Sarah Ann Keil Heinonen, Nancy Cantey Banasiak, Amanda C. Filippelli
{"title":"Firestorm Asthma: Global Climate Change and Pediatric Asthma—A Scoping Review","authors":"Sarah Ann Keil Heinonen, Nancy Cantey Banasiak, Amanda C. Filippelli","doi":"10.1016/j.nurpra.2025.105547","DOIUrl":null,"url":null,"abstract":"<div><div>This scoping review investigated the impact of climate change-associated wildfires on pediatric asthma outcomes. A secondary objective was to examine current mitigation strategies and provide evidence-informed recommendations for health care providers. Included in the final analysis were 44 studies. Most reported adverse outcomes in children with asthma after wildfire smoke exposure, including increased frequency of exacerbations, higher medication use, elevated rates of emergency department visits and hospitalizations, and declines in lung function. Evidence-based mitigation strategies underscore the critical importance of implementing targeted interventions and proactive clinical management to safeguard vulnerable populations during wildfire smoke events.</div></div>","PeriodicalId":101233,"journal":{"name":"The Journal for Nurse Practitioners","volume":"21 10","pages":"Article 105547"},"PeriodicalIF":0.0000,"publicationDate":"2025-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"The Journal for Nurse Practitioners","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S1555415525002302","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 0
Abstract
This scoping review investigated the impact of climate change-associated wildfires on pediatric asthma outcomes. A secondary objective was to examine current mitigation strategies and provide evidence-informed recommendations for health care providers. Included in the final analysis were 44 studies. Most reported adverse outcomes in children with asthma after wildfire smoke exposure, including increased frequency of exacerbations, higher medication use, elevated rates of emergency department visits and hospitalizations, and declines in lung function. Evidence-based mitigation strategies underscore the critical importance of implementing targeted interventions and proactive clinical management to safeguard vulnerable populations during wildfire smoke events.