[Clinical competence of emergency clinicians in the management of asthmatic exacerbation in children].
| Autor: | Zavala Arenas JA; Centro de Investigación Educativa y Formación Docente Siglo XXI, Instituto Mexicano del Seguro Social, México, DF. jesus.zavala@imss.gob.mx, Furuya ME, Vargas MH |
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| Jazyk: | Spanish; Castilian |
| Zdroj: | Revista alergia Mexico (Tecamachalco, Puebla, Mexico : 1993) [Rev Alerg Mex] 2008 Jul-Aug; Vol. 55 (4), pp. 139-47. |
| Abstrakt: | Unlabelled: In spite of its high prevalence, asthma continues to be undertreated worldwide, and a physician's deficient knowledge seems to be the main reason. Objectives: To measure the degree of physician's knowledge about classification and treatment of asthma exacerbations in children, and to identify physician's factors that might be involved. Methods: A prospective, observational, cross-sectional and analytical study was carried out. A 13 item questionnaire to evaluate the knowledge about asthma exacerbations was constructed and validated. This instrument was applied to clinicians working at emergency rooms in four secondary-level hospitals. Results: Forty doctors answered the questionnaire, with a median of 38.5% correct answers. Age, time-span working as specialist, years working at emergency rooms, number of courses attended, number of papers on asthma read, and number of asthma patients seen in a weekly basis did not influence the percentage of correct answers. Variables influencing the degree of knowledge were: being pediatrician (38.5% correct answers vs 23.1% in other specialties, p = 0.035) and working at night (50.0 vs 30.8% in other shift p = 0.031). A multiple lineal regression analysis corroborated the influence of these last two variables on the percentage of correct answers. Conclusions: The questionnaire proved to be a useful tool that fulfilled expected goals. Percentage of correct answers was low among participating physicians, which indicated the need of educative intervention maneuvers to improve medical management of asthma exacerbation. |
| Databáze: | MEDLINE |
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