The Science Journal of the American Association for Respiratory Care

2000 OPEN FORUM Abstracts

Pediatric Asthma: Prospects for the New Century

Thomas J. Fischer, MD, FAAAAI University of Cincinnati College of Medicine, Cincinnati, Ohio

This presentation will address the following topics:
A. Pediatric Asthma: Scope of the problem in Y2K
1 About 5 million children under 18 years of age have asthma
2 Each year children with asthma miss more than 10 million school days
3 Children living in poverty have higher rates of hospitalization and mortality
4 Asthma symptoms can limit school and play activities
5 Costs of billions of dollars per year
B. Asthma Pathophysiology: Improved Understanding/Concerns
1 Asthma, whatever the severity, is a chronic, inflammatory disorder of the airways
2 Characteristic features of asthmatic inflammation in the airways
3 Airway inflammation leads to airway hyper-responsiveness and airflow limitation
4 Triggers of asthma
5 Further research on asthma inflammation is needed
C. Asthma Management: Guidelines and Beyond
1 NIH Asthma Guidelines (1991 and 1997)
2 A new guideline format has been developed
D. Barriers to Asthma Care
1 Poverty
2 Multiple parent responsibilities
3 Lack of school-based or community-based resources
4 Language and cultural beliefs
5 Fears about medications
E. Management Strategies for the New Century
1 Prevention
2 Environmental controls
3 Outcomes research
4 Multidisciplinary integrated care/"disease management"
5 Continuing education
6 Improving access to care/health care delivery

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