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

Fontes, Maria Jussara Fernandes; Affonso, Alessandra G A; Calazans, Geralda M. C.; Andrade, Cláudia Ribeiro de; Lasmar, Laura Maria de Lima Belizário Facury; Nader, Carolina Maria Fontes Ferreira; Camargos, Paulo Augusto Moreira

doi:10.2223/jped.2129

Cited by 20 publications

(16 citation statements)

References 25 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…In addition, it is known that, in order to achieve optimal asthma control at a population level, there should be programs aimed at full treatment of patients and their comorbidities, such as allergic rhinitis. (14,15) However, the proportion of patients with uncontrolled asthma found in our study (34.2%) was very similar to that reported in the AIM survey conducted in the USA (30.0%). (9) High numbers of emergency room visits, hospitalizations, ICU admissions, and school/work absences are known to be directly related to failure to control asthma.…”

Section: Discussionsupporting

confidence: 88%

Level of asthma control and its impact on activities of daily living in asthma patients in Brazil

et al. 2013

View full text Add to dashboard Cite

Objective: To evaluate the impact of asthma on activities of daily living and on health status in patients with controlled, partially controlled, or uncontrolled asthma in Brazil. Methods: We used data related to 400 patients in four Brazilian cities (São Paulo, Rio de Janeiro, Salvador, and Curitiba), obtained in a survey conducted throughout Latin America in 2011. All study subjects were > 12 years of age and completed a standardized questionnaire in face-to-face interviews. The questions addressed asthma control, hospitalizations, emergency room visits, and school/work absenteeism, as well as the impact of asthma on the quality of life, sleep, and leisure. The level of asthma control was determined in accordance with the Global Initiative for Asthma criteria. Results: Among the 400 respondents, asthma was controlled in 37 (9.3%), partially controlled in 226 (56.5%), and uncontrolled in 137 (34.2%). The numbers of patients with uncontrolled or partially controlled asthma who visited the emergency room, who were hospitalized, and who missed school/work were higher than were those of patients with controlled asthma (p = 0.001, p = 0.05, and p = 0.01, respectively). Among those with uncontrolled asthma, the impact of the disease on activities of daily living, sleep, social activities, and normal physical exertion was greater than it was among those with controlled or partially controlled asthma (p < 0.001). Conclusions:In Brazil, asthma treatment should be monitored more closely in order to increase treatment adherence and, consequently, the level of asthma control, which can improve patient quality of life and minimize the negative impact of the disease.Keywords: Asthma/epidemiology; Quality of life; Hospitalization. ResumoObjetivo: Avaliar o impacto da asma nas atividades da vida diária e na saúde em pacientes com asma controlada, parcialmente controlada ou não controlada no Brasil. Métodos: Foram utilizados dados de 400 pacientes de quatro cidades brasileiras (São Paulo, Rio de Janeiro, Curitiba e Salvador) obtidos em um inquérito realizado em países da América Latina em 2011. Todos os indivíduos do estudo tinham idade > 12 anos e responderam a um questionário padronizado por meio de entrevista presencial. As questões abordavam o controle da asma, número de hospitalizações, de consultas de urgência, absenteísmo na escola/trabalho e impacto da asma na qualidade de vida, sono e lazer. O nível de controle da asma foi verificado segundo os critérios da Global Initiative for Asthma.Resultados: Entre 400 entrevistados, a asma estava controlada em 37 (9,3%); parcialmente controlada, em 226 (56,5%); e não controlada, em 137 (34,2%). O número de pacientes com asma não controlada ou parcialmente controlada que apresentaram hospitalizações, visitas ao pronto-socorro e faltas na escola/trabalho foi maior do que o daqueles com asma controlada (p = 0,001, p = 0,05 e p = 0,01, respectivamente). Os participantes com asma não controlada apresentaram um maior impacto da doença em atividades da vida diária, sono, ativida...

show abstract

Section: Discussionsupporting

confidence: 88%

Level of asthma control and its impact on activities of daily living in asthma patients in Brazil

et al. 2013

View full text Add to dashboard Cite

show abstract

“…Esta pesquisa foi concordante com o estudo de Fontes et al 23 , que mostrou redução no número de hospitalizações por asma e atendimentos em serviço de urgência, de 895 para 180 (79,9%) e de 5.375 para 713 (86,8%), respectivamente após implantação do programa de atendimento a pacientes asmáticos em Belo Horizonte.…”

Section: Discussionunclassified

Avaliação do controle da asma em crianças e adolescentes do Programa Respirar da cidade de Ipatinga, Minas Gerais, Brasil

Lage

Souza

Oliveira

et al. 2017

Rev. Med. (São Paulo)

