Effectiveness of personalized written asthma action plans in the management of children with partly controlled asthma in Trinidad: a randomized controlled trial.

Abstract:

BACKGROUND:The provision of written asthma action plans (WAAPs) is regarded by regional and international guidelines as an essential component of patient education and self-management. However, the evidence for this practice in children is deficient. AIM:To evaluate the effectiveness of adding a personalized WAAP in the treatment of children with partly controlled asthma. METHODS:Children with partly controlled asthma were randomized to receive a personalized WAAP or no plan, in addition to standard care including education. They were followed up with serial measurement of outcome variables. The primary outcome measured was the number of emergency room (ER) revisits. RESULTS:Ninety-one children participated, 45 in the intervention group and 46 in the control group. Comparison with pretrial data revealed significantly improved outcomes with respect to the numbers of ER visits ( p = 0.005 and 0.0002) and acute asthmatic attacks ( p = 0.0064 and 0.0006) in both arms of the study. Children in receipt of a personalized WAAP had fewer ER visits ( p = 0.78), asthma attacks ( p = 0.84), missed school days ( p = 0.28), night-time awakenings ( p = 0.48) and unscheduled doctor visits ( p = 0.69) than those who did not receive a plan. CONCLUSION:The results of this study suggest that the provision of personalized WAAPs may play a useful role in the management of children with partly controlled asthma but is no better than standard care. Asthma education is a critical component in the prevention of exacerbations in children with partly controlled asthma.

journal_name

J Trop Pediatr

authors

Khan R,Maharaj R,Seerattan N,Babwah F

doi

10.1093/tropej/fmt063

subject

Has Abstract

pub_date

2014-02-01 00:00:00

pages

17-26

issue

1

eissn

0142-6338

issn

1465-3664

pii

fmt063

journal_volume

60

pub_type

杂志文章,随机对照试验
  • Incomplete Kawasaki Disease as Presentation of COVID-19 Infection in an Infant: A Case Report.

    abstract:BACKGROUND:Recently a severe form of COVID-19 infection has been described in a cluster of children presenting as multisystem inflammatory condition. One of the important spectrum of this condition is incomplete Kawasaki disease (KD). CASE REPORT:A 5-month-old male child presented with high-spiking fever for 5 days wi...

    journal_title:Journal of tropical pediatrics

    pub_type: 杂志文章

    doi:10.1093/tropej/fmaa047

    authors: Raut S,Roychowdhoury S,Bhakta S,Sarkar M,Nandi M

    更新日期:2020-08-05 00:00:00

  • The role of erythrocyte protoporphyrin in the diagnosis of iron deficiency anemia of children.

    abstract::The values of erythrocyte protoporphyrin, ferritin and mean corpuscular volume (MCV) measurements in diagnosing iron deficiency anemia were investigated in 72 iron deficient and in 25 healthy control infants. Receiver operator curve, sensitivity and specificity of erythrocyte protoporphyrin, ferritin and mean corpuscu...

    journal_title:Journal of tropical pediatrics

    pub_type: 杂志文章

    doi:10.1093/tropej/46.6.323

    authors: Serdar MA,Sarici SU,Kurt I,Alpay F,Okutan V,Kurnaz L,Kutluay T

    更新日期:2000-12-01 00:00:00

  • Leave against Medical Advice in Children: Rural Indian Perspective.

    abstract:OBJECTIVES:To determine the burden and etiological factors of leave against medical advice (LAMA) in Indian children. METHODOLOGY:In this prospective study, legal guardians of 528 patients who took the decision of LAMA were interviewed (using structured question answers based multi-option) and data were captured over ...

    journal_title:Journal of tropical pediatrics

    pub_type: 杂志文章

    doi:10.1093/tropej/fmaa110

    authors: Datta D,Mondal T,Sarkar M,Chel S,Das SK,Nandy A,M Ivan D,Mondal R

    更新日期:2020-12-21 00:00:00

  • Diarrhoea mortality in rural Bangladeshi children.

    abstract::Diarrhoeal mortality and hospital admissions for diarrhoea are described among children under the age of 5 years in a large rural Bangladeshi community during 1986-87. Acute watery (dehydrating) diarrhoea was associated with 11 per cent of all deaths among infants aged 1-11 months and 5 per cent among children aged 1-...

