Underutilization of Preventive Asthma Visits Among Urban Children With Persistent Asthma.

Abstract:

:National guidelines recommend that children with persistent asthma have at least 2 preventive asthma visits (PAVs) per year. We sought to determine the percent of urban children with persistent asthma who had a PAV in the past year, and to identify differences in demographics, health-related variables, and management associated with PAVs. Using data from 530 children (3-10 years) participating in a school-based asthma trial, we found that only 25% of children had at least 1 PAV, with only 5% receiving ≥2 visits. Having a PAV was not associated with demographics or health-related variables. Importantly, having a PAV was associated with having a preventive medication, taking that medication daily, and having a medication adjustment. Although PAVs were associated with actions to improve asthma control and management, these visits were underutilized in this sample. This highlights the need for novel methods to ensure access and deliver care to this vulnerable pediatric population.

journal_name

Clin Pediatr (Phila)

journal_title

Clinical pediatrics

authors

Gundewar A,David R,Frey SM,Fagnano M,Halterman JS

doi

10.1177/0009922816685816

subject

Has Abstract

pub_date

2017-12-01 00:00:00

pages

1312-1318

issue

14

eissn

0009-9228

issn

1938-2707

journal_volume

56

pub_type

杂志文章
  • Safe sleep practices and sudden infant death syndrome risk reduction: NICU and well-baby nursery graduates.

    abstract::Our primary objective was to compare parents of infants cared for in newborn intensive care units (NICUs) and infants cared for in well-baby ("general") nurseries with regard to knowledge and practice of safe sleep practices/sudden infant death syndrome risk reduction measures and guidelines. Our secondary objective w...

    journal_title:Clinical pediatrics

    pub_type: 杂志文章

    doi:10.1177/0009922813506038

    authors: Fowler AJ,Evans PW,Etchegaray JM,Ottenbacher A,Arnold C

    更新日期:2013-11-01 00:00:00

  • Neonatal gastric volvulus secondary to rectal atresia.

    abstract::The "upside-down stomach" is a rare form of organo-axial neonatal volvulus, which occurs because of absent or attenuated anatomical anchors and abnormal motility of the stomach. It is considered a surgical emergency that requires immediate correction. We report a previously undescribed etiology of gastric neonatal vol...

    journal_title:Clinical pediatrics

    pub_type: 杂志文章

    doi:10.1177/000992288802700612

    authors: Mizrahi S,Vinograd I,Schiller M

    更新日期:1988-06-01 00:00:00

  • Asthma Medication Prescribing Practices in Pediatric Office Visits.

    abstract::This cross-sectional study examined how asthma control, demographic, and clinical characteristics are associated with the use of asthma medications in pediatric office visits in the United States. Data from the 2012-2015 National Ambulatory Medical Care Survey included patients aged 6 to 17 years, with asthma as a pri...

    journal_title:Clinical pediatrics

    pub_type: 杂志文章

    doi:10.1177/0009922818822980

    authors: Rege S,Kavati A,Ortiz B,Mosnaim G,Cabana MD,Murphy K,Aparasu RR

    更新日期:2019-04-01 00:00:00

  • Association between the frequency of disposable diaper changing and urinary tract infection in infants.

    abstract:BACKGROUND:Often diapers are not changed after infants pass urine. AIM:To define the association between the frequency of changing diapers and urinary tract infection (UTI) in infants. METHODS:Urine samples were tested in 131 infants (aged from 2 months to 2.5 years) who had a temperature > or =38 degrees C. The auth...

    journal_title:Clinical pediatrics

    pub_type: 杂志文章

    doi:10.1177/0009922808320696

    authors: Sugimura T,Tananari Y,Ozaki Y,Maeno Y,Tanaka S,Ito S,Kawano K,Masunaga K

    更新日期:2009-01-01 00:00:00

  • Neonatal mitral valve endocarditis: diagnosis and successful management.

    abstract::Although still considered to be a rare and mostly fatal illness, the reported incidence of neonatal bacterial endocarditis has increased during the past decade. This parallels the establishment of intensive supportive management of severely ill newborns with multiple medical problems. An extremely difficult diagnostic...

    journal_title:Clinical pediatrics

    pub_type: 杂志文章

    doi:10.1177/000992289002900707

    authors: Bullaboy CA,Coulson JD,Jennings RB Jr,Johnson DH

    更新日期:1990-07-01 00:00:00

  • Neonatal adrenal hemorrhage: clinical and abdominal sonographic findings.

    abstract::Four neonates with adrenal hemorrhage are presented. The clinical manifestations included most often an abdominal mass but also anemia, jaundice, hypotension, bluish discoloration of the scrotum, and abdominal calcification. The diagnosis was established in each case upon abdominal sonographic findings. The review of ...

