Effects of Asthma Education on Children's Use of Acute Care Services: A Meta-analysis

Coffman, Janet; Cabana, Michael D.; Halpin, Helen Ann; Yelin, Edward H.

doi:10.1542/peds.2007-0113

Cited by 180 publications

(113 citation statements)

References 44 publications

(93 reference statements)

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“…13,[29][30][31] Indeed, pediatric patients with asthma benefit from the utilization of a comprehensive medical home that provides continuity of care. 27,[32][33][34][35] Recent multicenter data have shown that asthma was in the top 10 admission diagnoses in pediatric patients, with the highest readmission rate of 10.6% within the first year after discharge. 5,36 These studies suggest that targeting care coordination for ambulatory care-sensitive conditions, such as asthma, may also have an impact on health care expenditures.…”

Section: Discussionmentioning

confidence: 99%

“…17,18 Another limitation is the potentially confounding activity of the Asthma Task Force, which not only focused on compliance with asthma core measures but also on asthma education of the caretakers, which has been shown to reduce ED visits and hospitalizations. 34 It is therefore difficult to ascertain the individual effect of compliance with core measures without considering this additional component. Finally, reported ED utilization rates are only for the KMCWC and do not include ED visits to other hospitals in the Honolulu area.…”

Section: Discussionmentioning

confidence: 99%

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Linking Patient-Centered Medical Home and Asthma Measures Reduces Hospital Readmission Rates

et al. 2014

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OBJECTIVE: We sought to achieve 100% compliance with all 3 Children’s Asthma Care (CAC; CAC-1, CAC-2, CAC-3) measures and track attendance at follow-up appointments with the patient-centered medical home. The impact of these measures on readmission and emergency department utilization rates was evaluated. METHODS: This quality improvement study evaluated compliance with CAC measures in pediatric patients aged 2 to 18 years old hospitalized with a primary diagnosis of asthma from January 1, 2008, through June 30, 2012. A multidisciplinary Asthma Task Force was assembled to develop interventions. Attendance at the follow-up appointment was tracked monthly from January 1, 2009. Readmission and emergency department utilization rates were compared between the preimplementation period (January 1, 2006, through December 31, 2007) and the postimplementation period (January 1, 2008, through June 30, 2012). RESULTS: The preimplementation period included 231 subjects and the postimplementation period included 532 subjects. Compliance with CAC-3 was 95% from October 1, 2009, through June 30, 2012. Compliance with the postdischarge follow-up appointment was 69% from January 1, 2009 through September 30, 2009, increasing significantly to 90% from October 1, 2009, through June 30, 2012 (P < .001). Postimplementation readmission rates significantly decreased in the 91- to 180-day postdischarge interval (odds ratio: 0.29; 95% confidence interval: 0.11–0.78). CONCLUSIONS: In children hospitalized with asthma, compliance with the asthma core measures and the postdischarge follow-up appointment with the primary care provider was associated with reduced readmission rates at 91 to 180 days after discharge. We attribute our results to a comprehensive set of interventions designed by our multidisciplinary Asthma Task Force.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Linking Patient-Centered Medical Home and Asthma Measures Reduces Hospital Readmission Rates

et al. 2014

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“…O programa Criança que Chia, além de disponibilizar a corticoterapia inalatória em larga escala, investe na capacitação das equipes e promove acompanhamento clínico e grupos de discussão, com enfoque na educação sobre a doença 9,10,[25][26][27][28][29][30] . Programas de educação em asma aumentam a qualidade de vida dos pacientes e reduzem o número de hospitalização e atendimentos de emergência, que são onerosos ao sistema de saúde e, muitas vezes, evitáveis se a asma for manejada apropriadamente [25][26][27][28][29][30] .…”

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Impact of an asthma management program on hospitalizations and emergency department visits

et al. 2011

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Objectives: To assess the frequency of hospitalizations and emergency department visits of children and adolescents before and after the enrolment in an asthma program.Methods: Medical records of 608 asthmatics younger than 15 years were assessed retrospectively. The frequency of hospitalizations and emergency department visits caused by exacerbations were evaluated before and after enrolment in an asthma program. Patients were treated with medications and a wide prophylactic management program based on the Global Initiative for Asthma (GINA). The before asthma program (BAP) period included 12 months before enrollment, whereas the after asthma program (AAP) period ranged from 12 to 56 months after enrollment. Results:In the BAP period, there were 895 hospitalizations and 5,375 emergency department visits, whereas in the AAP period, there were 180 and 713, respectively. This decrease was significant in all statistical analyses (p = 0.000). Conclusions:Compliance with the GINA recommendations led to a significant decrease in the frequency of hospitalizations and emergency department visits in children and adolescents with asthma.J Pediatr (Rio J). 2011;87(5):412-8: Asthma, hospitalisation, emergency medical services, continuing education, primary health care. ResumoObjetivo: Analisar as frequências de hospitalização e de atendimentos em serviços de urgência ocorridas em crianças e adolescentes antes e após o ingresso em programa de asma no Brasil. Métodos:Prontuários de 608 pacientes menores de 15 anos e com asma foram avaliados retrospectivamente. As frequências de hospitalização por asma e de atendimentos em serviços de urgência para episó-dios agudos de broncoespasmo foram avaliadas nos períodos anterior e posterior à admissão no programa que disponibiliza medicamentos, preconiza abordagem integral do paciente e manejo profilático de acordo com a Global Initiative for Asthma (GINA). O período de observação antes do programa (AP) teve a duração de 12 meses enquanto o depois do programa (DP) variou de 12 a 36 meses. Resultados:No período AP, ocorreram 895 hospitalizações e 5.375 atendimentos em serviços de urgência, e no período DP, ocorreram 180 hospitalizações e 713 atendimentos na urgência. O teste t de Student para amostras pareadas e o modelo de regressão para observações dependentes identificaram efeito significativo do programa em relação às variáveis estudadas (p = 0,000). Conclusões:A adoção das recomendações do GINA levou à redução significativa nas frequências de hospitalização e atendimentos na urgência em crianças e adolescentes com asma. J Pediatr (Rio J). 2011;87(5):412-8:Asma, hospitalização, atendimento de emergência, educação continuada, atenção básica à saúde. Impact of an asthma management program on hospitalizations and emergency department visitsImpacto de um programa de manejo da asma sobre as hospitalizações e os atendimentos de urgência IntroduçãoA asma, reconhecido problema de saúde pública, vem apresentando aumento na prevalência nas últimas décadas em algumas partes do mundo, ...

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“…Many well-designed clinical and prevention-oriented interventions in various settings have been able to demonstrate short-term reductions in asthma morbidity for individuals and small groups of participants in controlled settings (Coffman et al, 2008; National Heart Lung and Blood Institute 2007). However, these interventions often fail to have an impact on a larger scale.…”

Section: Introductionmentioning

confidence: 99%

Addressing Asthma from a Public Health Perspective

Davis¹,

Benson²

2012

Public Health - Social and Behavioral Health

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Effects of Asthma Education on Children's Use of Acute Care Services: A Meta-analysis

Cited by 180 publications

References 44 publications

Linking Patient-Centered Medical Home and Asthma Measures Reduces Hospital Readmission Rates

Linking Patient-Centered Medical Home and Asthma Measures Reduces Hospital Readmission Rates

Impact of an asthma management program on hospitalizations and emergency department visits

Addressing Asthma from a Public Health Perspective

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