Impact of an asthma management program on hospitalizations and emergency department visits
To assess the frequency of hospitalizations and emergency department visits of children and adolescents before and after the enrollment in an asthma program. Medical records of 608 asthmatics younger than 15 years were assessed retrospectively. The frequency of hospitalizations and emergency departm...
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| Veröffentlicht in: | Jornal de pediatria 2011-09, Vol.87 (5), p.412-8 |
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| container_title | Jornal de pediatria |
| container_volume | 87 |
| creator | Fontes, Maria Jussara Fernandes Affonso, Alessandra G A Calazans, Geralda M C de Andrade, Cláudia R Lasmar, Laura M L B F Nader, Carolina M F F Camargos, Paulo A M |
| description | To assess the frequency of hospitalizations and emergency department visits of children and adolescents before and after the enrollment in an asthma program.
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 enrollment 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.
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).
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. |
| doi_str_mv | 10.2223/JPED.2129 |
| format | Article |
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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 enrollment 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.
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).
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.</description><identifier>ISSN: 0021-7557</identifier><identifier>EISSN: 1678-4782</identifier><identifier>DOI: 10.2223/JPED.2129</identifier><identifier>PMID: 22012342</identifier><language>eng</language><publisher>Brazil</publisher><subject>Adolescent ; Asthma - prevention & control ; Asthma - therapy ; Brazil ; Child ; Child, Preschool ; Emergency Service, Hospital - statistics & numerical data ; Epidemiologic Methods ; Female ; Guideline Adherence - standards ; Hospitalization - statistics & numerical data ; Humans ; Infant ; Male ; National Health Programs - standards ; Practice Guidelines as Topic ; Program Evaluation ; Time Factors</subject><ispartof>Jornal de pediatria, 2011-09, Vol.87 (5), p.412-8</ispartof><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c319t-5fa69e3eec7f5d2caf903094a8a43abeb9f1d605601b05057a935f278756f0da3</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/22012342$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Fontes, Maria Jussara Fernandes</creatorcontrib><creatorcontrib>Affonso, Alessandra G A</creatorcontrib><creatorcontrib>Calazans, Geralda M C</creatorcontrib><creatorcontrib>de Andrade, Cláudia R</creatorcontrib><creatorcontrib>Lasmar, Laura M L B F</creatorcontrib><creatorcontrib>Nader, Carolina M F F</creatorcontrib><creatorcontrib>Camargos, Paulo A M</creatorcontrib><title>Impact of an asthma management program on hospitalizations and emergency department visits</title><title>Jornal de pediatria</title><addtitle>J Pediatr (Rio J)</addtitle><description>To assess the frequency of hospitalizations and emergency department visits of children and adolescents before and after the enrollment in an asthma program.
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 enrollment 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.
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).
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.</description><subject>Adolescent</subject><subject>Asthma - prevention & control</subject><subject>Asthma - therapy</subject><subject>Brazil</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Emergency Service, Hospital - statistics & numerical data</subject><subject>Epidemiologic Methods</subject><subject>Female</subject><subject>Guideline Adherence - standards</subject><subject>Hospitalization - statistics & numerical data</subject><subject>Humans</subject><subject>Infant</subject><subject>Male</subject><subject>National Health Programs - standards</subject><subject>Practice Guidelines as Topic</subject><subject>Program Evaluation</subject><subject>Time