Critical errors in inhaler technique among children hospitalized with asthma

Waheeda Samady*, Victoria A. Rodriguez, Ruchi Gupta, Hannah Palac, Marina Karamanis, Valerie G. Press

*Corresponding author for this work

Research output: Contribution to journalArticle

Abstract

Past studies have not evaluated inhaler use in hospitalized children with asthma. The objectives of this study were to evaluate inhaler technique in hospitalized pediatric patients with asthma and identify risk factors for improper use. We conducted a prospective cross-sectional study in a tertiary children’s hospital for children 2-16 years of age admitted for an asthma exacerbation, and inhaler technique demonstrations were analyzed. Of 113 participants enrolled, 55% had uncontrolled asthma, and 42% missed a critical step in inhaler technique. More patients missed a critical step when they used a spacer with mouthpiece instead of a spacer with mask (75% [51%-90%] vs 36% [27%-46%]) and were older (7.8 [6.7-8.9] vs 5.8 [5.1-6.5] years). Patients using the spacer with mouthpiece remained significantly more likely to miss a critical step when adjusting for other clinical covariates (odds ratio 6.95 [1.71-28.23], P =.007). Hospital-based education may provide teachable moments to address poor proficiency, especially for older children using a mouthpiece.

Original languageEnglish (US)
Pages (from-to)361-365
Number of pages5
JournalJournal of hospital medicine
Volume14
Issue number6
DOIs
StatePublished - Jun 2019

ASJC Scopus subject areas

  • Leadership and Management
  • Internal Medicine
  • Fundamentals and skills
  • Health Policy
  • Care Planning
  • Assessment and Diagnosis

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