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Childhood Asthma – The Effect of Asthma Specialist Intervention on Asthma Control: A Retrospective Review
BACKGROUND: Childhood asthma is the most common chronic disease throughout the western world. Improving asthma control is a leading health management goal. PURPOSE: To evaluate the effect of an intervention by a visit to an asthma specialist on asthma control in children. MATERIALS AND METHODS: This...
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Dove
2021
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Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8591108/ https://www.ncbi.nlm.nih.gov/pubmed/34785910 http://dx.doi.org/10.2147/JAA.S334560 |
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author | Rosman, Yossi Gabay, Linoy Landau, Tami Confino-Cohen, Ronit |
author_facet | Rosman, Yossi Gabay, Linoy Landau, Tami Confino-Cohen, Ronit |
author_sort | Rosman, Yossi |
collection | PubMed |
description | BACKGROUND: Childhood asthma is the most common chronic disease throughout the western world. Improving asthma control is a leading health management goal. PURPOSE: To evaluate the effect of an intervention by a visit to an asthma specialist on asthma control in children. MATERIALS AND METHODS: This retrospective study was conducted using the electronic database of Maccabi Health Services. All members ages 5–16 with an asthma diagnosis during 2000–2016, and at least one visit to a specialist were included. Asthma outcomes during the 2 years before and after the visit to the asthma specialist were compared. RESULTS: A total of 37,066 children were diagnosed with asthma. Among them, 13,533 (36.5%) had at least one visit to an asthma specialist and were included. Children with asthma visited their primary care physician more often in the period before the specialist visit (4.4± 4.4 vs 3.16± 3.9 visits, respectively; p<0.01). After visiting a specialist, average number of visits to emergency departments (0.52± 1.3 vs 0.45±1), all cause hospitalizations (0.13±0.45 vs 0.08±0.4) and hospitalizations due to asthma exacerbations (0.08±0.345 vs 0.05±0.3) decreased (p<0.01 for all comparisons). Prescription of short-acting beta agonists decreased (2.85±3.6 vs 2.2 ±3.7, p<0.01) and inhaled steroid prescriptions increased (1.9±2.9 vs 2.7±3.7, p<0.01), respectively, after the intervention. A substantial reduction in the prescription of corticosteroids (0.81±1.9 vs 0.43±1.4, p<0.01) after specialist visit was also noted. CONCLUSION: We found significant positive outcomes after a single consultation with an asthma specialist. Referring pediatric asthma patients to an asthma specialist should be one of the goals of an asthma management plan. |
format | Online Article Text |
id | pubmed-8591108 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Dove |
record_format | MEDLINE/PubMed |
spelling | pubmed-85911082021-11-15 Childhood Asthma – The Effect of Asthma Specialist Intervention on Asthma Control: A Retrospective Review Rosman, Yossi Gabay, Linoy Landau, Tami Confino-Cohen, Ronit J Asthma Allergy Original Research BACKGROUND: Childhood asthma is the most common chronic disease throughout the western world. Improving asthma control is a leading health management goal. PURPOSE: To evaluate the effect of an intervention by a visit to an asthma specialist on asthma control in children. MATERIALS AND METHODS: This retrospective study was conducted using the electronic database of Maccabi Health Services. All members ages 5–16 with an asthma diagnosis during 2000–2016, and at least one visit to a specialist were included. Asthma outcomes during the 2 years before and after the visit to the asthma specialist were compared. RESULTS: A total of 37,066 children were diagnosed with asthma. Among them, 13,533 (36.5%) had at least one visit to an asthma specialist and were included. Children with asthma visited their primary care physician more often in the period before the specialist visit (4.4± 4.4 vs 3.16± 3.9 visits, respectively; p<0.01). After visiting a specialist, average number of visits to emergency departments (0.52± 1.3 vs 0.45±1), all cause hospitalizations (0.13±0.45 vs 0.08±0.4) and hospitalizations due to asthma exacerbations (0.08±0.345 vs 0.05±0.3) decreased (p<0.01 for all comparisons). Prescription of short-acting beta agonists decreased (2.85±3.6 vs 2.2 ±3.7, p<0.01) and inhaled steroid prescriptions increased (1.9±2.9 vs 2.7±3.7, p<0.01), respectively, after the intervention. A substantial reduction in the prescription of corticosteroids (0.81±1.9 vs 0.43±1.4, p<0.01) after specialist visit was also noted. CONCLUSION: We found significant positive outcomes after a single consultation with an asthma specialist. Referring pediatric asthma patients to an asthma specialist should be one of the goals of an asthma management plan. Dove 2021-11-10 /pmc/articles/PMC8591108/ /pubmed/34785910 http://dx.doi.org/10.2147/JAA.S334560 Text en © 2021 Rosman et al. https://creativecommons.org/licenses/by-nc/3.0/This work is published and licensed by Dove Medical Press Limited. The full terms of this license are available at https://www.dovepress.com/terms.php and incorporate the Creative Commons Attribution – Non Commercial (unported, v3.0) License (http://creativecommons.org/licenses/by-nc/3.0/ (https://creativecommons.org/licenses/by-nc/3.0/) ). By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. For permission for commercial use of this work, please see paragraphs 4.2 and 5 of our Terms (https://www.dovepress.com/terms.php). |
spellingShingle | Original Research Rosman, Yossi Gabay, Linoy Landau, Tami Confino-Cohen, Ronit Childhood Asthma – The Effect of Asthma Specialist Intervention on Asthma Control: A Retrospective Review |
title | Childhood Asthma – The Effect of Asthma Specialist Intervention on Asthma Control: A Retrospective Review |
title_full | Childhood Asthma – The Effect of Asthma Specialist Intervention on Asthma Control: A Retrospective Review |
title_fullStr | Childhood Asthma – The Effect of Asthma Specialist Intervention on Asthma Control: A Retrospective Review |
title_full_unstemmed | Childhood Asthma – The Effect of Asthma Specialist Intervention on Asthma Control: A Retrospective Review |
title_short | Childhood Asthma – The Effect of Asthma Specialist Intervention on Asthma Control: A Retrospective Review |
title_sort | childhood asthma – the effect of asthma specialist intervention on asthma control: a retrospective review |
topic | Original Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8591108/ https://www.ncbi.nlm.nih.gov/pubmed/34785910 http://dx.doi.org/10.2147/JAA.S334560 |
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