Interventions for educating children who have attended the emergency room for asthma (Review)

Haby, Michelle, Waters, Elizabeth, Robertson, Colin, Gibson, Peter G. and Ducharme, Francine M. 2001, Interventions for educating children who have attended the emergency room for asthma (Review), Cochrane database of systematic reviews, no. 1, pp. 1-24.


Title Interventions for educating children who have attended the emergency room for asthma (Review)
Author(s) Haby, Michelle
Waters, Elizabeth
Robertson, Colin
Gibson, Peter G.
Ducharme, Francine M.
Journal name Cochrane database of systematic reviews
Issue number 1
Start page 1
End page 24
Publisher John Wiley & Sons Ltd
Place of publication Chichester, England
Publication date 2001-01-21
ISSN 1469-493x
Summary Background: Asthma is one of the most common reasons for paediatric admissions to hospital, with substantial cost to the community. There is some evidence to suggest that many hospital admissions could be prevented with effective education about asthma and its management.
Objectives: To conduct a systematic review of the literature in order to identify whether asthma education leads to improved health outcomes in children who have attended the emergency department for asthma.
Search strategy
: We searched the Cochrane Airways Group trials register, including MEDLINE, EMBASE, and CINAHL databases, and reference lists of trials and review articles.
Selection criteria
: Randomised controlled trials or controlled clinical trials of asthma education for children who had attended the emergency department for asthma, with or without hospitalisation, within the previous 12 months. Data collection and analysis:Two reviewers independently assessed trial quality and extracted data. Study authors were contacted for additional information.
Main results: Eight trials involving 1407 patients were included, in all the education was provided by nurses or researchers. Compared to control (usual care or lower intensity education) education did not reduce subsequent emergency department (ED) visits [4 trials; relative risk (RR)= 0.87, 95% confidence interval (CI) 0.37 to 2.08], hospital admissions [5 trials; RR=0.74, 95% CI 0.38 to 1.46] and unscheduled doctor visits [5 trials; RR= 0.74, 95% CI 0.49 to 1.12). Each analysis showed evidence of heterogeneity among the studies (P<0.01). Subgroup analyses by the overall difference in scale of intervention between treatment and control groups (comprehensive programme versus information only) or the timing of the intervention/recruitment (early versus delayed) gave similar results to the main analysis and still revealed significant heterogeneity between trials. Authors' conclusions: On the basis of the published trials, there is no firm evidence to support the use of asthma education for children who have attended the emergency department for asthma as a means of reducing subsequent ED visits, hospital admissions or unscheduled doctor visits. Some trials appeared to show clear evidence of benefit, but reasons for differences between these and the negative studies is not clear. More research is required.
Language eng
Field of Research 111712 Health Promotion
HERDC Research category C1.1 Refereed article in a scholarly journal
Copyright notice ©2001, John Wiley & Sons Ltd
Persistent URL http://hdl.handle.net/10536/DRO/DU:30009451

Document type: Journal Article
Collection: School of Health and Social Development
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