Factors</subject><issn>0021-7557</issn><issn>1678-4782</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2011</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNo9kL1OwzAYRS0EouVn4AWQN8SQ8tmO43hEpUBRJRhgYYm-JHYblD9sF6k8PSktTHc59-rqEHLBYMI5FzdPL7O7CWdcH5AxS1QaxSrlh2QMwFmkpFQjcuL9B4BMdMKOyYhzYFzEfEze502PRaCdpdhS9GHVIG2wxaVpTBto77qlw4Z2LV11vq8C1tU3hqpr_VAo6UC5pWmLDS1Njy78lr4qXwV_Ro4s1t6c7_OUvN3PXqeP0eL5YT69XUSFYDpE0mKijTCmUFaWvECrQYCOMcVYYG5ybVmZDNeB5SBBKtRCWq5SJRMLJYpTcrXbHb5-ro0PWVP5wtQ1tqZb-0wDJALiBAbyekcWrvPeGZv1rmrQbTIG2dZktjWZbU0O7OV-dZ03pvwn_9SJHxSiby0</recordid><startdate>20110901</startdate><enddate>20110901</enddate><creator>Fontes, Maria Jussara Fernandes</creator><creator>Affonso, Alessandra G A</creator><creator>Calazans, Geralda M C</creator><creator>de Andrade, Cláudia R</creator><creator>Lasmar, Laura M L B F</creator><creator>Nader, Carolina M F F</creator><creator>Camargos, Paulo A M</creator><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20110901</creationdate><title>Impact of an asthma management program on hospitalizations and emergency department visits</title><author>Fontes, Maria Jussara Fernandes ; Affonso, Alessandra G A ; Calazans, Geralda M C ; de Andrade, Cláudia R ; Lasmar, Laura M L B F ; Nader, Carolina M F F ; Camargos, Paulo A M</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c319t-5fa69e3eec7f5d2caf903094a8a43abeb9f1d605601b05057a935f278756f0da3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2011</creationdate><topic>Adolescent</topic><topic>Asthma - prevention & control</topic><topic>Asthma - therapy</topic><topic>Brazil</topic><topic>Child</topic><topic>Child, Preschool</topic><topic>Emergency Service, Hospital - statistics & numerical data</topic><topic>Epidemiologic Methods</topic><topic>Female</topic><topic>Guideline Adherence - standards</topic><topic>Hospitalization - statistics & numerical data</topic><topic>Humans</topic><topic>Infant</topic><topic>Male</topic><topic>National Health Programs - standards</topic><topic>Practice Guidelines as Topic</topic><topic>Program Evaluation</topic><topic>Time Factors</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Fontes, Maria Jussara Fernandes</creatorcontrib><creatorcontrib>Affonso, Alessandra G A</creatorcontrib><creatorcontrib>Calazans, Geralda M C</creatorcontrib><creatorcontrib>de Andrade, Cláudia R</creatorcontrib><creatorcontrib>Lasmar, Laura M L B F</creatorcontrib><creatorcontrib>Nader, Carolina M F F</creatorcontrib><creatorcontrib>Camargos, Paulo A M</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Jornal de pediatria</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Fontes, Maria Jussara Fernandes</au><au>Affonso, Alessandra G A</au><au>Calazans, Geralda M C</au><au>de Andrade, Cláudia R</au><au>Lasmar, Laura M L B F</au><au>Nader, Carolina M F F</au><au>Camargos, Paulo A M</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Impact of an asthma management program on hospitalizations and emergency department visits</atitle><jtitle>Jornal de pediatria</jtitle><addtitle>J Pediatr (Rio J)</addtitle><date>2011-09-01</date><risdate>2011</risdate><volume>87</volume><issue>5</issue><spage>412</spage><epage>8</epage><pages>412-8</pages><issn>0021-7557</issn><eissn>1678-4782</eissn><abstract>To assess the frequency of hospitalizations and emergency department visits of children and adolescents before and after the enrollment in an asthma program.
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 enrollment 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.
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).
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.</abstract><cop>Brazil</cop><pmid>22012342</pmid><doi>10.2223/JPED.2129</doi><tpages>-403</tpages><oa>free_for_read</oa></addata></record> |
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| ispartof | Jornal de pediatria, 2011-09, Vol.87 (5), p.412-8 |
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| source | MEDLINE; EZB-FREE-00999 freely available EZB journals; Alma/SFX Local Collection |
| subjects | Adolescent Asthma - prevention & control Asthma - therapy Brazil Child Child, Preschool Emergency Service, Hospital - statistics & numerical data Epidemiologic Methods Female Guideline Adherence - standards Hospitalization - statistics & numerical data Humans Infant Male National Health Programs - standards Practice Guidelines as Topic Program Evaluation Time Factors |
| title | Impact of an asthma management program on hospitalizations and emergency department visits |
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