Abstract
Dexamethasone has emerged as a viable alternative to prednisone in the treatment of pediatric acute asthma exacerbations, with the potential for improved compliance secondary to decreased frequency of dosing, improved taste, and decreased cost. The objective of this study is to identify whether providers are prescribing dexamethasone for pediatric acute asthma exacerbations. Secondary objectives are to describe variation in practice between different specialties and to identify the commonly used dosing and frequency for dexamethasone. We conducted a cross-sectional, descriptive study with an anonymous, web-based survey (surveymonkey.com). The survey population included all fellowship program directors listed on FRIEDA Online for pediatric emergency medicine, pediatric pulmonology, and allergy and immunology, and emergency medicine residency directors through the Council of Emergency Medicine Residency Directors listserv. Program directors were contacted via e-mail up to 5 times for 3 months. Overall, 300 respondents (70% of the program directors) completed the survey. Response rates by specialty varied from 60% to 94%. One third of providers are using dexamethasone, whereas just more than half of providers (51%) are prescribing...Continue Reading
References
Oct 1, 1995·Annals of Emergency Medicine·R J ScarfoneM D Joffe
Jan 1, 1997·The Journal of Asthma : Official Journal of the Association for the Care of Asthma·J E KligM W Rutherford
Mar 4, 2000·The Journal of Pediatrics·D M GriesE R Carter
Mar 22, 2001·Archives of Disease in Childhood·M E Lucas-BouwmanP L Brand
Jul 11, 2001·The Journal of Pediatrics·F QureshiM P Poirier
Jun 28, 2006·Pediatric Emergency Care·Michael K KimHalim M Hennes
Jan 2, 2007·Pediatric Emergency Care·Saleh AltamimiMargaret Colbourne
Aug 30, 2007·Pediatric Emergency Care·Stephen GordonPeter S Dayan
May 10, 2008·Clinical Pediatrics·Richard A GreenbergGenie E Roosevelt
Apr 21, 2010·Pediatric Emergency Care·Jane F KnappVidya Sharma
Dec 2, 2010·The Journal of Asthma : Official Journal of the Association for the Care of Asthma·Arpi BekmezianMichael D Cabana
Aug 2, 2012·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Annie Lintzenich AndrewsW Scott Russell
Feb 12, 2014·Pediatrics·Grant E KeeneyJeffrey L Jackson
Aug 27, 2014·Archives of Disease in Childhood·Mark D LyttleUNKNOWN PERUKI
Sep 1, 2015·The Journal of Pediatrics·Kavita ParikhSamir S Shah
Oct 16, 2015·Annals of Emergency Medicine·John J CroninRonan O'Sullivan
Dec 27, 2015·Annals of Allergy, Asthma & Immunology : Official Publication of the American College of Allergy, Asthma, & Immunology·Caroline S WatnickDonald H Arnold
Jan 3, 2018·Pediatric Emergency Care·Ruth AbayaJoseph J Zorc
Citations
Sep 3, 2020·The Journal of Asthma : Official Journal of the Association for the Care of Asthma·Amy M DeLarocheAaron Jones
Jan 26, 2021·The Journal of Asthma : Official Journal of the Association for the Care of Asthma·Srish SharmaElizabeth Eby Halvorson
Oct 7, 2021·Hospital Pediatrics·Sunita Ali HemaniSarah Varghese