{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,26]],"date-time":"2026-06-26T12:02:17Z","timestamp":1782475337583,"version":"3.54.5"},"reference-count":17,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2021,12,8]],"date-time":"2021-12-08T00:00:00Z","timestamp":1638921600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Pediatric Pulmonology"],"published-print":{"date-parts":[[2022,2]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Introduction<\/jats:title><jats:p>Asthma is one of the most common chronic diseases of childhood. There is a scarcity of published literature on critical asthma, considered acute asthma requiring pediatric intensive care unit (PICU) admission. The goal of this study was to describe the clinical care of children with critical asthma admitted to a single center PICU and to determine whether pulmonary medicine consultation during admission impacted outcomes.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Retrospective chart review of known asthma patients aged 4\u201318 years admitted to a quaternary PICU between 01\/2013 and 07\/2019 for management of critical asthma.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A total of 179 patients were enrolled with median age of 8 years. Median hospital length of stay (LOS) was 3.2 days and PICU LOS was 1.5 days. A total of 80 (44.7%) patients had a pulmonary medicine consultation. In the pulmonary medicine consultation group versus the no\u2010pulmonary medicine consultation group, there was a significant difference in hospital LOS (4.16 vs. 2.86 days, <jats:italic>p<\/jats:italic> value &lt;.0001) and PICU LOS (2.00 vs. 1.00, <jats:italic>p<\/jats:italic> value &lt;.0001), escalation of controller medication (66% vs. 21%, <jats:italic>p<\/jats:italic> value &lt;.0001), scheduled outpatient pulmonology follow\u2010up (87.5% vs. 45.4%, <jats:italic>p<\/jats:italic> value &lt;.0001), and receiving \u22653 courses of systemic steroids in the 12 months after discharge (32.2% vs. 14.7%). There was no difference in attendance of scheduled follow up appointments or in having \u22653 emergency room visits or admissions in the 12 months after discharge.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Pulmonary medicine consultation during hospital admission may impact management of critical asthma by increasing escalation of controller medication and scheduled outpatient follow up.<\/jats:p><\/jats:sec>","DOI":"10.1002\/ppul.25780","type":"journal-article","created":{"date-parts":[[2021,12,2]],"date-time":"2021-12-02T18:56:12Z","timestamp":1638471372000},"page":"395-402","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Pulmonary specialist involvement in critical asthma in the pediatric intensive care unit: A retrospective review"],"prefix":"10.1002","volume":"57","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9504-2534","authenticated-orcid":false,"given":"Janaki","family":"Paskaradevan","sequence":"first","affiliation":[{"name":"Section of Pulmonary Medicine, Department of Pediatrics Baylor College of Medicine Houston Texas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mackenzie","family":"Zier","sequence":"additional","affiliation":[{"name":"Section of Critical Care Medicine, Department of Pediatrics Baylor College of Medicine Houston Texas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Brian","family":"Rissmiller","sequence":"additional","affiliation":[{"name":"Section of Critical Care Medicine, Department of Pediatrics Baylor College of Medicine Houston Texas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Julie P.","family":"Katkin","sequence":"additional","affiliation":[{"name":"Section of Pulmonary Medicine, Department of Pediatrics Baylor College of Medicine Houston Texas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jorge A.","family":"Coss\u2010Bu","sequence":"additional","affiliation":[{"name":"Section of Critical Care Medicine, Department of Pediatrics Baylor College of Medicine Houston Texas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M. Carolina","family":"Gazzaneo","sequence":"additional","affiliation":[{"name":"Section of Pulmonary Medicine, Department of Pediatrics Baylor College of Medicine Houston Texas USA"},{"name":"Section of Critical Care Medicine, Department of Pediatrics Baylor College of Medicine Houston Texas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2021,12,8]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.3389\/fped.2018.00186"},{"key":"e_1_2_7_3_1","unstructured":"National Center for Health Statistics. Health United States 2019: Table C1a and C1b. Hyattsville MD. 2021. Available from:https:\/\/www.cdc.gov\/nchs\/hus\/contents2019.htm"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpeds.2012.02.041"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.anai.2018.03.005"},{"issue":"2","key":"e_1_2_7_6_1","first-page":"167","article-title":"Contemporary treatment of children with critical and near\u2010fatal asthma. Revista Brasileira De Terapia Intensiva","volume":"28","author":"Shein SL","year":"2016","journal-title":"Rev Bras Ter Intensiva"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.1097\/PCC.0b013e318238b428"},{"key":"e_1_2_7_8_1","unstructured":"Expert panel report 3: Guidelines for the diagnosis and management of asthma. National Heart Lung and Blood Institute US;2007. ID: alma993969870605007."},{"key":"e_1_2_7_9_1","unstructured":"Global Initiative for Asthma. Global Strategy for Asthma Management and Prevention 2020. Availabe from:www.ginasthma.org"},{"key":"e_1_2_7_10_1","unstructured":"Asthma\/recurrent wheezing clinical guideline \u2013 evidence based guideline. Texas children's hospital evidenced\u2010based outcomes center. updated 01\/\u00a02019."},{"key":"e_1_2_7_11_1","doi-asserted-by":"publisher","DOI":"10.1097\/00003246-199605000-00004"},{"key":"e_1_2_7_12_1","doi-asserted-by":"publisher","DOI":"10.1590\/S1807-59322010001100005"},{"key":"e_1_2_7_13_1","doi-asserted-by":"publisher","DOI":"10.1111\/jpc.13855"},{"key":"e_1_2_7_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.anai.2017.02.024"},{"key":"e_1_2_7_15_1","doi-asserted-by":"publisher","DOI":"10.1080\/02770900500215798"},{"key":"e_1_2_7_16_1","doi-asserted-by":"publisher","DOI":"10.1080\/02770903.2021.1963764"},{"key":"e_1_2_7_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/0091-6749(91)92162-T"},{"key":"e_1_2_7_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1081-1206(10)62689-0"}],"container-title":["Pediatric Pulmonology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ppul.25780","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/ppul.25780","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ppul.25780","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,8,28]],"date-time":"2023-08-28T07:08:06Z","timestamp":1693206486000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/ppul.25780"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,12,8]]},"references-count":17,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2022,2]]}},"alternative-id":["10.1002\/ppul.25780"],"URL":"https:\/\/doi.org\/10.1002\/ppul.25780","archive":["Portico"],"relation":{},"ISSN":["8755-6863","1099-0496"],"issn-type":[{"value":"8755-6863","type":"print"},{"value":"1099-0496","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,12,8]]},"assertion":[{"value":"2021-05-28","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2021-11-22","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2021-12-08","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}