    journal_title:Clinical pediatrics

    pub_type: 杂志文章,评审

    doi:10.1177/000992280104001002

    authors: Velaphi SC,Perlman JM

    更新日期:2001-10-01 00:00:00

  • The attitude of physicians toward cold remedies for upper respiratory infection in infants and children: a questionnaire survey.

    abstract::Over-the-counter cold remedies are widely used for symptomatic relief of upper respiratory tract infections. The safety of these drugs is not well established in infants and their efficacy is questionable. Our aim was to study the attitude of family physicians and pediatricians toward the use of cold remedies in infan...

    journal_title:Clinical pediatrics

    pub_type: 杂志文章

    doi:10.1177/0009922806295281

    authors: Cohen-Kerem R,Ratnapalan S,Djulus J,Duan X,Chandra RV,Ito S

    更新日期:2006-11-01 00:00:00

  • Spontaneous recovery of selective IgA deficiency. Additional case reports and a review.

    abstract::Patients with selective IgA deficiency, the most common primary immunodeficiency, occasionally may undergo spontaneous recovery. In this paper we present three additional children whose IgA levels spontaneously returned to normal. All three presented with gastrointestinal symptoms, and one child also had frequent uppe...

    journal_title:Clinical pediatrics

    pub_type: 杂志文章

    doi:10.1177/000992288202100202

    authors: Blum PM,Hong R,Stiehm ER

    更新日期:1982-02-01 00:00:00

  • Gynecomastia: evaluation and treatment recommendations for primary care providers.

    abstract::Gynecomastia is defined as excessive development of the breast in boys. It is common in neonates and adolescents. Although in most cases this is a transient phenomenon, it might lead to significant social impediments such as decreased participation in physical education because of embarrassment. A primary care provide...

    journal_title:Clinical pediatrics

    pub_type: 杂志文章

    doi:10.1177/0009922806294800

    authors: Cakan N,Kamat D

    更新日期:2007-07-01 00:00:00

  • Mycobacterium tuberculosis cervical adenitis. Diagnosis and management.

    abstract::Cervical adenopathy as the sole presentation of tuberculosis is seen infrequently in the pediatric age group. Despite modern treatment and public health measures, tuberculous cervical adenitis persists, and its prompt diagnosis and treatment are important from both a clinical and preventive health perspective. The aut...

    journal_title:Clinical pediatrics

    pub_type: 杂志文章

    doi:10.1177/000992288902800905

    authors: Talmi YP,Cohen AH,Finkelstein Y,Versano I,Zohar Y

    更新日期:1989-09-01 00:00:00

  • Unwanted sexual experiences in adolescents. Patterns of disclosure.

    abstract::More than 300 patients who presented consecutively to a sexual abuse clinic, a family planning clinic, and a family practice clinic filled out an anonymous survey regarding unwanted sexual experiences. In the family planning and family practice clinics, 40% of females and 16% of males reported having at least one unwa...

    journal_title:Clinical pediatrics

    pub_type: 杂志文章,多中心研究

    doi:10.1177/000992289503400603

    authors: Kellogg ND,Huston RL

    更新日期:1995-06-01 00:00:00

  • A comparison of perceptions of fever and fever phobia by ethnicity.

    abstract:BACKGROUND:The purpose of our study was to compare caregiver perceptions of fever between ethnicities in a population with a large percentage of Hispanics. METHODS:A 20-item, cross-sectional survey was collected from English- and Spanish-speaking parents of children. Questions addressed level of parental worry, parent...

    journal_title:Clinical pediatrics

    pub_type: 杂志文章

    doi:10.1177/0009922809336208

    authors: Rupe A,Ahlers-Schmidt CR,Wittler R

    更新日期:2010-02-01 00:00:00

  • Pediatric residents' perceptions of family-centered rounds as part of postgraduate training.

    abstract:PURPOSE:Although family-centered rounds (FCRs) are recommended as standard practice, limited data address pediatric residents' opinions of FCRs. In the present study, we assessed residents' perceptions with respect to rounding experience and postgraduate year (PGY). METHODS:An anonymous online questionnaire was distri...

    journal_title:Clinical pediatrics

    pub_type: 杂志文章

    doi:10.1177/0009922813501377

    authors: Pinto JM,Chu D,Petrova A

    更新日期:2014-01-01 00:00:00

  • Pneumococcal osteomyelitis. An unusual cluster of cases.

    abstract::Between 1979 and 1981, 22 children with osteomyelitis and/or septic arthritis were hospitalized at Soroka University Hospital. Streptococcus pneumoniae was cultured in five of the children, four of whom were under 2 years of age. In four other children under 2 years of age, Haemophilus influenzae was cultured. Staphyl...

    journal_title:Clinical pediatrics

    pub_type: 杂志文章

    doi:10.1177/000992288502400305

    authors: Hadari I,Dagan R,Gedalia A,Jeanine N,Moses S

    更新日期:1985-03-01 00:00:00

  • Use of abdominal and pelvic ultrasound in the evaluation of chronic abdominal pain.