    journal_title:Journal of tropical pediatrics

    pub_type: 杂志文章

    doi:10.1093/tropej/37.1.31

    authors: Fauveau V,Yunus M,Zaman K,Chakraborty J,Sarder AM

    更新日期:1991-02-01 00:00:00

  • Safety and Ethics in Endoscopic Studies in Children: Evidence From the BEECH Study in Zambia.

    abstract:BACKGROUND:Environmental enteropathy is an example of a poorly-understood intestinal disorder affecting millions of children worldwide, characterized by malabsorption and stunting. Although there is increasing interest in non-invasive means of assessing intestinal structure and function, the potential value of intestin...

    journal_title:Journal of tropical pediatrics

    pub_type: 杂志文章

    doi:10.1093/tropej/fmaa074

    authors: Chandwe K,Amadi B,Chipunza M,Zyambo M,Kelly P

    更新日期:2020-11-14 00:00:00

  • Myocarditis Prevalence in Paediatric Dengue Infection: A Prospective Study in Tertiary Hospital in Yogyakarta, Indonesia.

    abstract::Awareness of cardiac involvement in dengue infection has potentially valuable management implications. To determine the prevalence of myocarditis in dengue severity, we conducted prospective study of paediatric dengue illness at Dr. Sardjito General Hospital, a tertiary hospital in Yogyakarta, Indonesia, from period o...

    journal_title:Journal of tropical pediatrics

    pub_type: 杂志文章

    doi:10.1093/tropej/fmz020

    authors: Buntubatu S,Prawirohartono EP,Arguni E

    更新日期:2019-12-01 00:00:00

  • Current breastfeeding knowledge, attitude, and practices of mothers in five rural communities in the Savannah region of Nigeria.

    abstract::The knowledge, attitude, and practices regarding breastfeeding of 310 mothers in five rural communities in Toto Local Government in Nassarawa State, Nigeria were investigated using a questionnaire. One hundred and sixty-two (52.3 per cent) mothers were illiterate while 148 (47.7 per cent) had either primary or seconda...

    journal_title:Journal of tropical pediatrics

    pub_type: 杂志文章

    doi:10.1093/tropej/45.6.323

    authors: Okolo SN,Adewunmi YB,Okonji MC

    更新日期:1999-12-01 00:00:00

  • Thrombocytopoenia as marker for HIV exposure in the neonate.

    abstract::Thrombocytopoenia is a well-described marker of human immunedeficiency virus type 1 (HIV) infection of children. After documenting thrombocytopoenia in a HIV-exposed neonate, who was subsequently shown not to be infected, we evaluated thrombocytopoenia (platelets < 150 x 10(9)/l) as a marker for HIV exposure in newbor...

    journal_title:Journal of tropical pediatrics

    pub_type: 杂志文章

    doi:10.1093/tropej/47.4.208

    authors: Roux W,Pieper C,Cotton M

    更新日期:2001-08-01 00:00:00

  • Role of Early Onset Neutropenia in Development of Candidemia in Premature Infants.

    abstract:Background:The aim of the study was to assess the effect of early-onset neutropenia (EON) on the development of candidemia in premature infants and evaluate other risk factors. Materials and Methods:This prospective study was carried out in a neonatal intensive care unit of Cairo University Hospital. Fifty neutropenic...

    journal_title:Journal of tropical pediatrics

    pub_type: 杂志文章

    doi:10.1093/tropej/fmx029

    authors: Ramy N,Hashim M,Abou Hussein H,Sawires H,Gaafar M,El Maghraby A

    更新日期:2018-02-01 00:00:00

  • Assessing the performance of nurses in the management of malaria patients in Tanzania.

    abstract:BACKGROUND:In Tanzania, nurses play an important role in the management of patients with malaria. The study was conducted to identify the current status of the performance of nurses in the management of malaria patients, in order to provide the baseline data before the training intervention. METHODS:The study was cond...

    journal_title:Journal of tropical pediatrics

    pub_type: 杂志文章

    doi:10.1093/tropej/fmq100

    authors: Kanamori S,Kohi TW,Nyamhanga T,Mkude S

    更新日期:2011-10-01 00:00:00

  • Procalcitonin: a marker of neonatal sepsis.

    abstract::This study was designed to assess the value of procalcitonin in establishing the diagnosis and evaluating the prognosis of neonatal sepsis. Thirty-four infants with neonatal sepsis were included in the study. Procalcitonin values of the cases with sepsis were (2.21 +/- 2.48 ng/ml) significantly higher than the values ...

