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Inhaled corticosteroids prescriptions increased in the ED for recurrent asthma exacerbations by automated electronic reminders in the ED

Journal of Asthma Jul 13, 2019

Farmer A, et al. - Researchers assessed how the prescription rate of inhaled corticosteroids (ICS) by ED providers for poorly controlled persistent asthmatic children was influenced by the use of an electronic alert. Participants were asthmatic patients, aged 4–18, with a history of at least two prior ED visits for acute worsening of asthma within 365 days, no active ICS prescription within 90 days, and free from developmental delay, bronchopulmonary dysplasia due to prematurity, cystic fibrosis, sickle cell disease, and/or interstitial ling disease. Findings revealed the efficacy of an electronic alert, included in the ED workflow to populate a discharge order set, for initiating asthma controller medication for poorly controlled pediatric patients. The suggestions for ICS prescriptions can be further refined and a comprehensive approach to aid clinical decision for pediatric asthma control in acute care settings can be offered by additional data detailing causes for not prescribing ICS.
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