ASMact: Study on Management of Bronchial Asthma

Standardization According to GINA 2025 Recommendations for the Treatment, Management, and Follow-up of Acute Asthma Attacks: Observational, Multicenter Cohort Study.

Standardization According to GINA 2025 Recommendations for the Treatment, Management, and Follow-up of Acute Asthma Attacks: Observational, Multicenter Cohort Study.

Patients aged 6 to 17 years presenting to the emergency department with an acute asthma exacerbation were included. Clinical outcomes were compared between a pre-intervention period (October 2024-May 2025) and a post-intervention period (October 2025-May 2026).

Between the two study periods, a structured educational intervention targeting medical and nursing staff was implemented. The intervention consisted of didactic lectures, clinical simulation sessions, case-based discussions, and the dissemination of updated diagnostic and therapeutic flowcharts based on the 2025 Global Initiative for Asthma (GINA) guidelines.

Inclusion Criteria:

• Age between 6 and 17 years
• Presentation to the emergency department with a diagnosis of acute asthma exacerbation
• Evaluation in the emergency department of one of the participating centers during the study periods

Exclusion Criteria:

• Age < 6 years or > 17 years
• Diagnosis other than acute asthma exacerbation
• Incomplete or missing clinical data
• Patients transferred from other hospitals already treated for the same episode
• history of allergy to any drugs used in the protocol