Article Strategy Report: Children's Respiratory Issues and Asthma

This report details an article strategy focused on the PICO question: Are children under the age of 6 with early onset eczema and a history of croup more likely to develop asthma? The report outlines the database used, sources accessed, article data range, and key search terms. It describes the selection process for the final articles, including the criteria applied. The analysis includes summaries of three selected articles, detailing their research questions, methods, findings, and relevance to the PICO question. The report highlights the association between early eczema, croup, and the increased risk of asthma, providing valuable insights into the topic. The findings are based on a review of relevant literature and secondary sources, including Google Scholar and library resources. The report provides a comprehensive overview of the research process and the key findings related to the development of asthma in children with a history of eczema and croup. The report highlights the research methods, findings, and applicability.

Article strategy

Contents
PART B...........................................................................................................................................1
Database.......................................................................................................................................1
Sources.........................................................................................................................................1
Article data range.........................................................................................................................1
Subject headings and key words..................................................................................................2
Selection of the final articles for review......................................................................................3
PART C...........................................................................................................................................4
Article 1.......................................................................................................................................4
Article 2:......................................................................................................................................6
Article 3:......................................................................................................................................7
SUMMARY.....................................................................................................................................9
REFERENCES..............................................................................................................................10

Pico: Are children under the age of 6(p) with early onset eczema and a history of croup (i) more
likely to develop asthma (o) as opposed to those with no history of respiratory infections?
PART B
Database
In addition to this, it can be said that content was searched on the basis of key aspects
which are covered under Pico. It was essential for me to have understanding of topic is essential
in order to have sustainable development and ensure that standards are being well maintained.
Number of online sources are being accessed in respect to Pico keywords. By having an effective
acknowledgement about the subject the issues can be resolved and ensure that goals and
objectives are being accomplished so I have considered the same (Maniezzo, 2011). It has been
witnessed with an analysis of database that paying close monitoring to the patient can cut down
the risk factor. In addition to this, it can be said that data is being collected in desired manner
with appropriate reference of standards.
Sources
In order to have data collection, it is necessary for me to have consideration of primary and
secondary sources as per the significance of topic. In present study as per analysis of Pico, the
secondary collection of data is being taken into account by me. By having an appropriate
consideration of secondary sources the information in respect to children’s issues in terms of
eczema and asthma are being identified and evaluated (Shojania and Bero, 2011). It has been
noticed by me that selection of secondary sources was effective which has allowed to attain
better opportunities in terms of subject. The use of secondary sources of data collection supports
in gathering data which has been already collected by someone else. In addition to this, I have
also noticed that valid and reliable information has been collected from the secondary sources.
Every researcher needs to select appropriate data collection sources as per the nature of their
respective studies. It assist in meeting standards and ensure about objectives accomplishment.
Article data range
For effective and valid collection of data, I have focused on secondary data collection in
which number of sources are being accessed and evaluated. I have also witnessed that time frame
has been taken into account by me to accomplish objective. Sources are accessed only published
between 2010 - 2018. It means the recent articles and sources are being accessed to have
effective collection of data (Greenhalgh and Peacock, 2015). In addition to this, it can be said
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that this, data range has been selected by me because it allows to attain recent and valid
information so I have considered the same as a standard in search. Along with this, reliability of
information has also been advanced by setting out the data range between 2010 – 2018. With an
assistance of such measures the information can also be presented in reliable manner which assist
in understanding the topic more effectively.
Subject headings and key words
In order to have consideration of Pico, initially the relevancy of keywords has been taken
into account. In this, it has been noticed by me that children’s are facing issues in terms of
eczema and asthma. It also indicates that earlier it was identified that by setting out keywords on
the basis of Pico the articles selection can be taken into account in standardised manner
(Shojania and Bero, 2011). I have witnessed that keywords which are accessed during article
selection are as children, 6 years old, eczema, croup, respiratory infection, asthma, etc.
Search Strategy
It has been witnessed that at the initial level the content was searched with a single keyword
like asthma. It has allowed me to provide a detailed description of study and ensure that work to
refine the results is being considered as critical section. Along with this, I have also accessed the
content with a help of multiple keywords like children, 6 years old and asthma. Along with this, I
have decided that sources are being searched with limited scale like year 2010 -2018. Using
proper keywords the searching has been accomplished and ensure that specific results about the
subject is being taken into account.
Google Scholar
In addition to this, it can be said that using google scholar the information in regard to the
topic has also being searched. By having an easy access to search engine the content has been
searched by me so that overall learning can be developed in significant manner. Effective
consideration of google scholar the Pico questions has been addressed. Although google has also
helped in accessing number of articles issues by medical authorities in respect to concern subject
(Greenhalgh and Peacock, 2015). With an effective evaluation of key measures I have developed
an evidence based practice. Along with this, additional information has also been accessed in
respect to the subject so that overall information can be accessed.
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Library
It has also been witnessed that for effective collection of information in respect to the Pico
the authorities has also focused on library access. It has allowed me to collect the data in respect
to eczema, croup and asthma. By having an access to the library the different books and articles
are being reviewed in order to have appropriate consideration of subject.
