life-threatening asthma attack Status Asthmaticus
Conditions
Interventions
None listed
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: -Between 2 and 18 years of age -Admission to a PICU for status asthmaticus or acute wheeze -Admission to a MC for status asthmaticus or acute wheeze
Exclusion criteria
Exclusion criteria: -Patient is outside of specified age range -Patient has Down*s Syndrome -Patient has a congenital/acquired heart defect that interferes with normal SAA treatment -Patient has a congenital/acquired airway defect (Tracheomalacia, Bronchomalacia) -Patient has a primary/secondary immunodeficiency -Patient has a pre-existing chronic pulmonary condition, known to mimic asthma: Cystic fibrosis, Bronchopulmonary dysplasia, Bronchiolitis obliterans. -Any subject who receives a different diagnosis than SAA / asthma exacerbation within the timeframe of the admission -Any subject who does not provide informed consent or repeals informed consent (either by patient or by guardian(s)).
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Undertreatment, defined as: Patient is not using inhaled corticosteroids (ICS), or Patient is using ICS for | — |
Secondary
| Measure | Time frame |
|---|---|
| * Exposure to air pollution/airborne particulate matter (PM10), acute (0,1kU/L on RAST). * Exposure to cigarette smoke, as measured by cotinine in urine. * Type of virus in upper airway tract. * Socio-economic status, defined by highest education of both parents and occupation of both parents. * Severity of asthma at follow-up, defined as *3 on GINA treatment level. * A previous admission to a hospital (MC) for asthma. * A previous admission to a PICU for asthma. * Distribution of ADRB2-receptor polymorphisms, compared to the non-SAA population. * CBCL scores. The CBCL uses a continuous scale (interval) where a higher score indicates more problems within a certain area of interest. * PA(C)QLQ scores. The PAQLQ and PACQLQ use continuous scales (interval) where a higher score indicates better quality of life. * SVLK-k/o. The SVLK-k and *o use continuous scales (interval) where a higher score indicates more severe PTSD. | — |
Countries
Netherlands