Mark W Millard1, Pauline T Johnson2, Anna Hilton3, Mary Hart1. 1. Baylor University Medical Center-Baylor Martha Foster Lung Center, Dallas, TX. 2. Baylor University Louise Herrington School of Nursing, Dallas, TX. 3. Veterans Administration, Memphis, TN.
Abstract
BACKGROUND: It is widely believed that children with asthma miss considerably more school than children without asthma. Previous surveys have indicated that 49% of children with asthma miss school (Asthma in America, 1998), but only a few studies have attempted to quantify the amount of school missed. Understanding the role of asthma in school attendance will help direct limited health-care resources to the children who need them most. METHODS: We investigated school absence rates in fourth- through sixth-grade students in 19 inner-city schools in the Dallas Independent School District (DISD). The sample consisted of 353 students who were identified as possibly having asthma based on responses to a modified Brief Pediatric Screen instrument and who underwent spirometry and/or exercise challenge (EC) testing to confirm the diagnosis of asthma: 25 students were excluded for FEV(1) < 70% and without bronchodilator response, while 157 students had EC-positive test results, and 171 students had EC-negative test results. We compared yearly absences for these students with each other, with all fourth- through sixth-grade students in the 19 study schools, and with all fourth- through sixth-grade students in the district. We also tabulated data from a separate database that included asthma patients identified by the school registered nurse (RN). Absence data by school and by grade level were provided by the school district for the 2002-2003 school year. RESULTS: Absence rates were as follows: 2.54% (EC positive), 2.12% (EC negative), 2.59% (abnormal FEV(1)), 2.86% (RN identified), 2.85% (all fourth- through sixth-grade students in study schools), and 2.95% (all fourth- through sixth-grade students in the DISD). CONCLUSION: Students with asthma in the DISD miss no more school their classmates without asthma.
BACKGROUND: It is widely believed that children with asthma miss considerably more school than children without asthma. Previous surveys have indicated that 49% of children with asthma miss school (Asthma in America, 1998), but only a few studies have attempted to quantify the amount of school missed. Understanding the role of asthma in school attendance will help direct limited health-care resources to the children who need them most. METHODS: We investigated school absence rates in fourth- through sixth-grade students in 19 inner-city schools in the Dallas Independent School District (DISD). The sample consisted of 353 students who were identified as possibly having asthma based on responses to a modified Brief Pediatric Screen instrument and who underwent spirometry and/or exercise challenge (EC) testing to confirm the diagnosis of asthma: 25 students were excluded for FEV(1) < 70% and without bronchodilator response, while 157 students had EC-positive test results, and 171 students had EC-negative test results. We compared yearly absences for these students with each other, with all fourth- through sixth-grade students in the 19 study schools, and with all fourth- through sixth-grade students in the district. We also tabulated data from a separate database that included asthmapatients identified by the school registered nurse (RN). Absence data by school and by grade level were provided by the school district for the 2002-2003 school year. RESULTS: Absence rates were as follows: 2.54% (EC positive), 2.12% (EC negative), 2.59% (abnormal FEV(1)), 2.86% (RN identified), 2.85% (all fourth- through sixth-grade students in study schools), and 2.95% (all fourth- through sixth-grade students in the DISD). CONCLUSION: Students with asthma in the DISD miss no more school their classmates without asthma.
Authors: Erla Kolbrun Svavarsdottir; Ann W Garwick; Lori S Anderson; Wendy S Looman; Ann Seppelt; Brynja Orlygsdottir Journal: J Adv Nurs Date: 2012-08-17 Impact factor: 3.187
Authors: A Tsakiris; M Iordanidou; E Paraskakis; A Tsalkidis; A Rigas; S Zimeras; C Katsardis; A Chatzimichael Journal: Biomed Res Int Date: 2013-07-09 Impact factor: 3.411