Asthma in inner city children: recent insights: United States.
作者： Cullen M. Dutmer , Haejin Kim , Daniel A. Searing , Edward M. Zoratti , Andrew H. Liu
DOI: 10.1097/ACI.0000000000000423
关键词: Asthma 、 Inner city 、 Psychological intervention 、 Inner Cities 、 Intensive care medicine 、 Medicine 、 Exacerbation 、 Asthma care 、 Asthma severity 、 Asthma phenotypes
摘要: PURPOSE OF REVIEW Children living in US inner cities experience disparate burdens of asthma, especially severity, impairment, exacerbations, and morbidity. Investigations seeking to better understand the factors mechanisms underlying asthma prevalence, exacerbation children these communities can lead interventions that narrow disparities potentially benefit all with asthma. This update will focus on recent (i.e. late 2016-2017) advances understanding city children. RECENT FINDINGS Studies published past year expand exacerbation, outcomes guidelines-based management at-risk children, including: phenotypes are severe difficult-to-control; key environmental determinants severity exacerbations (e.g. allergy-mediated susceptibility rhinovirus); importance schools as a place for provocative exposures mouse allergen, nitrogen dioxide) well where care be improved; development validation clinically useful indices gauging predicting exacerbations. SUMMARY These studies provide trove actionable findings improve
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