In this chapter the effectiveness of
asthma clinic providing comprehensive care based has been
evaluated on the best available scientific evidence.
This study was conducted in a tertiary care
hospital having a devoted asthma clinic for the
comprehensive management and data of cases
managed from July 2014 to June 2016. Outcome measures
were treatment direction, asthma control,
emergency visits, and hospitalizations. 260 children
were treated over a 2-year period. The effects of
focused approach with progressive expertise lead to
statistically significant benefits over the two
successive years from July 2014 to June 2015 and July
2015 to June 2016. These were in: (i)
Treatment direction: Cases requiring stepping up of
treatment decreased from 36.49% to 17.24%
(relative risk [RR]: 0.473 [95% confidence interval
{CI}: 0.249-0.895]); p=0.01229, (ii) asthma control:
Cases with not well-controlled asthma decreased from
16.44% to 7.02% (RR 0.427: [95% CI: 0.199-
0.914]); p=0.045, (iii) emergency department visits
decreased from 35.62% to 21.05% (RR 0.591:
[95% CI: 0.39-0.897]), p=0.00766, (iv) hospitalizations
decreased from 16.44% to 5.26% (RR 0.32:
[95% CI: 0.135-0.757]), p=0.00462. Establishing an
asthma clinic and progressive expertise leads to
significant beneficial results.
Author
(s) Details
Dr. Col Sunil Jain
Department
of Pediatrics, Command Hospital (CC), Lucknow, Uttar Pradesh, India.
Dr. Col Rajeev Kumar Thapar
Department of Pediatrics, Command Hospital (CC), Lucknow, Uttar
Pradesh, India.
Maj Abhishek Mallick
Department of Pediatrics, Command Hospital (CC), Lucknow, Uttar Pradesh,
India.
Sudhanshu Tiwari
Department of Pediatrics, Command Hospital (CC), Lucknow, Uttar Pradesh, India.
Dakhane Yogesh
Department of Pediatrics, Command Hospital (CC), Lucknow, Uttar
Pradesh, India.
Y. V. Abhijith
Department of Pediatrics, Command Hospital (CC), Lucknow, Uttar
Pradesh, India.
View Book :- http://bp.bookpi.org/index.php/bpi/catalog/book/260
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