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Documentation of Asthma Severity in Pediatric Outpatient Clinics

David Bruckman, MS

Kirsten Meister, MRN

Child Health Evaluation and Research (CHEAR) Unit, Division of General Pediatrics, University of Michigan Health System, Ann Arbor, MI

Joel F. Bradley, MD

Cumberland Pediatric Foundation, Nashville, TN

Noreen Clark, PhD

Department of Health Behavior and Health Education, University of Michigan School of Public Health, Ann Arbor, MI

National asthma guidelines recommend assessment and documentation of asthma severity at each clinic visit. A cross-sectional medical record review was conducted, which found that only 34% of records had any documentation of severity in the previous 2 years. However, severity documentation is associated with other indicators of quality care such as receipt of an action plan, spacer device, peak flow meter, asthma education, and influenza vaccination. These results suggest that use of a system for classifying asthma severity compels the physician to consider the long-term management of asthma, rather than just acute treatment of the disease. Interventions to improve physician practice should continue to emphasize severity assessment.

Clinical Pediatrics, Vol. 42, No. 2, 121-125 (2003)
DOI: 10.1177/000992280304200204


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