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Impact of Home Visit by an Indoor Environmental Advisor on Asthma Control Score in Children
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  • C. Eyraud,
  • Marie SUZANNE,
  • C. Llerena,
  • E. Hullo,
  • G. Mortamet,
  • J. Cassibba
C. Eyraud
Centre Hospitalier Universitaire Grenoble Alpes Hopital Couple Enfant

Corresponding Author:[email protected]

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Marie SUZANNE
Centre Hospitalier Universitaire Grenoble Alpes Hopital Couple Enfant
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C. Llerena
Centre Hospitalier Universitaire Grenoble Alpes Hopital Couple Enfant
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E. Hullo
Centre Hospitalier Universitaire Grenoble Alpes Hopital Couple Enfant
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G. Mortamet
Centre Hospitalier Universitaire Grenoble Alpes Hopital Couple Enfant
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J. Cassibba
Centre Hospitalier Universitaire Grenoble Alpes Hopital Couple Enfant
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Abstract

Introduction Uncontrolled asthma is common in children and is associated with a decline in lung function. Repeated personalised assessments of the reasons for inadequate control should including evaluations of the patients’ surroundings. This can be support by Indoor Environmental Advisors (IEAs). This cohort study aimed to assess the impact on asthma control of routine assessment of children’s home by IEAs. Methods – Children aged 4 to 18 years who had asthma severity grades of 3 to 5 according to Global Initiative for Asthma guidelines were enrolled. Asthma control was evaluated using the standardized Asthma Control Test (ACT) before and 3 months after the IEA visit. Results – We enrolled 15 children with moderate-to-severe asthma. Asthma control improved significantly after the IEA visit (p=0.004). The percentage of children with uncontrolled asthma decreased from 64.3% before IEA visit to 27.3% at 3 months, and none of the patients had 2 exacerbations or more within the 3 months after the visit. IEA identified environmental issues whose remediation could likely contribute to improve asthma control. However, there are still barriers to the implementation of IEA that would be beneficial to remove. Conclusion Our results support the inclusion of IEA interventions as part of the standard care pathway for children with asthma.
12 Sep 2024Submitted to Pediatric Pulmonology
16 Sep 2024Submission Checks Completed
16 Sep 2024Assigned to Editor
16 Sep 2024Review(s) Completed, Editorial Evaluation Pending
16 Oct 2024Editorial Decision: Revise Minor
30 Oct 20241st Revision Received
01 Nov 2024Submission Checks Completed
01 Nov 2024Assigned to Editor
01 Nov 2024Review(s) Completed, Editorial Evaluation Pending
07 Dec 2024Editorial Decision: Accept