Impact of an asthma management program on hospitalizations and emergency department visits.
OBJECTIVE
To assess the frequency of hospitalizations and emergency department visits of children and adolescents before and after the enrollment in an asthma program.


METHODS
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.


RESULTS
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).


CONCLUSIONS
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.
Departamento de Pediatria, Universidade Federal de Minas Gerais, Belo Horizonte, MG, Brazil. mariajussara@uol.com.br
Maria Jussara Fernandes
MJ
Fontes
Alessandra G A
AG
Affonso
Geralda M C
GM
Calazans
Cláudia R
CR
de Andrade
Laura M L B F
LM
Lasmar
Carolina M F F
CM
Nader
Paulo A M
PA
Camargos
D000293:Adolescent; D001249:Asthma / Q000517:prevention & control* / Q000628:therapy; D001938:Brazil; D002648:Child; D002675:Child, Preschool; D004636:Emergency Service, Hospital / Q000706:statistics & numerical data*; D004812:Epidemiologic Methods; D005260:Female; D019983:Guideline Adherence / Q000592:standards; D006760:Hospitalization / Q000706:statistics & numerical data*; D006801:Humans; D007223:Infant; D008297:Male; D009313:National Health Programs / Q000592:standards*; D017410:Practice Guidelines as Topic; D015397:Program Evaluation; D013997:Time Factors