Age | Prior diagnosis Asthma | Exacerbation of asthma | Pediatric Emergency Department
Item
investigators will enroll children ages 6 - 17 years (inclusive) with a previous diagnosis of asthma who present in an acute exacerbation to the pediatric emergency department.
boolean
C0001779 (UMLS CUI [1])
C0332132 (UMLS CUI [2,1])
C0004096 (UMLS CUI [2,2])
C0349790 (UMLS CUI [3])
C4035225 (UMLS CUI [4])
Asthma Score | Academic Medical Centers
Item
patients will be evaluated using the acute asthma intensity research score (aairs) which has been validated at vanderbilt university medical center and is currently the standard of care when triaging patients with asthma.
boolean
C0004096 (UMLS CUI [1,1])
C0449820 (UMLS CUI [1,2])
C0000872 (UMLS CUI [2])
Exacerbation of moderate persistent asthma
Item
an included patient's severity of current exacerbation must be qualified using the aairs and fall in the moderate category of 7 to 11 points.
boolean
C3873345 (UMLS CUI [1])
Bronchodilator Agents Bronchilator inhaler
Item
patients who have received nebulized bronchodilator medications at either a referring facility or at home will be included.
boolean
C0006280 (UMLS CUI [1,1])
C0350310 (UMLS CUI [1,2])
systemic steroids | Primary Care Physicians
Item
patients who present from a referring facility or primary care physician (pcp) and have received systemic corticosteroids (scs) within one hour of initial aairs scoring will also be included.
boolean
C2825233 (UMLS CUI [1])
C0033131 (UMLS CUI [2])
Disease | Respiratory distress | Pneumonia | Cystic Fibrosis | anaphylaxis
Item
exclusion criteria will include the following: other medical conditions contributing to respiratory distress (e.g., pneumonia, cystic fibrosis, anaphylaxis),
boolean
C0012634 (UMLS CUI [1])
C0476273 (UMLS CUI [2])
C0032285 (UMLS CUI [3])
C0010674 (UMLS CUI [4])
C0002792 (UMLS CUI [5])
Developmental delay | Disability | Compliance behavior Limited
Item
developmental delay or any impedance to following basic accupap use instructions,
boolean
C0424605 (UMLS CUI [1])
C0231170 (UMLS CUI [2])
C1321605 (UMLS CUI [3,1])
C0439801 (UMLS CUI [3,2])
Disease | Unable Therapeutic procedure Adrenergic beta-Agonists
Item
any condition precluding a patient from receiving beta-agonist therapy (ie-
boolean
C0012634 (UMLS CUI [1])
C1299582 (UMLS CUI [2,1])
C0087111 (UMLS CUI [2,2])
C0001644 (UMLS CUI [2,3])
Predisposition Supraventricular tachycardia
Item
predisposition to supraventricular tachycardia).
boolean
C0220898 (UMLS CUI [1,1])
C0039240 (UMLS CUI [1,2])
Spontaneous pneumothorax | facial surgery | Oral Surgical Procedures | cranial surgery | Operation on esophagus | Tympanic Membrane Perforation | Disorder of middle ear | Acute sinusitis | Epistaxis | Hemoptysis | Nausea
Item
patients with a history of spontaneous pneumothorax, recent facial, oral or skull surgery/trauma, history of esophageal surgery, known or suspected tympanic membrane rupture or other middle ear pathology, acute sinusitis, epistaxis, active hemoptysis or nausea will be excluded as these are contraindications for accupap use.
boolean
C0149781 (UMLS CUI [1])
C2224535 (UMLS CUI [2])
C0524861 (UMLS CUI [3])
C2224798 (UMLS CUI [4])
C0192259 (UMLS CUI [5])
C0206504 (UMLS CUI [6])
C0271428 (UMLS CUI [7])
C0149512 (UMLS CUI [8])
C0014591 (UMLS CUI [9])
C0019079 (UMLS CUI [10])
C0027497 (UMLS CUI [11])
Adjuvant therapy | Adrenergic beta-2 Receptor Agonists | Nebulizer therapy | systemic steroids | Magnesium Sulfate Injectable Product | Terbutaline | Epinephrine
Item
patients who have received additional adjunctive therapies beyond repeated saba and atrovent nebulizers or those who have received scs greater than 1 hour prior to initial ed evaluation, those who have received intravenous magnesium sulfate infusion, or subcutaneous terbutaline or epinephrine will be excluded.
boolean
C0677850 (UMLS CUI [1])
C2936789 (UMLS CUI [2])
C0199447 (UMLS CUI [3])
C2825233 (UMLS CUI [4])
C0721528 (UMLS CUI [5])
C0039542 (UMLS CUI [6])
C0014563 (UMLS CUI [7])
Non-English speaking | Able to speak Spanish Language | Respiratory distress | Compliance behavior Limited
Item
those patients whose parents are require a translator for consent will also be excluded (ie, exclusively spanish speaking or other non-english speaking families/patients). the justification for this exclusion is that patients with respiratory distress often need rapid initiation of treatment and the delay that may be caused by coordination efforts required in order to obtain a translator for study consent and explanation may delay care for these patients and result in adverse outcomes that may potentially result in harm.
boolean
C1546417 (UMLS CUI [1])
C0564215 (UMLS CUI [2,1])
C0037750 (UMLS CUI [2,2])
C0476273 (UMLS CUI [3])
C1321605 (UMLS CUI [4,1])
C0439801 (UMLS CUI [4,2])