Medicine of the Future in America

Predicting the Need for Hospitalization in Children with Acute Asthma: Discussion (1)

Predicting the Need for Hospitalization in Children with Acute Asthma: Discussion (1)The objective of the present study was to determine the value of clinical measurements and common, noninvasive laboratory variables both alone and in various combinations in predicting physicians’ decisions to admit children with acute asthma to the hospital. Although the hospitalized and the discharged groups of patients had statistically significant differences in most of the variables measured, the clinical score, based on standard physical examination, was found to be the most effective in predicting outcome. Buy Asthma Inhalers Online

Several investigators have emphasized that the assessment of acute asthma is an ongoing process, as the degree and time course of the response to the therapy varies considerably between patients. It is, therefore, not surprising that the clinical score on disposition was more predictive of outcome than that on presentation, a finding which is in agreement with the data of Baker et al. In our study, patients with a clinical score over 0.45 on disposition were likely to be hospitalized, with 80 percent sensitivity and 89 percent specificity. The scoring system we used is based on that described by Fischl et al, suitably modified for the pediatric population. We chose this system as, unlike other scoring systems, it is composed of clinical variables which are simply and commonly measured in the assessment of patients with acute asthma, and does not involve arterial blood gas sampling.

This entry was posted in Asthma and tagged acute asthma, children, Dyspnea, pulmonary function.
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