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Condition research / Explore another topicSaved preview · Not clinically reviewed
Asthma.

The long view. The new questions.
A clearer understanding.

Study reading

Past asthma exacerbations were linked to greater school readiness

Researchers assessed school asthma resources for children aged 5 to 13 in a larger trial cohort. Schools often knew about a child’s diagnosis, but reliever medication, holding chambers and care plans were less common. More preceding-year asthma exacerbations were associated with higher readiness; this baseline association cannot show whether readiness changed asthma risk. The cohort was overwhelmingly Black and non-Hispanic, and many had a recent asthma emergency-department visit, so the same pattern is not established for all children with asthma. This was a baseline observational analysis of preceding-year events, so the association cannot establish that school readiness caused or prevented asthma exacerbations.

Evidence period: 2026 Sep 12 min readAI-written · Not clinically reviewed

Saved revision 1 · · Revision history

Researchers assessed school asthma resources for children aged 5 to 13 in a larger trial cohort. Schools often knew about a child’s diagnosis, but reliever medication, holding chambers and care plans were less common. More preceding-year asthma exacerbations were associated with higher readiness; this baseline association cannot show whether readiness changed asthma risk.

What the study found

Researchers assessed school asthma resources for children aged 5 to 13 in a larger trial cohort. Schools often knew about a child’s diagnosis, but reliever medication, holding chambers and care plans were less common. More preceding-year asthma exacerbations were associated with higher readiness; this baseline association cannot show whether readiness changed asthma risk. Source ↗

More prior-year exacerbations were associated with higher school asthma readiness, although only a minority of children attended schools equipped to manage asthma symptoms. Source ↗

Who and what was studied

The analysis included 202 children aged 5 to 13; 95% identified as Black, 98% as non-Hispanic, and 73% had an asthma emergency-department visit in the preceding year. Source ↗

School readiness was examined in relation to the number of asthma exacerbations each child had experienced in the preceding year. Source ↗

What remains uncertain

The cohort was overwhelmingly Black and non-Hispanic, and many had a recent asthma emergency-department visit, so the same pattern is not established for all children with asthma. This was a baseline observational analysis of preceding-year events, so the association cannot establish that school readiness caused or prevented asthma exacerbations. Source ↗

Follow the evidence.

Source links and automated passage checks do not establish clinical review.

Supporting passages: Past asthma exacerbations were linked to greater school readiness

Of 202 participants aged 5 to 13 years, most identified as Black (95%) and non-Hispanic (98%), and most participants (73%) had an emergency department visit for asthma in the year before enrollment. Most students' schools (79%) had awareness of the child's asthma diagnosis, whereas fewer had reliever medications and valved holding chambers (both 31%) and asthma care plans (7%). Asthma exacerbations in the prior year were associated with a significantly higher school asthma readiness in bivariate (odds ratio [OR], 1.44 [95% CI, 1.14-1.82]; P = .002) and multivariable analysis (OR, 1.31 [95% CI, 1.02-1.7]; P = .037).

PMID 42571890 · abstract-3

A minority of children attended schools that were equipped to manage asthma symptoms. More past exacerbations were associated with higher school readiness, suggesting that more work is needed to support proactive asthma care in schools.

PMID 42571890 · abstract-4
Supporting passages: Researchers assessed school asthma resources for children aged 5 to 13 in a larger trial cohort. Schools often knew about a child’s diagnosis, but reliever medication, holding chambers and care plans were less common. More preceding-year asthma exacerbations were associated with higher readiness; this baseline association cannot show whether readiness changed asthma risk. The cohort was overwhelmingly Black and non-Hispanic, and many had a recent asthma emergency-department visit, so the same pattern is not established for all children with asthma. This was a baseline observational analysis of preceding-year events, so the association cannot establish that school readiness caused or prevented asthma exacerbations.

School-based asthma management is a key facet of child asthma care. We aimed to describe the proportion of students whose schools have child-specific components of asthma care, derive a composite metric of these components ("school asthma readiness"), and assess its association with asthma exacerbations (asthma risk) in the preceding year.

