Mishra Rashmi, Kashif Muhammad, Venkatram Sindhaghatta, George Teresa, Luo Kristina, Diaz-Fuentes Gilda
Division of Pulmonary and Critical Care, Bronx-Lebanon Hospital Center, Bronx, NY, USA.
Department of Pharmacy, Bronx-Lebanon Hospital Center, Bronx, NY, USA.
Can Respir J. 2017;2017:5681962. doi: 10.1155/2017/5681962. Epub 2017 May 4.
. Asthma education programs have been shown to decrease healthcare utilization and improve disease control and management. The purpose of our study was to evaluate the impact of an outpatient adult asthma education program in an inner city hospital caring for patients with low socioeconomic and educational status. . An asthma education program was implemented in September 2014. Patients who received education from September 2014 to July 2015 were evaluated. Outcomes were compared for the same group of patients before and after education. Primary outcomes were emergency room (ER) visits and hospital admissions. Secondary outcomes were change in Asthma Control Test (ACT) score and number of pulmonary clinic visits. . Asthma education significantly decreased number of patients requiring ER visits and hospital admissions ( = 0.0005 and = 0.0015, resp.). Asthma control as per ACT score ≥ 20 improved with education ( = 0.0001) with an increase in clinic visits ( = 0.0185). . Our study suggests that implementation of a structured asthma education program in an inner city community hospital has a positive impact on reduction of ER visits and hospital admissions with improvement in asthma control. Institutional Review Board Clinical Study registration number is 01081507.
哮喘教育项目已被证明可降低医疗保健利用率,并改善疾病控制与管理。我们研究的目的是评估在一家为社会经济和教育地位较低患者提供服务的市中心医院开展的门诊成人哮喘教育项目的影响。2014年9月实施了一项哮喘教育项目。对2014年9月至2015年7月接受教育的患者进行了评估。比较了同一组患者在教育前后的结果。主要结果是急诊室就诊次数和住院次数。次要结果是哮喘控制测试(ACT)分数的变化和肺部门诊就诊次数。哮喘教育显著减少了需要急诊室就诊和住院的患者数量(分别为P = 0.0005和P = 0.0015)。根据ACT分数≥20的哮喘控制情况随着教育而改善(P = 0.0001),同时门诊就诊次数增加(P = 0.0185)。我们的研究表明,在市中心社区医院实施结构化哮喘教育项目对减少急诊室就诊和住院次数以及改善哮喘控制有积极影响。机构审查委员会临床研究注册号为01081507。