Caregiver-Reported Asthma Control Predicts Future Visits, Independent of Guideline-Based Control Measures

Suzanne R. Kochis, Torie Grant, Wanda Phipatanakul, Matthew Perzanowski, Susan Balcer-Whaley, Jean Curtin-Brosnan, Michelle Newman, Amparito Cunningham, Mary E. Bollinger, Elizabeth C. Matsui

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

Background: It is unknown whether caregiver perception of a child's asthma control, independent of guideline-based asthma control assessment, is a predictor of future acute visits. Objective: To determine whether caregiver-reported asthma control is an indicator of future risk of acute visit. Methods: Two study populations of low-income, minority 5- to 17-year-old children with persistent asthma were included. Questionnaires administered at baseline and at 3, 6, 9, and 12 months captured symptoms, short-acting β-agonist use, acute visits in the previous 3 months, and caregiver-reported asthma control. Well-controlled, not well-controlled, and very poorly controlled asthma were defined using National Asthma Education and Prevention Program guideline-based assessment. Relationships between caregiver-reported control and acute visits in the subsequent 3 months were examined. Results: At baseline, both populations were predominantly black/African American (91% and 79%) with public insurance (85% and 88%) and very poorly controlled asthma (47% and 50%). In both populations, most caregivers reported that their child's asthma was well controlled (73% and 69%). In both populations, participants whose caregivers reported that their child had uncontrolled asthma had greater odds of having an acute visit in the following 3 months as compared with participants whose caregivers reported that their child's asthma was well controlled, independent of guideline-based control, age, sex, race, controller medication, insurance, and atopy (odds ratio [95% CI], 2.4 [1.4-4.2] and 1.6 [1.1-2.4]). Conclusions: Among predominantly low-income minority children with asthma, caregiver-reported asthma control may provide information about the risk of future acute visit for asthma that is complementary to guideline-based control assessment.

Original languageEnglish (US)
Pages (from-to)1516-1521.e1
JournalJournal of Allergy and Clinical Immunology: In Practice
Volume7
Issue number5
DOIs
StatePublished - May 1 2019

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Caregivers
Asthma
Guidelines
Insurance
Population
Poverty
African Americans
Odds Ratio
Education

Keywords

  • Asthma control
  • Childhood asthma
  • NAEPP guidelines

ASJC Scopus subject areas

  • Immunology and Allergy

Cite this

Caregiver-Reported Asthma Control Predicts Future Visits, Independent of Guideline-Based Control Measures. / Kochis, Suzanne R.; Grant, Torie; Phipatanakul, Wanda; Perzanowski, Matthew; Balcer-Whaley, Susan; Curtin-Brosnan, Jean; Newman, Michelle; Cunningham, Amparito; Bollinger, Mary E.; Matsui, Elizabeth C.

In: Journal of Allergy and Clinical Immunology: In Practice, Vol. 7, No. 5, 01.05.2019, p. 1516-1521.e1.

Research output: Contribution to journalArticle

Kochis, SR, Grant, T, Phipatanakul, W, Perzanowski, M, Balcer-Whaley, S, Curtin-Brosnan, J, Newman, M, Cunningham, A, Bollinger, ME & Matsui, EC 2019, 'Caregiver-Reported Asthma Control Predicts Future Visits, Independent of Guideline-Based Control Measures', Journal of Allergy and Clinical Immunology: In Practice, vol. 7, no. 5, pp. 1516-1521.e1. https://doi.org/10.1016/j.jaip.2018.12.030
Kochis, Suzanne R. ; Grant, Torie ; Phipatanakul, Wanda ; Perzanowski, Matthew ; Balcer-Whaley, Susan ; Curtin-Brosnan, Jean ; Newman, Michelle ; Cunningham, Amparito ; Bollinger, Mary E. ; Matsui, Elizabeth C. / Caregiver-Reported Asthma Control Predicts Future Visits, Independent of Guideline-Based Control Measures. In: Journal of Allergy and Clinical Immunology: In Practice. 2019 ; Vol. 7, No. 5. pp. 1516-1521.e1.
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abstract = "Background: It is unknown whether caregiver perception of a child's asthma control, independent of guideline-based asthma control assessment, is a predictor of future acute visits. Objective: To determine whether caregiver-reported asthma control is an indicator of future risk of acute visit. Methods: Two study populations of low-income, minority 5- to 17-year-old children with persistent asthma were included. Questionnaires administered at baseline and at 3, 6, 9, and 12 months captured symptoms, short-acting β-agonist use, acute visits in the previous 3 months, and caregiver-reported asthma control. Well-controlled, not well-controlled, and very poorly controlled asthma were defined using National Asthma Education and Prevention Program guideline-based assessment. Relationships between caregiver-reported control and acute visits in the subsequent 3 months were examined. Results: At baseline, both populations were predominantly black/African American (91{\%} and 79{\%}) with public insurance (85{\%} and 88{\%}) and very poorly controlled asthma (47{\%} and 50{\%}). In both populations, most caregivers reported that their child's asthma was well controlled (73{\%} and 69{\%}). In both populations, participants whose caregivers reported that their child had uncontrolled asthma had greater odds of having an acute visit in the following 3 months as compared with participants whose caregivers reported that their child's asthma was well controlled, independent of guideline-based control, age, sex, race, controller medication, insurance, and atopy (odds ratio [95{\%} CI], 2.4 [1.4-4.2] and 1.6 [1.1-2.4]). Conclusions: Among predominantly low-income minority children with asthma, caregiver-reported asthma control may provide information about the risk of future acute visit for asthma that is complementary to guideline-based control assessment.",
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AU - Perzanowski, Matthew

