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CSACI position statement: systemic effect of inhaled corticosteroids on adrenal suppression in the management of pediatric asthma

Overview of attention for article published in Allergy, Asthma & Clinical Immunology, March 2015
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Title
CSACI position statement: systemic effect of inhaled corticosteroids on adrenal suppression in the management of pediatric asthma
Published in
Allergy, Asthma & Clinical Immunology, March 2015
DOI 10.1186/s13223-015-0075-z
Pubmed ID
Authors

Karine Issa-El-Khoury, Harold Kim, Edmond S Chan, Tim Vander Leek, Francisco Noya

Abstract

Asthma is a chronic inflammatory disease of the airways that affects a growing number of children and adolescents. Inhaled corticosteroids (ICS) are the mainstay of treatment in persistent asthma, with a stepwise approach to increasing doses of ICS depending on asthma severity and control. ICS have known local and systemic side effects, of which adrenal suppression is still under-recognized. The latter is associated with chronic exposure and higher doses, although it has rarely been reported in children receiving low doses for a short period of time. The Canadian Society of Allergy and Clinical Immunology (CSACI) therefore recommends that physicians screen for adrenal suppression in children receiving high doses for more than 6 months and to consider screening those on medium dose if the risk is deemed higher by factors that increase an individual's systemic corticosteroid exposure. Morning serum cortisol level can be used as a screening tool and abnormal results or normal results with a high index of suspicion should be confirmed with low-dose ACTH stimulation tests.

X Demographics

X Demographics

The data shown below were collected from the profiles of 3 X users who shared this research output. Click here to find out more about how the information was compiled.
Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 67 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Ireland 1 1%
Tunisia 1 1%
Unknown 65 97%

Demographic breakdown

Readers by professional status Count As %
Other 11 16%
Student > Master 7 10%
Student > Bachelor 6 9%
Researcher 5 7%
Student > Ph. D. Student 5 7%
Other 11 16%
Unknown 22 33%
Readers by discipline Count As %
Medicine and Dentistry 31 46%
Pharmacology, Toxicology and Pharmaceutical Science 2 3%
Biochemistry, Genetics and Molecular Biology 2 3%
Nursing and Health Professions 2 3%
Computer Science 2 3%
Other 6 9%
Unknown 22 33%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 2. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 04 April 2015.
All research outputs
#15,169,543
of 25,374,647 outputs
Outputs from Allergy, Asthma & Clinical Immunology
#531
of 924 outputs
Outputs of similar age
#138,877
of 277,672 outputs
Outputs of similar age from Allergy, Asthma & Clinical Immunology
#9
of 11 outputs
Altmetric has tracked 25,374,647 research outputs across all sources so far. This one is in the 38th percentile – i.e., 38% of other outputs scored the same or lower than it.
So far Altmetric has tracked 924 research outputs from this source. They typically receive a lot more attention than average, with a mean Attention Score of 13.8. This one is in the 38th percentile – i.e., 38% of its peers scored the same or lower than it.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 277,672 tracked outputs that were published within six weeks on either side of this one in any source. This one is in the 48th percentile – i.e., 48% of its contemporaries scored the same or lower than it.
We're also able to compare this research output to 11 others from the same source and published within six weeks on either side of this one. This one is in the 18th percentile – i.e., 18% of its contemporaries scored the same or lower than it.