A question of time: systemic corticosteroids in managing acute asthma in children.

Abstract:

PURPOSE OF REVIEW:The aim of this article is to examine the evidence for the effectiveness of systemic corticosteroids in managing acute asthma in children as it relates to the timing of its administration. RECENT FINDINGS:Three themes relevant to the timing of systemic corticosteroid administration as it relates to managing acute asthma in children are addressed, namely the evidence for early administration of systemic corticosteroid; factors associated with the administration of systemic corticosteroids and evidence for nurse-initiated administration of systemic corticosteroid. SUMMARY:There is a clear inverse relationship between time elapsed from the intake of systemic corticosteroids to disposition and the risk of admission. The variable timing of systemic corticosteroid may explain the variable success of clinical care pathways to manage acute asthma. Recent studies have documented a significant reduction hospital admission with early administration of systemic corticosteroid. For acute asthma pathways to succeed in improving hospital admission rates, implementation of such pathways must be linked to barriers to the administration of systemic corticosteroids. Findings from the studies cited provide guidance in the administration of systemic corticosteroids in children with asthma in the real life setting of an emergency department.

journal_name

Curr Opin Pulm Med

authors

Bhogal SK

doi

10.1097/MCP.0b013e32835b590a

subject

Has Abstract

pub_date

2013-01-01 00:00:00

pages

73-8

issue

1

eissn

1070-5287

issn

1531-6971

pii

00063198-201301000-00014

journal_volume

19

pub_type

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