AU - Balcer-Whaley, Susan

AU - Curtin-Brosnan, Jean

AU - Newman, Michelle

AU - Cunningham, Amparito

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AU - Matsui, Elizabeth C.

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N2 - Background: It is unknown whether caregiver perception of a child's asthma control, independent of guideline-based asthma control assessment, is a predictor of future acute visits. Objective: To determine whether caregiver-reported asthma control is an indicator of future risk of acute visit. Methods: Two study populations of low-income, minority 5- to 17-year-old children with persistent asthma were included. Questionnaires administered at baseline and at 3, 6, 9, and 12 months captured symptoms, short-acting β-agonist use, acute visits in the previous 3 months, and caregiver-reported asthma control. Well-controlled, not well-controlled, and very poorly controlled asthma were defined using National Asthma Education and Prevention Program guideline-based assessment. Relationships between caregiver-reported control and acute visits in the subsequent 3 months were examined. Results: At baseline, both populations were predominantly black/African American (91% and 79%) with public insurance (85% and 88%) and very poorly controlled asthma (47% and 50%). In both populations, most caregivers reported that their child's asthma was well controlled (73% and 69%). In both populations, participants whose caregivers reported that their child had uncontrolled asthma had greater odds of having an acute visit in the following 3 months as compared with participants whose caregivers reported that their child's asthma was well controlled, independent of guideline-based control, age, sex, race, controller medication, insurance, and atopy (odds ratio [95% CI], 2.4 [1.4-4.2] and 1.6 [1.1-2.4]). Conclusions: Among predominantly low-income minority children with asthma, caregiver-reported asthma control may provide information about the risk of future acute visit for asthma that is complementary to guideline-based control assessment.

AB - Background: It is unknown whether caregiver perception of a child's asthma control, independent of guideline-based asthma control assessment, is a predictor of future acute visits. Objective: To determine whether caregiver-reported asthma control is an indicator of future risk of acute visit. Methods: Two study populations of low-income, minority 5- to 17-year-old children with persistent asthma were included. Questionnaires administered at baseline and at 3, 6, 9, and 12 months captured symptoms, short-acting β-agonist use, acute visits in the previous 3 months, and caregiver-reported asthma control. Well-controlled, not well-controlled, and very poorly controlled asthma were defined using National Asthma Education and Prevention Program guideline-based assessment. Relationships between caregiver-reported control and acute visits in the subsequent 3 months were examined. Results: At baseline, both populations were predominantly black/African American (91% and 79%) with public insurance (85% and 88%) and very poorly controlled asthma (47% and 50%). In both populations, most caregivers reported that their child's asthma was well controlled (73% and 69%). In both populations, participants whose caregivers reported that their child had uncontrolled asthma had greater odds of having an acute visit in the following 3 months as compared with participants whose caregivers reported that their child's asthma was well controlled, independent of guideline-based control, age, sex, race, controller medication, insurance, and atopy (odds ratio [95% CI], 2.4 [1.4-4.2] and 1.6 [1.1-2.4]). Conclusions: Among predominantly low-income minority children with asthma, caregiver-reported asthma control may provide information about the risk of future acute visit for asthma that is complementary to guideline-based control assessment.

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