Status:
COMPLETED
Inhaled Corticosteroids After a Pediatric Emergency Visit for Asthma
Lead Sponsor:
Children's Hospital of Philadelphia
Conditions:
Asthma
Eligibility:
All Genders
1-18 years
Phase:
NA
Brief Summary
Specific Aim: To determine whether a prescription for Inhaled Corticosteroids (ICS) added to standard Emergency Department (ED) discharge therapy for young children with persistent asthma symptoms in...
Detailed Description
Abstract. Background: Asthma prevalence, emergency visits, and hospitalizations have increased substantially, especially among young children and urban populations. Although inhaled corticosteroids (...
Eligibility Criteria
Inclusion
- Age 12 months through 18 years
- History of asthma defined as 2 or more prior physician visits at which bronchodilators were prescribed
- Persistent symptoms identified by an asthma control tool based on the NAEPP Guidelines and developed and validated by a multidisciplinary team of clinicians from CHOP Allergy, Pulmonary Medicine, General Pediatrics and Emergency Medicine.
- Treated in ED for acute asthma with plan to discharge from the ED on oral prednisone
- Have a Primary Care Physician (PCP)
Exclusion
- Current hospitalization or admission to the extended day emergency care unit
- History of pediatric intensive care admission for asthma
- Current prescription for a controller medication such as inhaled corticosteroids (ICS), leukotriene receptor antagonists, or cromolyn
- Contraindications to the use of routine asthma medications including beta-agonists or systemic steroids
- Co-morbid disease: Chronic lung disease, for example cystic fibrosis; Congenital heart disease requiring surgery and/or medications; Sickle cell disease; Immunodeficiency syndromes
- Previous enrollment in the study
Key Trial Info
Start Date :
March 1 2006
Trial Type :
INTERVENTIONAL
Allocation :
ACTUAL
End Date :
November 1 2009
Estimated Enrollment :
152 Patients enrolled
Trial Details
Trial ID
NCT00294398
Start Date
March 1 2006
End Date
November 1 2009
Last Update
May 13 2015
Active Locations (1)
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1
CHOP
Philadelphia, Pennsylvania, United States, 19104