Sources
In present research the information has been gathered in respect to Pico question by having
search of secondary sources and literature. It has been noticed by me that publications which has
been identified to have selection of answer provides a detailing in respect to Pico question. In
this, number of journals has been accessed by me which provides an original information about
subject with detailing of the authors. Systematic review and summary evolution has also been
taken into account by the manager for sustainable development. Along with this, I can state that
nursing database has also been accessed and evaluated in respect to have effective collection of
information regarding early children, eczema, croup and asthma. By having a detailed evaluation
of standards the issues in terms of data collection has been reviewed so that article selection
activity can be accomplished properly.
Selection of the final articles for review
On the basis of several criteria and standards the selection of final articles has been taken
into account. Along with this, it has been noticed that initially I have ensure that selected articles
must provide a specific information about the subject. In this respect the consideration of abstract
has been taken into account. By having an analysis of summary and abstract the significance of
article has been reviewed. It has also been considered by me that mythology information has also
been shared properly in the article so that outcome can be accomplished. In addition to this,
observing all standards and key values of article I have selected the articles. One of key aspect
considered during selection was focus on analysis of content presented in article.
Article 1: Knapp, J. F., Simon, S. D., & Sharma, V. (2013). Variation and trends in ED use of
radiographs for asthma, bronchiolitis, and croup in children. Pediatrics. 132(2). 245-252.
Article 2: Knapp, J. F., Hall, M., & Sharma, V. (2010). Benchmarks for the emergency
department care of children with asthma, bronchiolitis, and croup. Pediatric emergency
care. 26(5). 364-369.
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Article 3: Saunes, M., Øien, T., Dotterud, C. K., Romundstad, P. R., Storrø, O., Holmen, T. L.,
& Johnsen, R. (2012). Early eczema and the risk of childhood asthma: a prospective,
population-based study. BMC paediatrics. 12(1). 168.
PART C
Article 1
PICO question: Are children under the age of 6(p) with early onset eczema and a history of
croup (i) more likely to develop asthma (o) as opposed to those with no history of respiratory
infections?
Author(s), Date, Article Title, Journal,
Volume, issues (APA)
Primary Author Credentials
Journal Ranking, Bias, Reliability
Knapp, J. F., Simon, S. D., & Sharma, V. (2013).
Variation and trends in ED use of radiographs for
asthma, bronchiolitis, and croup in children.
Pediatrics, 132(2), 245-252.
Jane F. Knapp, Stephen D. Simon, Vidya Sharma,
Department of Pediatrics, Children’s Mercy
Hospitals and Clinics and Department of
Biomedical and Health Informatics, University of
Missouri–Kansas City, School of Medicine,
Kansas City, Missouri.
This is interdisciplinary journal publishes high
quality peer that is focused on variation that are
identified asthma due to croup in children.
Research Question and Purpose  What are the trends in radiograph use in
emergency department (ED) care of
children with asthma, bronchiolitis, and
croup
 To examine the association of patient and
hospital factors with variation in
radiograph use.
Main purpose of this research is to determine
whether a child gets affected due to changes in
trends in ED use of radiographs for asthma,
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bronchiolitis, and croup in children. This can
enables to determine strategies that can be applied
to overcome the issue in effective manner.
Research Method: Approach, sample,
setting, Data Collection, Analysis
Cross-sectional study of National Hospital
Ambulatory Medical Care Survey data between
1995 and 2009 on radiograph use at ED visits in
children aged 2 to 18 years with asthma, aged 3
months to 1 year with bronchiolitis, and aged 3
months to 6 years with croup.
Studies were calculated to determine odd ratios
that were adjust for all type of factors that were
studies. This was focused on considering the
problems that were faced by these children that
causes them serious health related problems.
Research Findings The use of radiographs for asthma increased
significantly over time but were unchanged for
bronchiolitis and croup. Pediatric-focused EDs had
lower use for asthma, bronchiolitis and croup.
Compared with the Northeast region, the Midwest
and South had statistically higher use of
radiographs for all 3 conditions. The Western
region had higher use only for bronchiolitis and
asthma. There were no associations were seen for
metropolitan statistical area or hospital ownership
status.
Applicability to Clinical PICOT question
Details why and how the article relates to
the clinical PICOT questions
Are children under the age of 6(p) with early onset
eczema and a history of croup (i) more likely to
develop asthma (o) as opposed to those with no
history of respiratory infections?
This article is related with PICO questions rate of
asthma can increase with growth in body and this
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can cause serious problem and can also give raise
to other health problems and it requires to take up
appropriate steps so that the rate of issues faced be
reduced.
Article 2:
Author(s), Date, Article Title, Journal,
Volume, issues (APA)
Primary Author Credentials
Journal Ranking, Bias, Reliability
Knapp, J. F., Hall, M., & Sharma, V. (2010).
Benchmarks for the emergency department care of
children with asthma, bronchiolitis, and croup.
Pediatric emergency care, 26(5), 364-369.
Jane F. Knapp, Matthew Hall and Vidya Sharma
Office of Graduate Medical Education, The
University of Missouri-Kansas City School of
Medicine, Kansas City, MO.