    journal_title:Journal of tropical pediatrics

    pub_type: 杂志文章

    doi:10.1093/tropej/48.1.10

    authors: Athhan F,Akagündüz B,Genel F,Bak M,Can D

    更新日期:2002-02-01 00:00:00

  • Seroepidemiology of rubella in Saudi Arabia.

    abstract::The seroepidemiology of infection due to rubella virus in Saudi Arabia was investigated in various age groups including unvaccinated children (newborn to 15 years of age) using a newer rubella antibody test system, the ELISA with maximum sensitivity and reliability. The assessment of the immune status indicated the lo...

    journal_title:Journal of tropical pediatrics

    pub_type: 杂志文章

    doi:10.1093/tropej/35.4.169

    authors: Hossain A

    更新日期:1989-08-01 00:00:00

  • Role of HCV coinfection towards disease progression and survival in HIV-1 infected children: a follow-up study of 10 years.

    abstract::The present study was taken up to evaluate the pattern of disease progression and survival in a group of HIV-1 positive children, coinfected with HCV infection (n=25) in comparison to those without such coinfection (n=23). There was a significant negative correlation between the rate of decline of the CD4 + T cell per...

    journal_title:Journal of tropical pediatrics

    pub_type: 杂志文章

    doi:10.1093/tropej/fmi103

    authors: Shivraj SO,Chattopadhya D,Grover G,Kumar A,Baveja UK

    更新日期:2006-06-01 00:00:00

  • Prevalence and Outcome of Sepsis-induced Myocardial Dysfunction in Children with 'Sepsis' 'With' and 'Without Shock'-A Prospective Observational Study.

    abstract:Objective:To estimate the prevalence and effects of sepsis-induced myocardial dysfunction (SIMD) in children with septic shock. Methodology:Enrolled children with septic shock (n = 31) and sepsis (n = 30) underwent echocardiography and cardiac troponin-I (cTnI) estimation within first 3 h. SIMD was defined as presence...

    journal_title:Journal of tropical pediatrics

    pub_type: 杂志文章

    doi:10.1093/tropej/fmx105

    authors: Jain A,Sankar J,Anubhuti A,Yadav DK,Sankar MJ

    更新日期:2018-12-01 00:00:00

  • The economic burden of preterm/very low birth weight care in Nigeria.

    abstract::The care of very low birth weight (VLBW) neonates may impose an enormous burden on professional resources and finances of caregivers. This study seeks to evaluate the immediate cost of care of VLBW babies in a developing economy. Twenty-four hospital case records VLBW babies who survived till discharge over a 1 year p...

    journal_title:Journal of tropical pediatrics

    pub_type: 杂志文章

    doi:10.1093/tropej/fmn107

    authors: Tongo OO,Orimadegun AE,Ajayi SO,Akinyinka OO

    更新日期:2009-08-01 00:00:00

  • Urinary tract infections in children due to Pseudomonas aeruginosa in Enugu, Nigeria.

    abstract::During a 4-year period, March 1989 to February 1993, 22 children with proven urinary tract infections (UTI) due to Pseudomonas aeruginosa were studied retrospectively. The infections were more common in males (59 per cent), with the highest number of cases 10 (46 per cent) occurring in the 1-4 year age group. Sixty-ei...

    journal_title:Journal of tropical pediatrics

    pub_type: 杂志文章

    doi:10.1093/tropej/44.5.315

    authors: Ozumba UC

    更新日期:1998-10-01 00:00:00

  • A comparison of magnesium sulphate and sildenafil in the treatment of the newborns with persistent pulmonary hypertension: a randomized controlled trial.

    abstract::The aim of this prospective, randomized and controlled study was to compare the clinical efficacy of intravenous magnesium sulfate (MgSO₄) and oral sildenafil therapies with persistent pulmonary hypertension of the newborn. A total of 34 infants in the MgSO₄ group and 31 infants in the sildenafil group completed the s...

    journal_title:Journal of tropical pediatrics

    pub_type: 杂志文章,随机对照试验

    doi:10.1093/tropej/fmq091

    authors: Uslu S,Kumtepe S,Bulbul A,Comert S,Bolat F,Nuhoglu A

    更新日期:2011-08-01 00:00:00

  • Mannose-resistant haemagglutination (MRHA) and haemolysin (Hly) production of strains of Escherichia coli isolated from children with diarrhoea: effect of breastfeeding.

