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Titolo:
CHARACTERISTICS OF SUBJECTS WITH A HIGH-FREQUENCY OF EMERGENCY VISITSFOR ASTHMA
Autore:
BOULET LP; BELANGER M; LAJOIE P;
Indirizzi:
HOP LAVAL,UNITE RECH,CTR PNEUMOL,2725 CHEMIN ST FOY ST FOY PQ G1V 4G5CANADA
Titolo Testata:
The American journal of emergency medicine
fascicolo: 7, volume: 14, anno: 1996,
pagine: 623 - 628
SICI:
0735-6757(1996)14:7<623:COSWAH>2.0.ZU;2-X
Fonte:
ISI
Lingua:
ENG
Soggetto:
SELF-MANAGEMENT EDUCATION; LIFE-THREATENING ASTHMA; FATAL ASTHMA; PATIENT EDUCATION; ADULT ASTHMA; PROGRAM; BRONCHOCONSTRICTION; CHILDREN; FEATURES; RISK;
Keywords:
ASTHMA; EMERGENCY VISITS; ASTHMA EDUCATION;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Science Citation Index Expanded
Citazioni:
37
Recensione:
Indirizzi per estratti:
Citazione:
L.P. Boulet et al., "CHARACTERISTICS OF SUBJECTS WITH A HIGH-FREQUENCY OF EMERGENCY VISITSFOR ASTHMA", The American journal of emergency medicine, 14(7), 1996, pp. 623-628

Abstract

The determinants of frequent visits to the emergency department (ED) for asthma were evaluated in 30 patients who made 2 or more ED visits for asthma (mean, 3.1; range, 2 to 9) over a period of 1 year, They were matched for age, sex, and medication with a control group of asthmatic patients who had made no ED visits within the same period, Evaluation included measurements of expiratory flows (baseline FEV(1); PEFR 4times daily for 3 weeks), airway responsiveness to methacholine, perception of induced bronchoconstriction, and questionnaires on quality of life and knowledge of asthma and its management, In comparison with the control group, the study group showed a trend toward inferior socioeconomic status, education level, and technical abilities (eg, inhaler use), Both groups had similar baseline FEV(1), reversibility of airflow obstruction, methacholine induced changes in expiratory flows, andperception of bronchoconstriction, Diurnal variation in PEFR was slightly increased in the study group, Absenteeism from work or school washigher in the study group but quality of life score was similar to controls, Patients with frequent ED visits showed significantly lesser knowledge of asthma control criteria, as well as an overall trend toward reduced asthma management knowledge and skills. In conclusion, in addition to the previously reported undertreatment of asthma, other factors such as insufficient asthma management knowledge and skills may contribute to frequent ED visits for asthma. Copyright (C) 1996 by W.B. Saunders Company

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 25/09/20 alle ore 05:44:43