呼吸治疗师提供的儿科哮喘管理项目对患者治疗效果和成本的影响。
The effect of a pediatric asthma management program provided by respiratory therapists on patient outcomes and cost.
作者信息
Shelledy David C, McCormick Shawn R, LeGrand Terry S, Cardenas Jaime, Peters Jay I
机构信息
College of Health Related Professions, The University of Arkansas for Medical Sciences, 4301 West Markham, Little Rock, AR 72205, USA.
出版信息
Heart Lung. 2005 Nov-Dec;34(6):423-8. doi: 10.1016/j.hrtlng.2005.05.004.
OBJECTIVE
The objective was to determine whether a pediatric asthma disease management program (ADMP) provided by respiratory therapists can improve patient outcomes and reduce cost.
DESIGN
This was a pre-and post-intervention observational study.
METHODS
Hospitalizations, non-intensive care unit (ICU) hospital days, ICU days, emergency department visits, doctor's office visits, school days missed, and associated costs were collected on 18 children with moderate to severe asthma, ages 3 to 18 years, 12 months before and after implementation of the ADMP. The ADMP consisted of eight home visits for assessment, environmental review, and patient education.
RESULTS
There were significant reductions (P < .05) in hospitalizations, hospitalization cost, ICU days, non-ICU days, length of stay, emergency department visits and cost, physician office visits and cost, and school days missed.
CONCLUSIONS
A pediatric in-home ADMP provided by respiratory therapists can improve outcomes and reduce cost in patients with moderate to severe asthma.
目的
确定呼吸治疗师提供的儿科哮喘疾病管理项目（ADMP）是否能改善患者预后并降低成本。
设计
这是一项干预前后的观察性研究。
方法
收集了18名3至18岁中重度哮喘患儿在ADMP实施前后12个月的住院情况、非重症监护病房（ICU）住院天数、ICU天数、急诊就诊次数、医生门诊就诊次数、缺课天数及相关费用。ADMP包括八次家访，用于评估、环境审查和患者教育。
结果
住院次数、住院费用、ICU天数、非ICU天数、住院时长、急诊就诊次数及费用、医生门诊就诊次数及费用、缺课天数均显著减少（P < .05）。
结论
呼吸治疗师提供的儿科家庭ADMP可改善中重度哮喘患者的预后并降低成本。
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