![]() Greater overall symptom severity and high use of reliever mediation were also associated with missed school, education suffering, and parent absenteeism.Ĭonclusions Nighttime awakenings in children with asthma may affect school attendance and performance, as well as work attendance by parents. Similarly, there were greater odds of education suffering in children who awakened 1 to 3 nights (OR, 2.3 95% CI, 1.4-3.7), 4 to 7 nights (OR, 2.1 95% CI, 0.9-4.6), and more than 7 nights (OR, 2.3 95% CI, 1.0-5.4), and parents missing work in children who awakened 1 to 3 nights (OR, 4.0 95% CI, 2.2-7.1), 4 to 7 nights (OR, 6.5 95% CI, 2.7-16), and more than 7 nights (OR, 3.2 95% CI, 1.3-7.9). Compared with children who did not awaken from asthma, there were greater odds of missed school days in children who awakened 1 to 3 nights (odds ratio, 3.6 95% confidence interval, 2.1-6.2), 4 to 7 nights (OR, 4.4 95% CI, 2.0-10.0), and more than 7 nights (OR, 14.7 95% CI, 5.9-37.0). Multivariate analyses were performed that adjusted for child age, race, overall symptom severity, and use of reliever medications. ![]() Results Overall, more than 40% of children had nocturnal awakenings from asthma in the past 4 weeks. Main Outcome Measures Parent's reports of number of days their child missed school and parent missed work and how often the child's education suffered because of asthma in the past 4 weeks. Participants Parents of 438 children with asthma, aged 5 to 17 years, who were enrolled in managed care organizations. Setting Three managed care organizations in the United States. Objective To determine if school absenteeism and school performance in children and work absenteeism in their parents are associated with nocturnal awakenings from asthma.ĭesign Cross-sectional survey during the winter of 1997 through 1998. To date, however, there have been few studies of the impact of nocturnal awakening from asthma on children with the disease, including problems with daytime functioning. Shared Decision Making and CommunicationĬontext Asthma symptoms that occur at night may signal worse asthma control, but the nighttime occurrence may have additional clinical significance.Scientific Discovery and the Future of Medicine.Health Care Economics, Insurance, Payment.Clinical Implications of Basic Neuroscience.Challenges in Clinical Electrocardiography. ![]()
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