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Pediatric asthma: Strategies to Reduce Kids Readmission at Hospitals

Pediatric asthma takes a heavy toll on patients and families alike. Affecting more than 7 million children in the U.S., it's the most common nonsurgical diagnosis for pediatric hospital admission, with costs of more than $570 million annually.

Understanding how to care for these young patients has significantly improved in the last several decades, leading the National Institutes of Health (NIH) to issue evidence-based guidelines on pediatric asthma in 1990. Despite knowing more about this respiratory ailment, overall morbidity–measured by attack rates, pediatric emergency department visits or hospitalizations–has not decreased over the last decade.

Overuse of Interventions for Bronchiolitis Reduced

A multidisciplinary improvement initiative can reduce overuse of interventions for bronchiolitis, according to a study published online in Pediatrics.

The American Academy of Pediatrics published bronchiolitis clinical practice guidelines in 2014 recommending against the routine use of bronchodilators, chest radiographs, or respiratory viral testing in children with a clinical diagnosis of bronchiolitis. Our aim in this project was to align care with the American Academy of Pediatrics clinical practice guidelines by decreasing the overuse of these interventions.

Chemotherapy in Pulmonary Vein Stenosis is Effective, New Study

Pulmonary vein stenosis (PVS) is a rare disease in which abnormal cells build up inside the veins responsible for carrying oxygen-rich blood from the lungs to the heart. It restricts blood flow through these vessels, eventually sealing them off entirely if left untreated. Typically affecting young children, the most severe form of PVS progresses very quickly and can cause death within a matter of months after diagnosis.

Early Child Care Do Not Trigger Asthma

A meta-analysis of 32 studies offers mixed results regarding the relationship between early child care attendance and childhood asthma. Sending young children to preschool or day care will not increase their risk of developing asthma, instead it may help protect kids against the respiratory disease, according to the study published in the Journal of Asthma.

Mystery of Lassa Virus to be Resolved

Pediatricians need to be aware of Lassa virus risk factors and treatment standards, as the virus may be an unrecognized source of infection among children newly arrived in the United States from endemic areas.