How Hospitalizations Can Be Effective in Subsequent Care  of Children with Asthma?

Samin  Sharafian; Ghasem Barjouei  Fard; Maryam  Atabakzadeh; Masoud  Movahedi; Nima  Parvaneh; Mansoureh  Shariat; Mohammad  Gharagozlou

doi:10.18502/ijaai.v23i6.17383

Samin Sharafian Department of Allergy and Clinical Immunology, Mofid Children’s Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran
Ghasem Barjouei Fard Department of Pediatrics, Children’s Medical Center Hospital, Tehran University of Medical Sciences, Tehran, Iran
Maryam Atabakzadeh Vice-Chancellery Research and Technology Affairs, Bushehr University of Medical Sciences, Bushehr, Iran
Masoud Movahedi Division of Allergy and Clinical Immunology, Department of Pediatrics, Children’s Medical Center Hospital, Tehran University of Medical Sciences, Tehran, Iran
Nima Parvaneh Division of Allergy and Clinical Immunology, Department of Pediatrics, Children’s Medical Center Hospital, Tehran University of Medical Sciences, Tehran, Iran
Mansoureh Shariat Division of Allergy and Clinical Immunology, Department of Pediatrics, Children’s Medical Center Hospital, Tehran University of Medical Sciences, Tehran, Iran
Mohammad Gharagozlou Division of Allergy and Clinical Immunology, Department of Pediatrics, Children’s Medical Center Hospital, Tehran University of Medical Sciences, Tehran, Iran

DOI: https://doi.org/10.18502/ijaai.v23i6.17383

Keywords: Action plan; Asthma; Children; Education; Hospitalization; Spirometry

Abstract

Asthma is a prevalent chronic inflammatory disorder in children, and poor therapeutic response in asthmatic children could result from various factors related to the physician, patient, disease, and treatment. This study aimed to evaluate the most important causes of failure in asthma control.

One hundred three children referred to the Children’s Medical Center in Tehran, Iran, participated in this study in 2017. A specific questionnaire was organized and completed by telephone interviews with parents.

The mean age of participants was 10.30 years, and 68.9% were male. More action plans (45/53) were received from hospitalized patients in the asthma and allergy ward than from hospitalized patients in the emergency department (13/46). Moreover, 85% of admitted patients in the asthma and allergy ward were visited by a specialist compared with 50% in the emergency department (23/46).

Hospitalization in the asthma and allergy ward resulted in receiving more action plans, spirometry tests, and visits by an allergist after discharge compared with admission to the emergency department.