Departamento de Pediatria, Universidade Federal de Minas Gerais, Belo Horizonte, MG, Brazil.
J Pediatr (Rio J). 2011 Sep-Oct;87(5):412-8. doi: 10.2223/JPED.2129.
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.
评估儿童和青少年在参加哮喘计划前后的住院和急诊就诊频率。
回顾性评估了 608 名年龄小于 15 岁的哮喘患者的病历。评估了参加哮喘计划前后因哮喘加重而导致的住院和急诊就诊的频率。患者接受了药物治疗和基于全球哮喘倡议 (GINA) 的广泛预防管理计划。哮喘前计划 (BAP) 期包括入组前 12 个月，而哮喘后计划 (AAP) 期从入组后 12 至 56 个月不等。
在 BAP 期间，有 895 次住院和 5375 次急诊就诊，而在 AAP 期间，分别为 180 次和 713 次。所有统计分析均显示这种下降具有显著意义（p=0.000）。
遵守 GINA 建议导致哮喘儿童和青少年的住院和急诊就诊频率显著降低。
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