    abstract::The value of sonography in assessing chronic abdominal pain (CAP) in children, the characteristics of CAP, and the local pediatrician's practice in evaluating CAP are reported. Fifty-seven patients with CAP had abdominal and/or pelvic sonography; 56 were normal. One sonogram showed an ovarian cyst on the side opposite...

    journal_title:Clinical pediatrics

    pub_type: 杂志文章

    doi:10.1177/000992289303200304

    authors: Schmidt RE,Babcock DS,Farrell MK

    更新日期:1993-03-01 00:00:00

  • Childhood osteomyelitis. A five-year analysis of 118 cases in Nigerian children.

    abstract::During the years 1976 through 1980, 118 children with osteomyelitis were seen at our hospital, an incidence of almost 24 cases per year. Twenty-eight of these had sickle cell disease. Males were more commonly affected than females, with a ratio of 2.1 to 1, and bones of the lower extremities were more commonly involve...

    journal_title:Clinical pediatrics

    pub_type: 杂志文章

    doi:10.1177/000992288402301003

    authors: Okoroma EO,Agbo DC

    更新日期:1984-10-01 00:00:00

  • Fatal lower respiratory tract infection due to herpes simplex virus in a previously healthy child.

    abstract::A well-nourished, previously healthy, 9-month-old baby died of herpes simplex virus infection of the lower respiratory tract, without apparent dissemination. The herpetic disease followed bacterial pneumonitis for which the patient had had tracheal intubation. ...

    journal_title:Clinical pediatrics

    pub_type: 杂志文章

    doi:10.1177/000992288402300709

    authors: Sofer S,Pagtakhan RD,Hoogstratten J

    更新日期:1984-07-01 00:00:00

  • Pain management in young children undergoing diagnostic tympanocentesis.

    abstract:OBJECTIVE:To describe the pain associated with diagnostic tympanocentesis and to gather preliminary data comparing the efficacy of 3 methods of pain reduction for tympanocentesis. METHODS:In children 6 to 36 months of age undergoing tympanocentesis for acute otitis media, the authors measured pain and distress through...

    journal_title:Clinical pediatrics

    pub_type: 杂志文章,随机对照试验

    doi:10.1177/0009922810385677

    authors: Shaikh N,Hoberman A,Kurs-Lasky M,Rockette HE,Chandra A,Colborn DK,Hooper EG,Reis EC

    更新日期:2011-03-01 00:00:00

  • Legal issues in psychological abuse of children.

    abstract::The pediatrician must observe and assess a variety of emotional disorders in children, many of which seem related to adverse parental attitudes and actions. It is important for the pediatrician to appreciate the judicial system's constraints in defining psychological abuse so that, when appropriate, legal intervention...

    journal_title:Clinical pediatrics

    pub_type: 杂志文章

    doi:10.1177/000992288202101003

    authors: Yates A

    更新日期:1982-10-01 00:00:00

  • Characteristics of an ideal rotavirus vaccine.

    abstract::Rotavirus gastroenteritis primarily affects children younger than 5 years of age and is the leading cause of diarrhea-related hospitalizations worldwide. The substantial morbidity associated with this disease and the major burden on healthcare resources underscore the need for an effective vaccine. Two recently develo...

    journal_title:Clinical pediatrics

    pub_type: 杂志文章

    doi:10.1177/0009922808314903

    authors: Reisinger KS,Block SL

    更新日期:2008-07-01 00:00:00

  • Electronic Heath Record Prompts May Increase Screening for Secondhand Smoke Exposure.

    abstract:INTRODUCTION:The American Academy of Pediatrics recommends that pediatricians promote smoking cessation among caregivers at every visit. Currently, there are inconsistencies between recommendations and clinical practice. This study aims to compare results generated from 3 intervention methods on the rate at which pedia...

    journal_title:Clinical pediatrics

    pub_type: 杂志文章,多中心研究,随机对照试验

    doi:10.1177/0009922816688261

    authors: Thomas KEH,Kisely S,Urrego F

    更新日期:2018-01-01 00:00:00

  • Predictors of pediatric emergency patients discharged against medical advice.

    abstract::Based on a retrospective 5-year medical record review, this study characterizes factors associated with patients discharged against medical advice (AMA) from a tertiary pediatric emergency department (ED) and compares rates of return to the ED and admission to the hospital with those of patients routinely discharged. ...

    journal_title:Clinical pediatrics

    pub_type: 杂志文章

    doi:10.1177/0009922808323109

    authors: Reinke DA,Walker M,Boslaugh S,Hodge D 3rd

    更新日期:2009-04-01 00:00:00

  • Breastfeeding does not protect against urinary tract infection in the first 3 months of life, but vitamin D supplementation increases the risk by 76%.