PMID 42571890 · abstract-1

Within a nested cohort of children enrolled in a larger randomized clinical trial, we assessed the baseline proportion of children whose school had elements of necessary asthma care. We then derived a "school asthma readiness" composite and used ordinal logistic regression to model the association between number of asthma exacerbations in the preceding year and the composite, accounting for demographic, clinical, and school characteristics.

PMID 42571890 · abstract-2

Of 202 participants aged 5 to 13 years, most identified as Black (95%) and non-Hispanic (98%), and most participants (73%) had an emergency department visit for asthma in the year before enrollment. Most students' schools (79%) had awareness of the child's asthma diagnosis, whereas fewer had reliever medications and valved holding chambers (both 31%) and asthma care plans (7%). Asthma exacerbations in the prior year were associated with a significantly higher school asthma readiness in bivariate (odds ratio [OR], 1.44 [95% CI, 1.14-1.82]; P = .002) and multivariable analysis (OR, 1.31 [95% CI, 1.02-1.7]; P = .037).

PMID 42571890 · abstract-3
Supporting passages: Researchers assessed school asthma resources for children aged 5 to 13 in a larger trial cohort. Schools often knew about a child’s diagnosis, but reliever medication, holding chambers and care plans were less common. More preceding-year asthma exacerbations were associated with higher readiness; this baseline association cannot show whether readiness changed asthma risk.

Within a nested cohort of children enrolled in a larger randomized clinical trial, we assessed the baseline proportion of children whose school had elements of necessary asthma care. We then derived a "school asthma readiness" composite and used ordinal logistic regression to model the association between number of asthma exacerbations in the preceding year and the composite, accounting for demographic, clinical, and school characteristics.

PMID 42571890 · abstract-2

Of 202 participants aged 5 to 13 years, most identified as Black (95%) and non-Hispanic (98%), and most participants (73%) had an emergency department visit for asthma in the year before enrollment. Most students' schools (79%) had awareness of the child's asthma diagnosis, whereas fewer had reliever medications and valved holding chambers (both 31%) and asthma care plans (7%). Asthma exacerbations in the prior year were associated with a significantly higher school asthma readiness in bivariate (odds ratio [OR], 1.44 [95% CI, 1.14-1.82]; P = .002) and multivariable analysis (OR, 1.31 [95% CI, 1.02-1.7]; P = .037).

PMID 42571890 · abstract-3
Supporting passages: Researchers assessed school asthma resources for children aged 5 to 13 in a larger trial cohort. Schools often knew about a child’s diagnosis, but reliever medication, holding chambers and care plans were less common. More preceding-year asthma exacerbations were associated with higher readiness; this baseline association cannot show whether readiness changed asthma risk.

Within a nested cohort of children enrolled in a larger randomized clinical trial, we assessed the baseline proportion of children whose school had elements of necessary asthma care. We then derived a "school asthma readiness" composite and used ordinal logistic regression to model the association between number of asthma exacerbations in the preceding year and the composite, accounting for demographic, clinical, and school characteristics.

PMID 42571890 · abstract-2

Of 202 participants aged 5 to 13 years, most identified as Black (95%) and non-Hispanic (98%), and most participants (73%) had an emergency department visit for asthma in the year before enrollment. Most students' schools (79%) had awareness of the child's asthma diagnosis, whereas fewer had reliever medications and valved holding chambers (both 31%) and asthma care plans (7%). Asthma exacerbations in the prior year were associated with a significantly higher school asthma readiness in bivariate (odds ratio [OR], 1.44 [95% CI, 1.14-1.82]; P = .002) and multivariable analysis (OR, 1.31 [95% CI, 1.02-1.7]; P = .037).

PMID 42571890 · abstract-3
Supporting passages: More prior-year exacerbations were associated with higher school asthma readiness, although only a minority of children attended schools equipped to manage asthma symptoms.

