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Early use of inhaled corticosteroids in the emergency department treatment of acute asthma.

Author: CamargoC A, EdmondsM L, PollackC V, RoweB H

Systematic ReviewA review that systematically collects, evaluates, and integrates relevant research to answer a specific research question.
ReviewAn article that critically examines existing research on a particular topic and summarizes the current state of knowledge in the field.
Journal ArticleAn article published in an academic or professional journal that reports original research or scholarly analysis.

Overview

Inhaled steroids reduced admission rates in patients with acute asthma, but it is unclear if there is a benefit when used in addition to systemic corticosteroids. Further research is needed.
Paper Details　
Original Abstract of the Article :
BACKGROUND: Systemic corticosteroid therapy is central to the management of acute asthma The use of ICS may also be beneficial in this setting. OBJECTIVES: To determine the benefit of ICS for the treatment of patients with acute asthma managed in the emergency department (ED). SEARCH STRATEGY: Ran...See full text at original site
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引用元：
https://doi.org/10.1002/14651858.CD002308

データ提供：米国国立医学図書館（NLM）

Inhaled Corticosteroids: A Valuable Tool in Acute Asthma Management

Acute asthma episodes can be life-threatening, requiring prompt and effective treatment. This study explored the potential benefits of using inhaled corticosteroids (ICS) in the emergency department (ED) management of acute asthma. The researchers found that ICS, when used in addition to standard therapy, could reduce the likelihood of hospital admission in patients with acute asthma, particularly those not receiving systemic corticosteroids.

Reducing Admissions: The Benefits of Inhaled Corticosteroids

The study demonstrated that patients treated with ICS were less likely to be admitted to the hospital (OR: 0.33; 95% CI: 0.17, 0.64) compared to those not receiving ICS. This benefit was particularly evident in patients not receiving concomitant systemic steroids. Additionally, the study showed that ICS therapy resulted in small, but significant, improvements in peak expiratory flow (PEFR) and forced expiratory volume (FEV1), suggesting that ICS may also improve lung function in acute asthma.

Optimizing Asthma Care: A Multifaceted Approach

This study highlights the potential benefits of incorporating ICS into the ED management of acute asthma, particularly for patients not receiving systemic corticosteroids. However, the authors acknowledge that more research is needed to clarify the role of ICS in patients receiving concomitant systemic steroids. The findings emphasize the importance of a comprehensive approach to asthma management, considering the individual patient's needs and utilizing a range of therapeutic options to optimize patient outcomes.

Dr.Camel's Conclusion

Just as camels adapt to survive in challenging desert environments, patients with acute asthma require a tailored approach to manage their condition. This study reminds us that inhaled corticosteroids can be a valuable tool in the ED management of acute asthma, potentially reducing the need for hospital admissions and improving lung function. Continued research will help us refine our understanding of this therapeutic approach and optimize asthma care for patients.

Date :
  1. Date Completed 2001-12-07
  2. Date Revised 2020-05-11
Further Info :

Pubmed ID

11279763

DOI: Digital Object Identifier

10.1002/14651858.CD002308

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Languages

English

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