This is interdisciplinary journal publishes high
quality peer that is focused on emergency
departmental care for children with asthma and
croup.
Research Question and Purpose  What are the measure the 2005
performance of freestanding children's
hospital emergency departments (EDs) in
the care of children with asthma,
bronchiolitis, and croup (ABC) using 5
clinical quality indicators?
 What are the achievable benchmarks for 7
clinical quality indicators of ED care for
children with ABC for 2005?
There are certain set of considerations that has to
be made when proper focus is made in relation
with the delivering adequate care and support.
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Analysis is done to consider the care that is
attained.
Research Method: Approach, sample,
setting, Data Collection, Analysis
This was a retrospective review using the Pediatric
Health Information System database containing
information on 1,468,607 (2005) discharges. Act
on 5 established clinical quality indicators for
ABC was determined in patients younger than 19
years at 27 hospital EDs in the United States.
Levels were computed for 7 clinical quality
indicators. These were selected as respondents as
they are the one from whom info in relation with
the research topic can be attained in effective
manner and research questions are attained.
Research Findings Corticosteroids were administered in 65.8% of
visits for moderate to severe asthma and in 82.5%
of visits for croup. Physicians ordered an x-ray in
28.6% of asthma visits, 37.3% of bronchiolitis
visits, and in 9.1% of croup visits.
Applicability to Clinical PICOT question
Details why and how the article relates to
the clinical PICOT questions
Are children under the age of 6(p) with early onset
eczema and a history of croup (i) more likely to
develop asthma (o) as opposed to those with no
history of respiratory infections?
This article is related with PICO questions as it
focus on the care that is provided to children with
croup, asthma and bronchiolitis.
Article 3:
Author(s), Date, Article Title, Journal,
Volume, issues (APA)
Saunes, M., Øien, T., Dotterud, C. K.,
Romundstad, P. R., Storrø, O., Holmen, T. L., &
Johnsen, R. (2012). Early eczema and the risk of
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Primary Author Credentials
Journal Ranking, Bias, Reliability
childhood asthma: a prospective, population-based
study. BMC pediatrics, 12(1), 168.
Marit Saunes, Torbjørn Øien, Christian K
Dotterud, Pål R Romundstad, Ola Storrø, Turid L
Holmen and Roar Johnsen
This is interdisciplinary journal publishes high
quality peer that covers early eczema and the risk
of childhood asthma
Research Question and Purpose  What are the risks involved in early eczema
for children?
 What is the impact of early eczema of
children with asthma?
Main purpose of the research is to determine early
eczema and the risk of childhood asthma.
Research Method: Approach, sample,
setting, Data Collection, Analysis
Questions related with health variables and
environmental exposures were administered at 2
years of age.
Research Findings The estimate for the association between eczema at
2 years and current asthma at 6 years was
OR=1.80. Four of ten children with eczema at 6
years had the onset of eczema after the age of 2
years, but the co-existence of different allergy-
related diseases at 6 years was higher among those
with the onset of eczema before 2 years of age.
Applicability to Clinical PICOT question
Details why and how the article relates to
the clinical PICOT questions
Are children under the age of 6(p) with early onset
eczema and a history of croup (i) more likely to
develop asthma (o) as opposed to those with no
history of respiratory infections?
This article is related with PICO questions as it is
focused on early eczema and the risk of childhood
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asthma which similar.
SUMMARY
In accordance with the above given articles, it can be stated that all three were highly
effective and these were helpful to consider the PICOT questions. From the analysis made from
all the other articles, it is identified that at early stages when a child has eczema and croup, then
it increases the risk of asthma. Further, it is also identified that child face serious issue when any
of the diseases are caught. Apart from this, there are different types of risk that are faced by
people who have asthma, croup or eczema. In all these aspects, it is important for professionals
to convey information and take up steps so that they are able to support with the help of which
the rate of negative impact can be reduced in effective manner. When a child grows, then the
problem faced increases tremendously and causes other problems as well.
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REFERENCES
Greenhalgh, T. and Peacock, R., 2015. Effectiveness and efficiency of search methods in
systematic reviews of complex evidence: audit of sources. Bmj. 331(7524). pp.1064-
1065.
Knapp, J. F., Hall, M., & Sharma, V. (2010). Benchmarks for the emergency department care of
children with asthma, bronchiolitis, and croup. Pediatric emergency care, 26(5), 364-369.
Knapp, J. F., Simon, S. D., & Sharma, V. (2013). Variation and trends in ED use of radiographs
for asthma, bronchiolitis, and croup in children. Pediatrics, 132(2), 245-252.
Maniezzo, V., 2011. Positive feedback as a search strategy. Sage.
Saunes, M., Øien, T., Dotterud, C. K., Romundstad, P. R., Storrø, O., Holmen, T. L., & Johnsen,
R. (2012). Early eczema and the risk of childhood asthma: a prospective, population-
based study. BMC pediatrics, 12(1), 168.
Shojania, K.G. and Bero, L.A., 2011. Taking advantage of the explosion of systematic reviews:
an efficient MEDLINE search strategy. Effective clinical practice: ECP. 4(4). pp.157-
162.
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