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Allergy and Airway: Allergy - Asthma Slide |

Home Supply of Emergency Oral Steroids and Reduction in Asthma Healthcare Utilization

Lisa Sarzynski, MD; Elizabeth Allen, MD; Nancy Ryan-Wenger, PhD; Tiffany Turner, MD
Author and Funding Information

Nationwide Children's Hospital, Columbus, OH


Copyright 2016, American College of Chest Physicians. All Rights Reserved.


Chest. 2016;150(4_S):12A. doi:10.1016/j.chest.2016.08.015
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Extract

SESSION TITLE: Allergy - Asthma Slide

SESSION TYPE: Original Investigation Slide

PRESENTED ON: Wednesday, October 26, 2016 at 07:30 AM - 08:30 AM

PURPOSE: Asthma is responsible for high rates of healthcare utilization in the pediatric population. Previous studies have shown that early provision of oral steroids on presentation to the emergency department(ED) reduces hospitalizations. The impact of prescribing a home supply of oral steroids to facilitate institution of this therapy even prior to need for ED care during acute asthma exacerbations has not been well studied. We evaluated the outcomes of patients with moderate to severe persistent asthma who had been treated by a pediatric pulmonary provider for at least 12 months prior to prescription of a home oral steroid supply as part of a quality improvement project. Instructions for appropriate oral steroid use were provided verbally and were incorporated into the patient’s asthma action plan(AAP). The objective of our study was to determine if this provision of a home oral steroid supply had a significant impact on subsequent health care utilization as measured by the rate of ED visits, inpatient(IP) visits, and pediatric intensive care unit(PICU) stays in the following year.

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