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Children with Asthma in the ED: Timing of Corticosteroids

Shedd, Glenn Clinton DNP, FNP-BC; Shapiro, Susan E. PhD, RN, FAAN

Section Editor(s): Howard, Patricia Kunz PhD, RN, CEN, CPEN, NE-BC, FAEN, FAAN; Column Editor; Shapiro, Susan E. PhD, RN, FAAN; Column Editor

doi: 10.1097/TME.0b013e318299355c
Research to Practice

In the research study “Corticosteroid Timing and Length of Stay for Children With Asthma in the Emergency Department,” the authors conducted a retrospective medical record review of children with emergency department (ED) visits to a Connecticut Medical Center in 2007. Their aim was to determine whether administration of oral corticosteroids to patients with acute asthma exacerbation would decrease the mean length of stay in the ED by 10 min or more. We review and critique this article and use a case study module to illustrate the importance of these research findings and also the larger body of evidence supporting the early administration of corticosteroids in acute asthma.

Emory University School of Nursing, Atlanta, GA (Dr Shedd); and Emory Healthcare and Emory's Nell Hodgson Woodruff School of Nursing, Atlanta, Georgia (Dr Shapiro).

Corresponding Author: Glenn Clinton Shedd, DNP, FNP-BC, Emory University School of Nursing, 1520 Clifton Rd NE, Atlanta, GA 30322 (

Disclosure: The authors report no conflicts of interest.

© 2013 by Lippincott Williams & Wilkins.