A Comprehensive Pediatric Asthma Management Program Reduces Emergency Department Visits and Hospitalizations
| Autor: | Karla J. Stoermer-Grossman, Ixsy A. Ramirez, Toby C. Lewis, Manuel Arteta, Kelley M. Kidwell, Khalid H. Safi, Julie Sturza, Thomas G. Saba, Marc B. Hershenson |
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| Rok vydání: | 2016 |
| Předmět: |
Pulmonary and Respiratory Medicine
African american medicine.medical_specialty business.industry Emergency department medicine.disease Asthma care 03 medical and health sciences 0302 clinical medicine 030228 respiratory system 030225 pediatrics Asthma control Pediatrics Perinatology and Child Health Emergency medicine Immunology and Allergy Medicine business Medicaid Pediatric asthma Pulmonologists Asthma |
| Zdroj: | Pediatric Allergy, Immunology, and Pulmonology. 29:17-23 |
| ISSN: | 2151-3228 2151-321X |
| DOI: | 10.1089/ped.2015.0561 |
| Popis: | We evaluated the impact of a comprehensive pediatric asthma management program (the Children's Asthma Wellness Program, CAWP) on the frequency of emergency department (ED) visits and hospital admissions. The CAWP generally consisted of 4 clinic sessions over a 1-year period, but some patients attended fewer clinic sessions, and some required additional clinic sessions due to incomplete asthma control. Patients were evaluated and treated by pediatric pulmonologists, nurse asthma care coordinator/educator, and social worker. We retrospectively reviewed program results over an 8-year period (2005–2013). We compared ED visits and hospital admissions before and after participation in the CAWP. There were 254 children referred to the CAWP; 172 children were enrolled. Fifty-four children (31%) received >6 sessions due to incomplete asthma control. On average, children requiring additional clinic sessions were older and more likely to be African American, hold Medicaid insurance, and have severe asthma. We obtain... |
| Databáze: | OpenAIRE |
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