PEDIATRICS Vol. 101 No. 5 May 1998, pp. 951-952
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To the Editor.
The article by Lieu et al1 describes early
intervention by parents at home and written management plans provided
to the family being strongly associated with reduced risk of adverse outcomes among children with asthma. However, examination of their data
suggests that neither was highly predictive for preventing hospitalization. The magnitude of the difference between cases and
controls receiving a written asthma plan was quantitatively small, 43.5 versus 49.3%, respectively, and that difference was similar for asthma
severity identified as moderate, moderately severe, and severe. The
magnitude of differences in early intervention was even