View full text Add to dashboard Cite

Introdução: A asma é uma das principais causas de morbidade na infância, ocasionando grandes prejuízos aos pacientes. O Programa Respirar foi implantado na cidade de Ipatinga, localizada na região do leste mineiro, em abril de 2003 visando ao atendimento às crianças e adolescentes asmáticos com indicação do uso de anti-inflamatório inalado profilático. O objetivo deste estudo foi avaliar o controle da asma dos pacientes inseridos no Programa Respirar. Métodos: estudo longitudinal retrospectivo, com 305 pacientes portadores de asma com indicação de corticoterapia inalatória, com idades entre sete e 19 anos selecionados aleatoriamente no Programa Respirar da cidade em questão, mediante análise de prontuários referentes a janeiro de 2012 a dezembro de 2015. A análise estatística foi realizada utilizando os programas EpiData (3.03) e SPSS (19.0) e para a análise descritiva, tabelas de distribuição de frequência e medidas de tendência central (média) e de variabilidade (desvio padrão, mínimo e máximo). Para a comparação das variáveis clínicas no início e após a entrada no programa, foi aplicado o teste de McNemar no caso de variáveis categóricas e teste T-pareado para as variáveis numéricas. Em todas as análises, foi considerado nível de significância de 5%. Resultados: Quando comparadas as variáveis clínicas antes e depois de três anos de entrada no Programa Respirar, 51% dos pacientes melhoraram a classificação da asma, 60,1% das crianças diminuíram o número de hospitalizações por crise de asma e 86,7% reduziram o número de idas ao pronto-atendimento por crises de asma. Essas diferenças foram estatisticamente significativas (valor de p < 0,001). Conclusão: Os pacientes assistidos pelo Programa Respirar mantêm melhor controle sobre as crises de asma, reduzindo significativamente as hospitalizações e idas ao pronto-socorro por decorrência da doença.

show abstract

“…Asthmatic Children, who are admitted to the hospital, have average length of stay more than 1 week 52% (54) managed with medications. These large number of patients up used the available facilities and waste of sources in ER (16,17,18,19,20) Fortunate according to the our National Asthma Education Program 80% of asthma patients they classified as mild asthma and these patients would obtain relief by using rescue MDI bronchodilators at home. A substantial number of our patients used ER as easy way to access their asthma management instead of home management according to the national guidelines.…”

Section: Discussionmentioning

confidence: 99%

Increased Continuity of Care Associated with Decreased Hospital Admission and Emergency Department Visits for Pediatric Patients with Asthma in Children’s Hospital, KSMC Riyadh

Alaki

Donques

Alkhamri

2017

IAM

View full text Add to dashboard Cite

Background: Poor asthma control remains a common cause of emergency department (ED) visits, presentation and hospital admission. The cost of uncontrolled asthma care is substantial in Saudi Arabia. Methods: A cross sectional observational and descriptive study that is conducted in Pediatric Hospital Allergy and Immunology Clinic (Pediatric Outpatient Department), King Saud Medical City in Riyadh, Saudi Arabia From: 2nd of September 2014 To: 2nd of September 2015. The study includes pediatric patients regardless of age (0-12 years old), gender and nationality who visited Allergy & Immunology Clinic (Outpatient Department). The data will be collected using a questionnaire and statistical analyses were performed using SPSS Version 16.0 with the confidence interval = 95% and P values= <0.05. Results: The study population showed that most of them have a regular visit to outpatient clinic 91% (95), among those 92% (88) visited Pediatric Allergy & Immunology in KSMC, on the other hand, 77% (80) are visiting emergency department within the year, the majority of them visited Pediatric ER in KSMC 63% (37), and less than half of them are visiting 1-3 times per year 43% (45). Asthmatic Children, who are admitted to the hospital, have average length of stay more than 1 week 52% (54) managed with medications. Conclusions: Availability of asthma medications, correct delivery of it and to have permanent asthma clinic with Asthma educators will be the most important factors that will decrease revisit to emergency department, long stay in hospital during admission and to control the asthma.

show abstract

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

Cited by 20 publications

References 25 publications

Level of asthma control and its impact on activities of daily living in asthma patients in Brazil

Level of asthma control and its impact on activities of daily living in asthma patients in Brazil

Avaliação do controle da asma em crianças e adolescentes do Programa Respirar da cidade de Ipatinga, Minas Gerais, Brasil

Increased Continuity of Care Associated with Decreased Hospital Admission and Emergency Department Visits for Pediatric Patients with Asthma in Children’s Hospital, KSMC Riyadh

Contact Info

Product

Resources

About