    abstract::Haemolysin production (Hly) and mannose-resistant haemagglutination induction (MRHA) of human (H), bovine (B), and both (HB) erythrocytes was investigated in strains of E. coli isolated from 142 cases of children with diarrhoea aged 0-36 months. Haemolysin production was more frequent in strains isolated from children...

    journal_title:Journal of tropical pediatrics

    pub_type: 杂志文章

    doi:10.1093/tropej/39.3.183

    authors: Giugliano LG,Meyer CJ,Arantes LC,Ribeiro ST,Giugliano R

    更新日期:1993-06-01 00:00:00

  • Use of probiotics in HIV-infected children: a randomized double-blind controlled study.

    abstract::HIV/AIDS is an infection characterized by immune cell dysfunction and subsequent immunodeficiency, as well as intestinal disorder. Probiotics are live microbial feed supplements that beneficially affect the host animal by improving intestinal microbial balance and promoting health benefits. The goals of this study wer...

    journal_title:Journal of tropical pediatrics

    pub_type: 杂志文章,随机对照试验

    doi:10.1093/tropej/fmm066

    authors: Trois L,Cardoso EM,Miura E

    更新日期:2008-02-01 00:00:00

  • Pediatric Antiretroviral Therapeutic Drug Monitoring: A Five and a Half Year Experience from a South African Tertiary Hospital.

    abstract:INTRODUCTION:Antiretroviral therapeutic drug monitoring (TDM) is not routinely used in the management of human immunodeficiency virus, but may be useful in pediatric patients who are prone to altered pharmacokinetics. Data on the routine use of antiretroviral TDM in pediatrics are sparse especially data from sub-Sahara...

    journal_title:Journal of tropical pediatrics

    pub_type: 杂志文章

    doi:10.1093/tropej/fmz077

    authors: Engelbrecht AE,Wiesner L,Norman J,Rabie H,Decloedt EH

    更新日期:2020-08-01 00:00:00

  • Reasons for hospitalization due to abortion and pregnancy termination.

    abstract::The aim of this study was to identify the reasons for hospitalization associated with abortion and pregnancy termination among women attending the Maternity Unit of IMIP, Recife, Brazil. In a case-control study, 230 women who were hospitalized consecutively between August 1994 and June 1995 due to causes related to pr...

    journal_title:Journal of tropical pediatrics

    pub_type: 杂志文章

    doi:10.1093/tropej/45.1.31

    authors: de Souza AI,Cecatti JG,Ferreira LO,Santos LC

    更新日期:1999-02-01 00:00:00

  • Iron status of adolescent females in three schools in an urban area of Sri Lanka.

    abstract::Ninety-three females in the age group 14-18 years were randomly selected from three schools in Colombo. Their iron and nutritional status was assessed using clinical, anthropometric, haematological, and biochemical parameters. Haemoglobin levels less than 12 g/dl were seen in 3.7 per cent of adolescent females. Free e...

    journal_title:Journal of tropical pediatrics

    pub_type: 杂志文章

    doi:10.1093/tropej/36.6.316

    authors: Atukorala TM,de Silva LD

    更新日期:1990-12-01 00:00:00

  • Adenosine deaminase in childhood pulmonary tuberculosis: diagnostic value in serum.

    abstract::The diagnostic value of serum adenosine deaminase (ADA) activity was evaluated in childhood pulmonary tuberculosis. Serum ADA levels were measured in 20 children diagnosed with pulmonary tuberculosis (group 1) and 150 children (group 2) including 128 with tuberculosis infection (Mantoux test positive) and 22 healthy c...

    journal_title:Journal of tropical pediatrics

    pub_type: 临床试验,杂志文章

    doi:10.1093/tropej/45.4.245

    authors: Kuyucu N,Karakurt C,Bilaloğlu E,Karacan C,Teziç T

    更新日期:1999-08-01 00:00:00

  • Infectious agents causing acute watery diarrhoea in infants and young children in Bangladesh and their public health implications.

    abstract::We studied the age specific distribution of enteropathogens in young children presenting at a large diarrhoeal diseases hospital in urban Bangladesh. A 5 per cent systematic sample was used to examine 1207 rectal swab specimens of children aged 1-35 months with acute watery diarrhoea. Variation in isolation rates of e...

