Partners In Health/Inshuti Mu Buzima, Kigali.
Ministry of Health, Kigali.
Int J Tuberc Lung Dis. 2017 Oct 1;21(10):1176-1182. doi: 10.5588/ijtld.17.0039. Epub 2017 Aug 1.
In 2007, the Rwandan Ministry of Health, with support from Partners In Health, introduced a district-level non-communicable disease programme that included asthma care.
To describe the demographics, management and 24-month outcomes of asthma patients treated at three rural district hospitals in Rwanda.
We retrospectively reviewed electronic medical records of asthma patients enrolled from January 2007 to December 2012, and extracted information on demographics, clinical variables and 24-month outcomes.
Of the 354 patients, 66.7% were female and 41.5% were aged between 41 and 60 years. Most patients (53.1%) were enrolled with moderate persistent asthma, 40.1% had mild persistent asthma and 6.8% had severe persistent asthma. Nearly all patients (95.7%) received some type of medication, most commonly a bronchodilator. After 24 months, 272 (76.8%) patients were still alive and in care, 21.1% were lost to follow-up, 1.7% had died and 0.3% had transferred out. Of the 121 patients with an updated asthma classification at 24 months, the severity of their asthma had decreased: 17.4% had moderate and 0.8% had severe persistent asthma.
Our findings show improvements in asthma severity after 24 months and reasonable rates of loss to follow-up, demonstrating that asthma can be managed effectively in rural, resource-limited settings.
2007 年，卢旺达卫生部在“健康伙伴”的支持下，在地区一级推出了一个非传染性疾病方案，其中包括哮喘护理。
描述在卢旺达三家农村地区医院接受治疗的哮喘患者的人口统计学特征、管理方法和 24 个月的结局。
我们回顾性地查阅了 2007 年 1 月至 2012 年 12 月期间登记的哮喘患者的电子病历，并提取了人口统计学特征、临床变量和 24 个月结局方面的信息。
在 354 名患者中，66.7%为女性，41.5%年龄在 41 至 60 岁之间。大多数患者（53.1%）为中度持续哮喘，40.1%为轻度持续哮喘，6.8%为重度持续哮喘。几乎所有患者（95.7%）都接受了某种类型的药物治疗，最常用的是支气管扩张剂。24 个月后，272 名（76.8%）患者仍存活并接受治疗，21.1%失访，1.7%死亡，0.3%转出。在 121 名更新了哮喘分类的患者中，24 个月时哮喘严重程度有所下降：17.4%为中度持续，0.8%为重度持续。
我们的研究结果显示，24 个月后哮喘严重程度有所改善，失访率合理，表明在农村资源有限的环境中，可以有效地管理哮喘。
