision-making in managing asthma in the COVID-19 pandemic. Health professionals should also consider the individual needs, preferences and values of their patients and the unique characteristics of their local healthcare systems. PMID: 32779943 [PubMed - as supplied by publisher] (Source: Journal of Asthma)
Source: Journal of Asthma - August 13, 2020 Category: Respiratory Medicine Tags: J Asthma Source Type: research