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TITLE:

ACUTE ASTHMA EXACERBATIONS IN CHILDREN YOUNGER THAN 12 YEARS: EMERGENCY DEPARTMENT MANAGEMENT

AUTHORS:

Dr Hamda Muzamil, Dr Ayesha Bibi, Dr Gul e Hina

ABSTRACT:

Background: Asthma is one of the most common pediatric emergencies among children throughout the world, where an estimated 300 million individuals are affected. Objectives: The main objective of the study is to clinically audit and analyse the acute asthma exacerbations in children younger than 12 years regarding management of emergency department. Methods: This clinical audit was done in Indus Hospital Manawan, Lahore during June 2019 to December 2019. We retrospectively revised all the files of children aged 0–12 years who were visited for acute asthma in the Pediatric ED of Hospital. All the patients with a diagnosis of “acute asthma,” “wheezing bronchitis,” and “bronchospasm” were included. Results: A total of 864 patients were seen in the Emergency Department during the study. Of these, a total of 293 patients were seen for a presentation of acute asthma. As some patients had multiple visits, the 293 records represented 278 unique patients. For assessing age and gender distribution of the patients, only data from the first visit were used. Otherwise, each record was treated independently for the purpose of analyses. Conclusion: It is concluded that acute asthma management still remains an area of medical practice that continues to have long-standing difficulties.

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