This study will assess the short-term outcomes of prescribing ICS to young children with persistent asthma symptoms after an emergency visit for asthma. Adult studies have been inconclusive and the role of ICS after a pediatric emergency visit for asthma has not been studied. Prescribing ICS at ED discharge occurs uncommonly in the United States based on surveys and reviews of current practice. In addition, other studies have demonstrated frequent symptoms, activity restriction, and missed school or work during the weeks following an ED visit. Furthermore, ICS usage and adherence with National Asthma Education and Prevention Program (NAEPP) recommendations is low even for children that follow-up with their primary care physician (PCP). Although inhaled corticosteroids (ICS) are the mainstay of treatment for persistent asthma, studies have demonstrated a low rate of ICS usage and primary care provider follow-up within a month of an Emergency Department (ED) visit. Other: ICS Prescription + Standard Asthma ED Discharge Therapy Other: Standard Asthma ED Discharge Therapyīackground: Asthma prevalence, emergency visits, and hospitalizations have increased substantially, especially among young children and urban populations. Improve asthma control at 2 months as measured by a validated asthma instrument.Improve patient and caregiver asthma-related quality of life during the 2 months following an ED visit measured by asthma Health Related Quality of Life (HRQL).Improve symptom severity at two weeks after an ED visit as measured by days of cough, wheeze, missed school, daycare or work.Improve usage of ICS as measured by refill of a prescription within the first 2 months after the ED visit.In a cohort of pediatric patients with persistent asthma discharged from the ED after an acute asthma exacerbation, a prescription for ICS will: To determine whether a prescription for Inhaled Corticosteroids (ICS) added to standard Emergency Department (ED) discharge therapy for young children with persistent asthma symptoms increases ICS use and improves symptoms and quality of life over the months following the ED visit. Why Should I Register and Submit Results?.
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