    abstract::Our goal was to determine if breastfeeding provides any protection against urinary tract infection (UTI) and if vitamin D supplementation imposes any additional risks for UTI in infants < 3 months of age. In this study, 40% of the children who had urine cultures were breastfed, and 18.7% of the children were exclusive...

    journal_title:Clinical pediatrics

    pub_type: 杂志文章

    doi:10.1177/0009922809332588

    authors: Katikaneni R,Ponnapakkam T,Ponnapakkam A,Gensure R

    更新日期:2009-09-01 00:00:00

  • Attitudes, patterns of recommendation, and communication of pediatric providers about complementary and alternative medicine in a large metropolitan children's hospital.

    abstract::The authors conducted an e-mail survey of their medical staff to explore the attitudes, patterns of recommendation, and communication of pediatric providers about complementary and alternative medicine (CAM) in a large metropolitan children's hospital. Two thirds of the respondents reported awareness about their patie...

    journal_title:Clinical pediatrics

    pub_type: 杂志文章

    doi:10.1177/0009922810384724

    authors: Kundu A,Tassone RF,Jimenez N,Seidel K,Valentine JK,Pagel PS

    更新日期:2011-02-01 00:00:00

  • Throat culture is necessary after negative rapid antigen detection tests.

    abstract::This study was conducted to determine if culture confirmation is needed for a negative rapid antigen detection test. Data on 18,509 tests done in patients younger than 18 years old were reviewed. Of the 14,167 (76.5%) that were negative, 968 (6.8%) were associated with positive cultures. No significant seasonal variat...

    journal_title:Clinical pediatrics

    pub_type: 杂志文章,多中心研究

    doi:10.1177/0009922806290219

    authors: Mirza A,Wludyka P,Chiu TT,Rathore MH

    更新日期:2007-04-01 00:00:00

  • Parental issues in selection of antimicrobial agents for infants and children.

    abstract::The traditional American family has changed during the past several decades with increases in the number of single-parent households and working mothers. These changes have led to increased stress in the family when children become ill. Infectious diseases are the most common reasons parents seek care for ill children...

    journal_title:Clinical pediatrics

    pub_type: 杂志文章

    doi:10.1177/000992289703600403

    authors: Bauchner H,Klein JO

    更新日期:1997-04-01 00:00:00

  • Student evaluation practices in pediatric clerkships: a survey of the medical schools in the United States and Canada.

    abstract::Despite the curriculum changes during the past decade, there is paucity of information regarding the structure and evaluation processes in pediatric clerkships. Information regarding the educational components of the pediatric clerkship and student evaluation practices was obtained from the pediatric clerkship directo...

    journal_title:Clinical pediatrics

    pub_type: 杂志文章

    doi:10.1177/000992280404300807

    authors: Kumar A,Gera R,Shah G,Godambe S,Kallen DJ

    更新日期:2004-10-01 00:00:00

  • French norms and validation of the Child Development Inventory (CDI): Inventaire du Developpement de l'Enfant (IDE).

    abstract::The aim of this study was to determine the French norms and examine the validity of a parent-report inventory: the Child Development Inventory (CDI), called "Inventaire du Développement de l'Enfant (IDE)" in French. This assesses the general level of a child's development in 8 developmental domains. The norms were det...

    journal_title:Clinical pediatrics

    pub_type: 杂志文章

    doi:10.1177/0009922811398390

    authors: Duyme M,Zorman M,Tervo R,Capron C

    更新日期:2011-07-01 00:00:00

  • Improving developmental screening among pediatricians in New Mexico: findings from the developmental screening initiative.

    abstract:BACKGROUND:Seven pediatric primary care practices participated in New Mexico's Developmental Screening Initiative in a year-long quality improvement project with the goal of implementing standardized developmental screening tools. METHODS:The initiative utilized a learning collaborative approach and the Model for Impr...

    journal_title:Clinical pediatrics

    pub_type: 杂志文章

    doi:10.1177/0009922814527499

    authors: Malik F,Booker JM,Brown S,McClain C,McGrath J

    更新日期:2014-06-01 00:00:00

  • Serial procalcitonin levels to detect bacteremia in febrile neutropenia.

    abstract:BACKGROUND:Our objective was to evaluate serial procalcitonin (PCT) levels compared with an initial PCT level at admission in predicting bacteremia in pediatric febrile neutropenic oncology patients. PROCEDURE:Serum PCT levels were measured at admission (t0) and within 24 hours of admission (t1) in pediatric oncology ...

    journal_title:Clinical pediatrics

    pub_type: 杂志文章

    doi:10.1177/0009922812460913

    authors: Reitman AJ,Pisk RM,Gates JV 3rd,Ozeran JD

    更新日期:2012-12-01 00:00:00