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<article xlink="http://www.w3.org/1999/xlink" dtd-version="1.0" article-type="pediatrics" lang="en">
<front>
<journal-meta>
<journal-id journal-id-type="publisher">JOHS</journal-id>
<journal-id journal-id-type="nlm-ta">Journ of Health Scien</journal-id>
<journal-title-group>
<journal-title>Journal of HealthCare Sciences</journal-title>
<abbrev-journal-title abbrev-type="pubmed">Journ of Health Scien</abbrev-journal-title>
</journal-title-group>
<issn pub-type="ppub">2231-2196</issn>
<issn pub-type="opub">0975-5241</issn>
<publisher>
<publisher-name>Radiance Research Academy</publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id pub-id-type="publisher-id">440</article-id>
<article-id pub-id-type="doi">http://dx.doi.org/10.52533/JOHS.2025.51004</article-id>
<article-id pub-id-type="doi-url"/>
<article-categories>
<subj-group subj-group-type="heading">
<subject>Pediatrics</subject>
</subj-group>
</article-categories>
<title-group>
<article-title>Assessment of Status Asthmaticus in Children with Refractory Symptoms in Emergency Departments
</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname>Alshaikh</surname>
<given-names>Attia Abdrabalnabi</given-names>
</name>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Almehmadi</surname>
<given-names>Ahmed Bushaybish</given-names>
</name>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Suwaydi</surname>
<given-names>Abdulbaqi Ahmed</given-names>
</name>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Altunusi</surname>
<given-names>Amjad Mustafa</given-names>
</name>
</contrib>
</contrib-group>
<pub-date pub-type="ppub">
<day>28</day>
<month>10</month>
<year>2025</year>
</pub-date>
<volume>5</volume>
<issue>10</issue>
<fpage>521</fpage>
<lpage>528</lpage>
<permissions>
<copyright-statement>This article is copyright of Popeye Publishing, 2009</copyright-statement>
<copyright-year>2009</copyright-year>
<license license-type="open-access" href="http://creativecommons.org/licenses/by/4.0/">
<license-p>This is an open-access article distributed under the terms of the Creative Commons Attribution (CC BY 4.0) Licence. You may share and adapt the material, but must give appropriate credit to the source, provide a link to the licence, and indicate if changes were made.</license-p>
</license>
</permissions>
<abstract>
<p>Asthma is a multifactorial disease primarily driven by obstructive airway inflammation. Several factors contribute to the pathogenesis of asthma, including age, socioeconomic status, and genetic composition. Status asthma accounts for 20% of emergency department admissions, where patients present with adverse symptoms such as tachypnea, accessory muscle use, wheezing, and hypoxemia, and “silent chest” which indicates complete blockage of the airway. Nevertheless, assessment of status asthma is particularly challenging in the pediatric population, owing to overlapping symptoms with other pediatric conditions such as bronchitis and pneumonia. The establishment of structured approaches and guidelines, along with the advancement in understanding the underlying mechanisms, offers the opportunity for enhanced management and diagnostics. Furthermore, the employment of artificial intelligence can be a potential predictive tool for children at risk. This review aims to identify assessment and management approaches for pediatric status asthmaticus in the emergency department. It also seeks to offer a thorough explanation of the underlying mechanisms behind asthma, with the goal of prompting future research for the development of enhanced management and assessment approaches.
</p>
</abstract>
<kwd-group>
<kwd>status asthmaticus</kwd>
<kwd> pediatrics</kwd>
<kwd> emergency</kwd>
<kwd> management</kwd>
<kwd> refractory</kwd>
</kwd-group>
</article-meta>
</front>
</article>