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3134.0: Monday, November 8, 2004: 10:30 AM-12:00 PM | |||
Oral | |||
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| Asthma is the most common chronic disease and the most frequent reason for preventable hospital admissions among children. This session will include 5 presentations that will discuss the epidemiology and management of Asthma in children. Presenters will also discuss trends in pediatric asthma hospital and emergency department admission and readmission rates and methods of identifying children at higher risk for readmission. Presenters will focus on the roles of parents and caregivers in working with the health care system to learn about their child's allergic triggers and to better manage and control Asthma in children under their care. Discussion will also focus on the contributory role of allergic sensitization to asthma severity and the new proposed ways of integrating allergy testing in primary care-based asthma treatment. Kruse et al report that hospital readmission rates for children with Asthma aged 0 to 19 in New Jersey have declined from 1994 through 2001 for most single year age groups. Readmission rates declined the most for Hispanics compared to white non-Hispanics, and the least for black non-Hispanics. Overall readmission rates were slightly higher for girls and declined equally for girls and boys. Dozier et al parents of children with asthma thought their children's asthma was under good control despite high asthma-related morbidity. Bowen’s work suggests that identification of allergic triggers by skin testing can guide pharmacotherapy as well as influence families to initiate avoidance strategies. Skin testing in the primary care setting has the potential to reduce morbidity and health care costs in high utilization populations. DeGuzman presents data that will help identify patient groups needing different approaches in the intervention program for pediatric asthma patients. Finally, Snow et al report that self reported survey results indicate that there is a large reservoir of possible undiagnosed asthmatics in the school population, verifying the need for wide spread education, and not just targeted intervention. | |||
| Learning Objectives: At the end of this presentation, participants will be able to: 1. Identify trends in pediatric asthma admission and asthma readmission rates. 2. Analyze trends in pediatric asthma readmission rates by single year age categories. 3. Identify demographic disparities in pediatric asthma readmission rates. 4. learn about using data to track community asthma network impact 5. Identify challenges in interpreting asthma survey data 6. Have new ideas about how to integrate allergy testing in primary care-based asthma treatment 7. Better understand the need to educate caregivers of children with asthma about their child's allergic triggers 8. Participants will become familiar with a survey tool used to assess baseline asthma data in a middle school setting. | |||
| Hani K. Atrash, MD, MPH Karen Bell, MPH | |||
| Hani K. Atrash, MD, MPH | |||
| Trends in pediatric asthma readmission rates Lakota K. Kruse, MD, MPH, Jonathan C. Wallace, MA, MPH, Charles E. Denk, Ph D | |||
Parents' perception of children's asthma control ![[ Recorded presentation ]](/static/img/filetypes/16x16/wrf.gif){kind=small} Ann M. Dozier, RN, PhD, C. Andrew Aligne, MD MPH | |||
| Uncovering allergic sensitization among asthmatics at a South Bronx primary care clinic Shawn K. Bowen, MD, Roy Grant, Amy Rowe, PNP, Alan Shapiro, MD, Candice Manzano, BA | |||
| Predictors of Return ED Visits for Pediatric Asthma Lynne Chandler, BS, Tao Zhang, MS, Craig W. Johnson, PhD, Michael A. DeGuzman, MPH, Rachel L. Richesson, MS, MPH, Charles G. Macias, MD | |||
| Identifying asthmatic children for intervention: Self identification by middle school students Martha Snow, RN, MSN, FNP, Kimberlee Wyche-Etheridge, MD, MPH | |||
| See individual abstracts for presenting author's disclosure statement and author's information. | |||
| Organized by: | Maternal and Child Health | ||
| Endorsed by: | Black Caucus of Health Workers; Community Health Planning and Policy Development; Public Health Education and Health Promotion; School Health Education and Services; Social Work | ||
| CE Credits: | CME, Health Education (CHES), Nursing | ||