    journal_title:Journal of tropical pediatrics

    pub_type: 杂志文章

    doi:10.1093/tropej/40.6.351

    authors: Hoque SS,Faruque AS,Mahalanabis D,Hasnat A

    更新日期:1994-12-01 00:00:00

  • Management of malnourished children with acute diarrhoea and sugar intolerance.

    abstract::A protocol of nutritional rehabilitation using fermented milk, vegetable oil, and castor sugar has been tested on 54 Senegalese children age 6-36 months admitted with acute diarrhoea and malnutrition. At time of admission, 39 per cent of children were dehydrated and 26 per cent had sugar intolerance. In the course of ...

    journal_title:Journal of tropical pediatrics

    pub_type: 杂志文章

    doi:10.1093/tropej/35.6.281

    authors: Beau JP,Fontaine O,Garenne M

    更新日期:1989-12-01 00:00:00

  • Circulating growth hormone (GH), insulin-like growth factor-I (IGF-I) and free thyroxine, GH response to clonidine provocation and CT scanning of the hypothalamic-pituitary area in children with sickle cell disease.

    abstract::Serum growth hormone (GH), cortisol, free thyroxine (FT4), thyroid-stimulating hormone (TSH), and insulin like growth factor I (IGF-I) concentrations were measured in 15 children with sickle cell disease (SCD) together with their heights < 5th percentile for age and gender, and in 15 healthy age-matched children who h...

    journal_title:Journal of tropical pediatrics

    pub_type: 杂志文章

    doi:10.1093/tropej/41.5.285

    authors: Soliman AT,Darwish A,Mohammed SH,Bassiony MR,el Banna N,Asfour M

    更新日期:1995-10-01 00:00:00

  • Hematological Indices at Birth of Infants of HIV-Positive Mothers Participating in a Prevention of Mother-to-Child Transmission Program.

    abstract:BACKGROUND:The mother-to-child transmission of HIV, which accounts for 90% of infections in children, has been reduced markedly through the use of antiretroviral drugs by pregnant women and their newborns. Changes to the World Health Organization guidelines support further extension of the prevention of mother-to-child...

    journal_title:Journal of tropical pediatrics

    pub_type: 杂志文章

    doi:10.1093/tropej/fmv061

    authors: Obumneme-Anyim I,Ibeziako N,Emodi I,Ikefuna A,Oguonu T

    更新日期:2016-02-01 00:00:00

  • Effects of displacement resulting from ethnic/religious conflict on the growth and body composition of Fulani children in northern Nigeria.

    abstract::This study, which was carried out in the Jos Plateau in Nigeria, analysed the changes in growth and body composition that occurred among 17 male and 13 female Fulani children (aged 4-13 years) in the 7-month period which followed their displacement from their homes into a temporary camp due to ethnic/religious violenc...

    journal_title:Journal of tropical pediatrics

    pub_type: 杂志文章

    doi:10.1093/tropej/49.5.279

    authors: Glew RH,Bhanji RA,VanderJagt DJ

    更新日期:2003-10-01 00:00:00

  • The Evolution of a Hospital-Based Cancer Registry in Northwest Cameroon from 2004 to 2015.

    abstract::Effective cancer registration is required for the development of cancer management policies, but is often deficient in the developing world. In 2008 cancer registration was set up Banso Baptist Hospital and Mbingo Baptist Hospital in the Northwest region of Cameroon, using the Pediatric Oncology Networked Database (PO...

    journal_title:Journal of tropical pediatrics

    pub_type: 杂志文章

    doi:10.1093/tropej/fmaa038

    authors: Afungchwi GM,Kruger M,Wharin PD,Bardin R,Kouya FN,Hesseling PB

    更新日期:2020-10-06 00:00:00

  • Coma in Mozambican gravidas: causes and perinatal outcome.

    abstract::Ninety-one consecutive cases of coma were identified among gravidas at Maputo Central Hospital. The commonest causes were eclampsia (70 cases), cerebral malaria (six cases), and meningitis (five cases). Fetal mortality in eclampsia was 23 per cent and maternal mortality 10 per cent. There was a markedly higher inciden...

    journal_title:Journal of tropical pediatrics

    pub_type: 杂志文章

    doi:10.1093/tropej/38.3.100

    authors: Ching C,Songane F,Bergström S,Povey G

    更新日期:1992-06-01 00:00:00