Of 202 participants aged 5 to 13 years, most identified as Black (95%) and non-Hispanic (98%), and most participants (73%) had an emergency department visit for asthma in the year before enrollment. Most students' schools (79%) had awareness of the child's asthma diagnosis, whereas fewer had reliever medications and valved holding chambers (both 31%) and asthma care plans (7%). Asthma exacerbations in the prior year were associated with a significantly higher school asthma readiness in bivariate (odds ratio [OR], 1.44 [95% CI, 1.14-1.82]; P = .002) and multivariable analysis (OR, 1.31 [95% CI, 1.02-1.7]; P = .037).

PMID 42571890 · abstract-3

A minority of children attended schools that were equipped to manage asthma symptoms. More past exacerbations were associated with higher school readiness, suggesting that more work is needed to support proactive asthma care in schools.

PMID 42571890 · abstract-4
Supporting passages: The analysis included 202 children aged 5 to 13; 95% identified as Black, 98% as non-Hispanic, and 73% had an asthma emergency-department visit in the preceding year.

Of 202 participants aged 5 to 13 years, most identified as Black (95%) and non-Hispanic (98%), and most participants (73%) had an emergency department visit for asthma in the year before enrollment. Most students' schools (79%) had awareness of the child's asthma diagnosis, whereas fewer had reliever medications and valved holding chambers (both 31%) and asthma care plans (7%). Asthma exacerbations in the prior year were associated with a significantly higher school asthma readiness in bivariate (odds ratio [OR], 1.44 [95% CI, 1.14-1.82]; P = .002) and multivariable analysis (OR, 1.31 [95% CI, 1.02-1.7]; P = .037).

PMID 42571890 · abstract-3
Supporting passages: School readiness was examined in relation to the number of asthma exacerbations each child had experienced in the preceding year.

Within a nested cohort of children enrolled in a larger randomized clinical trial, we assessed the baseline proportion of children whose school had elements of necessary asthma care. We then derived a "school asthma readiness" composite and used ordinal logistic regression to model the association between number of asthma exacerbations in the preceding year and the composite, accounting for demographic, clinical, and school characteristics.

PMID 42571890 · abstract-2
Supporting passages: The cohort was overwhelmingly Black and non-Hispanic, and many had a recent asthma emergency-department visit, so the same pattern is not established for all children with asthma. This was a baseline observational analysis of preceding-year events, so the association cannot establish that school readiness caused or prevented asthma exacerbations.

School-based asthma management is a key facet of child asthma care. We aimed to describe the proportion of students whose schools have child-specific components of asthma care, derive a composite metric of these components ("school asthma readiness"), and assess its association with asthma exacerbations (asthma risk) in the preceding year.

PMID 42571890 · abstract-1

Within a nested cohort of children enrolled in a larger randomized clinical trial, we assessed the baseline proportion of children whose school had elements of necessary asthma care. We then derived a "school asthma readiness" composite and used ordinal logistic regression to model the association between number of asthma exacerbations in the preceding year and the composite, accounting for demographic, clinical, and school characteristics.

PMID 42571890 · abstract-2

Of 202 participants aged 5 to 13 years, most identified as Black (95%) and non-Hispanic (98%), and most participants (73%) had an emergency department visit for asthma in the year before enrollment. Most students' schools (79%) had awareness of the child's asthma diagnosis, whereas fewer had reliever medications and valved holding chambers (both 31%) and asthma care plans (7%). Asthma exacerbations in the prior year were associated with a significantly higher school asthma readiness in bivariate (odds ratio [OR], 1.44 [95% CI, 1.14-1.82]; P = .002) and multivariable analysis (OR, 1.31 [95% CI, 1.02-1.7]; P = .037).

PMID 42571890 · abstract-3
  1. Asthma Exacerbation Risk and School Asthma Readiness. ↗

    2026 Sep 1

    Source checked: 2026-09-15

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A publication for curiosity.

AI-written. Not clinically reviewed. Selected sources, not a complete review. No personal treatment matching.

Article revisions preserve earlier writing. Article dates and source-check dates describe different events. Email updates and automatic research refresh are unavailable during this pilot.