Franco R, Nascimento H F, Cruz A A, Santos A C, Souza-Machado C, Ponte E V, Souza-Machado A, Rodrigues L C, Barreto M L
Programa para o Controle da Asma e da Rinite Alérgica na Bahia (ProAR), Faculdade de Medicina da Bahia, Universidade Federal da Bahia (UFBA), Salvador, Bahia, Brazil.
Allergy. 2009 Mar;64(3):478-83. doi: 10.1111/j.1398-9995.2009.01981.x. Epub 2009 Feb 6.
To estimate the direct and indirect costs of severe asthma and the economic impact of its management to low-income families in Salvador, Brazil.
One hundred and ninety-seven patients with severe asthma and referred to a state-funded asthma center providing free treatment were evaluated. At registration, they were asked about family cost-events in the previous year and had a baseline assessment of lung function, symptoms and quality of life. During the subsequent year, they were reassessed prospectively.
One hundred-eighty patients concluded a 12-month follow-up. Eighty-four percent were female patients, and the median family income was US$ 2955/year. Forty-seven percent of family members had lost their jobs because of asthma. Total cost of asthma management took 29% of family income. After proper treatment, asthma control scores improved by 50% and quality of life by 74%. The income of the families increased by US$ 711/year, as their members went back to work. The total cost of asthma to the families was reduced by a median US$ 789/family/year. Consequently, an annual surplus of US$ 1500/family became available.
Family costs of severe asthma consumed over one-fourth of the family income of the underprivileged population in a middle-income country. Adequate management brings major economic benefit to individuals and families.
评估重度哮喘的直接和间接成本，以及其管理对巴西萨尔瓦多低收入家庭的经济影响。
对197例重度哮喘患者进行评估，这些患者被转诊至一家提供免费治疗的国立哮喘中心。在登记时，询问他们上一年的家庭成本事件，并对肺功能、症状和生活质量进行基线评估。在随后的一年中，对他们进行前瞻性重新评估。
180例患者完成了12个月的随访。84%为女性患者，家庭收入中位数为每年2955美元。47%的家庭成员因哮喘失去工作。哮喘管理的总成本占家庭收入的29%。经过适当治疗后，哮喘控制评分提高了50%，生活质量提高了74%。由于家庭成员重返工作岗位，家庭收入每年增加711美元。家庭哮喘的总成本中位数每年减少789美元/家庭。因此，每个家庭每年有1500美元的盈余。
在一个中等收入国家，重度哮喘的家庭成本消耗了贫困人群家庭收入的四分之一以上。适当的管理给个人和家庭带来重大经济利益。
