School-supervised Asthma Therapy is Associated with Improved Long-Term Asthma Outcomes for Underrepresented Minority Children.

Autor:	Shillan HN; University of Massachusetts Chan Medical School, Worcester, MA, USA., Luther JP; Department of Medicine, Washington University School of Medicine, St. Louis, MO, USA., Ryan GW; Department of Population and Quantitative Health Sciences, University of Massachusetts Chan Medical School, Worcester, MA, USA., Hoque S; Department of Medicine, University of Massachusetts Chan Medical School, Worcester, MA, USA., Spano MA; Division of Pulmonary Medicine, Department of Pediatrics, University of Massachusetts Chan Medical School, Worcester, MA, USA., Lessard DM; Department of Population and Quantitative Health Sciences, University of Massachusetts Chan Medical School, Worcester, MA, USA., Gerald LB; Department of Health Promotion Sciences, University of Arizona Mel and Enid Zuckerman College of Public Health, Tucson, AZ, USA.; Asthma and Airway Disease Research Center, University of Arizona, Tucson, AZ USA., Pbert L; Department of Population and Quantitative Health Sciences, University of Massachusetts Chan Medical School, Worcester, MA, USA., Phipatanakul W; Department of Asthma, Allergy, and Immunology, Boston Children's Hospital, Boston, MA, USA., Goldberg RJ; Department of Population and Quantitative Health Sciences, University of Massachusetts Chan Medical School, Worcester, MA, USA., Trivedi MK; Department of Population and Quantitative Health Sciences, University of Massachusetts Chan Medical School, Worcester, MA, USA.; Division of Pulmonary Medicine, Department of Pediatrics, University of Massachusetts Chan Medical School, Worcester, MA, USA.
Jazyk:	angličtina
Zdroj:	The Journal of school nursing : the official publication of the National Association of School Nurses [J Sch Nurs] 2024 Aug; Vol. 40 (4), pp. 440-445. Date of Electronic Publication: 2022 May 12.
DOI:	10.1177/10598405221100470
Abstrakt:	Asthma morbidity disproportionately impacts children from low-income and racial/ethnic minority communities. School-supervised asthma therapy improves asthma outcomes for up to 15 months for underrepresented minority children, but little is known about whether these benefits are sustained over time. We examined the frequency of emergency department (ED) visits and hospital admissions for 83 children enrolled in Asthma Link, a school nurse-supervised asthma therapy program serving predominantly underrepresented minority children. We compared outcomes between the year preceding enrollment and years one-four post-enrollment. Compared with the year prior to enrollment, asthma-related ED visits decreased by 67.9% at one year, 59.5% at two years, 70.2% at three years, and 50% at four years post-enrollment (all p -values< 0.005). There were also significant declines in mean numbers of total ED visits, asthma-related hospital admissions, and total hospital admissions. Our results indicate that school nurse-supervised asthma therapy could potentially mitigate racial/ethnic and socioeconomic inequities in childhood asthma. Competing Interests: Declaration of Conflicting InterestsThe author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.
Databáze:	MEDLINE
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