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    Evaluation of Systemic Steroid Dosing, Asthma-Related Readmissions, and Body Mass Index in Pediatric Patients with Asthma

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    Author
    Tharmarajah, Soba
    Phan, Hanna
    Haftmann, Richard
    Affiliation
    College of Pharmacy, The University of Arizona
    Issue Date
    2016
    Keywords
    Steroid Dosing
    Asthma-Related Readmissions
    Body Mass Index
    Pediatric Patients
    Asthma
    MeSH Subjects
    Asthma
    Pediatrics
    Steroids
    Drug Dosage Calculations
    Advisor
    Phan, Hanna
    Haftmann, Richard
    
    Metadata
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    Rights
    Copyright © is held by the author.
    Collection Information
    This item is part of the Pharmacy Student Research Projects collection, made available by the College of Pharmacy and the University Libraries at the University of Arizona. For more information about items in this collection, please contact Jennifer Martin, Librarian and Clinical Instructor, Pharmacy Practice and Science, jenmartin@email.arizona.edu.
    Publisher
    The University of Arizona.
    Abstract
    Objectives: The purpose of this study was to evaluate whether overweight/obese children with asthma have different systemic steroid dosing practices and asthma related readmission rates compared to normal/underweight children with asthma. Methods: Medical charts of patients admitted between October 2013 and October 2014 for an acute asthma exacerbation were reviewed retrospectively. The primary objective was to compare the average weight based systemic steroid dose between overweight/obese (Group 1) and normal/underweight (Group 2) with asthma. The secondary objective was to compare asthma-related readmissions between both groups. Data collected included demographic data; 30 day, 90 day and 6-month asthma-related readmissions; asthma medications prior-to-admission, during hospitalization and upon discharge. Results: One hundred fifty nine admissions (147 patients with recorded BMI) were evaluated. There was no significant difference in the proportion of obese, overweight, healthy and underweight patients who had 6-month asthma readmissions (p > 0.05). The mean systemic steroid, including prednisone and methylprednisolone, weight based dosing was similar between Group 1 and Group 2 (p > 0.05). Likewise, the proportion of patients with 6-month readmissions was similar in both groups (p > 0.05). Conclusions: Acute asthma exacerbation pediatric patients whom are overweight/obese were not being dosed differently to normal/underweight patients and were not at risk for increased asthma-related readmission in the following 6 months.
    Description
    Class of 2016 Abstract
    Collections
    Pharmacy Student Research Projects

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