Asthma and Allergies in Children Can Cause a Miserable Reaction – Guardian Liberty Voice


Guardian Liberty Voice

Asthma and Allergies in Children Can Cause a Miserable Reaction
Guardian Liberty Voice
Asthma is a respiratory condition that is marked by spasms in the bronchi of the lungs, and causes difficulty breathing in children and adults. The condition is brought on by tightened airways that swell up and prevent air from distributing properly

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Is Secondhand Smoke Exposure Associated With Increased Exacerbation Severity Among Children Hospitalized for Asthma?

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Is Secondhand Smoke Exposure Associated With Increased Exacerbation Severity Among Children Hospitalized for Asthma?

Hosp Pediatr. 2015 May;5(5):249-255

Authors: Andrews AL, Shirley N, Ojukwu E, Robinson M, Torok M, Wilson KM

Abstract
OBJECTIVE: To determine the association between secondhand smoke (SHS) exposure and length of stay (LOS) and other exacerbation severity indicators in children hospitalized for asthma.
METHODS: We conducted a retrospective chart review at 2 children’s hospitals. Patients aged 2 to 18 hospitalized for asthma in 2012 were included. Outcome variables included LOS, PICU, magnesium, and intravenous (IV) steroids. Bivariate analysis determined differences between SHS-exposed and non-SHS-exposed groups. Geometric means were used for LOS to account for skewed distribution. Logistic and zero-truncated negative binomial regression models were used to determine the independent association between SHS exposure and hospitalization severity indicators.
RESULTS: A total of 623 patients were included; 41% reported SHS exposure. Mean LOS was 47.5 hours. In the SHS-exposed group, LOS was 50.0 (95% confidence interval [CI] 46.7-54.0) and in the nonexposed group it was 45.8 (95% CI 43.4-48.4) (P = .02). In regression analysis, institution modified the effect of SHS exposure on LOS. At Children’s Hospital Colorado, SHS exposure was associated with a 20% increase in LOS (incidence rate ratio 1.2, 95% CI 1.1-1.3). At the Medical University of South Carolina, there was no significant association. SHS-exposed patients were more likely to receive IV steroids (odds ratio 1.6, 95% CI 1.1-2.3) CONCLUSIONS: Among children hospitalized for asthma, we identified a significant association at 1 institution between SHS exposure and LOS and found that IV steroid use was significantly associated with LOS at both institutions. Eliminating SHS exposure among children with asthma is important.

PMID: 25934808 [PubMed – as supplied by publisher]

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Risk of idiopathic nephrotic syndrome among children with asthma: a nationwide … – Nature.com

Risk of idiopathic nephrotic syndrome among children with asthma: a nationwide
Nature.com
Although clinical and immunological studies have shown a possible link between allergy and idiopathic nephrotic syndrome (INS), the nature of the relationship remains unclear. Asthma is the most common chronic allergic airway inflammation. However, no …

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Despite guidelines, half of children with asthma do not receive a management plan – Healio

Despite guidelines, half of children with asthma do not receive a management plan
Healio
SAN DIEGO — Despite an increase in the percentage of children with persistent asthma who have received a written asthma management plan, 49% of patients still did not receive one, with significant variations by race and insurance status.
Researchers from Montefiore and Einstein to Present Findings at Pediatric Newswise (press release)

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Children exposed to adverse childhood experience more likely to develop asthma – News-Medical.net

Children exposed to adverse childhood experience more likely to develop asthma
News-Medical.net
Robyn Wing, M.D., an emergency medicine physician at Hasbro Children's Hospital, recently led a study that found children who were exposed to an adverse childhood experience (ACE) were 28 percent more likely to develop asthma. The rate of asthma …
Association Between Adverse Childhood Experiences and Pediatric Asthma Lung Disease News

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Phenotypes of severe asthma among children and adolescents in Brazil: a … – BMC Blogs Network

Phenotypes of severe asthma among children and adolescents in Brazil: a
BMC Blogs Network
Background The morbidity associated with severe uncontrolled asthma is disproportionately higher in low- and middle-income countries than in high-income countries. The aim of this study was to describe the phenotypic characteristics of difficult-to

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Lansoprazole Could Worsen Asthma Control in Children With Poor Metabolizer … – Monthly Prescribing Reference

Lansoprazole Could Worsen Asthma Control in Children With Poor Metabolizer
Monthly Prescribing Reference
(HealthDay News) — Children with poor metabolizer phenotype based on CYP2C19 have worse asthma control after six months of lansoprazole treatment, according to a study published online April 6 in the Annals of the American Thoracic Society. Jason E.
Lansoprazole Worsens Asthma Control in Poor MetabolizersDoctors Lounge

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Domestic Violence, Drug Problems May Increase Asthma Risk In Children – University Herald


University Herald

Domestic Violence, Drug Problems May Increase Asthma Risk In Children
University Herald
"What surprised us was that among the children who had been exposed to five or more adverse childhood experiences, 25 percent of parents or guardians reported that their child had an asthma diagnosis — compared with only 12 percent for those with zero …

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