Coordinated Healthcare Interventions for Childhood Asthma Gaps in Outcomes

Condition:   Asthma
Interventions:   Behavioral: CAPE;   Behavioral: Home
Sponsors:   University of Illinois at Chicago;   Sinai Health System;   Cook County Health & Hospitals System;   Rush University Medical Center;   Ann & Robert H Lurie Children’s Hospital of Chicago;   University of Chicago;   Chicago Department of Public Health;   Respiratory Health Association;   Chicago Asthma Consortium;   Illinois Institute of Technology;   Illinois Emergency Department Asthma Surveillance Project;   Patient Centered Outcome Research Institute
Not yet recruiting – verified December 2014

View full post on ClinicalTrials.gov: asthma | received in the last 14 days

Complex interventions reduce use of urgent healthcare in adults with asthma: Systematic review with meta-regression.

Complex interventions reduce use of urgent healthcare in adults with asthma: Systematic review with meta-regression.

Respir Med. 2014 Nov 15;

Authors: Blakemore A, Dickens C, Anderson R, Tomenson B, Woodcock A, Guthrie E

Abstract
INTRODUCTION: Asthma accounts for considerable healthcare expenditure, a large proportion of which is attributable to use of expensive urgent healthcare. This review examines the characteristics of complex interventions that reduce urgent healthcare use in adults with asthma.
METHOD: Electronic searches of MEDLINE, EMBASE, PSYCINFO, CINAHL, the British Nursing Library and the Cochrane library, from inception to January 2013 were conducted. Studies were eligible for inclusion if they: i) included adults with asthma ii) assessed the efficacy of a complex intervention using randomised controlled trial design, and iii) included a measure of urgent healthcare utilisation at follow-up. Data on participants recruited, methods, characteristics of complex interventions and the effects of the intervention on urgent healthcare use were extracted.
RESULTS: 33 independent studies were identified resulting in 39 comparisons altogether. Pooled effects indicated that interventions were associated with a reduction in urgent healthcare use (OR = 0.79, 95% CI = 0.67, 0.94). When study effects were grouped according to the components of the interventions used, significant effects were seen for interventions that included general education (OR = 0.77, 95% CI = 0.64, 0.91), skills training (OR = 0.64, 95% CI = 0.48, 0.86) and relapse prevention (OR = 0.75, 95% CI = 0.57, 0.98). In multivariate meta-regression analysis, only skills training remained significant.
CONCLUSIONS: Complex interventions reduced the use of urgent healthcare in adults with asthma by 21%. Those complex interventions including skills training, education and relapse prevention may be particularly effective in reducing the use of urgent healthcare in adults with asthma.

PMID: 25433953 [PubMed – as supplied by publisher]

View full post on pubmed: asthma

Effects of Multidisciplinary Interventions in Elderly Asthma Patients With Risk of Acute Exacerbation

Conditions:   Asthma;   Aged
Interventions:   Dietary Supplement: Magnesium;   Behavioral: Education for asthma action plan;   Behavioral: hot-lines for acute exacerbation of asthma;   Behavioral: Inhaler technique training
Sponsors:   Seoul National University Hospital;   Sang-Heon Cho;   Korean Center for Disease Control and Prevention
Active, not recruiting – verified April 2013

View full post on ClinicalTrials.gov: asthma | received in the last 14 days

New interventions, recommendations for controlling allergies & asthma in children – Science Codex

New interventions, recommendations for controlling allergies & asthma in children
Science Codex
Financial strain and competing priorities at home may contribute to the greater number of hospital readmissions of children with asthma from single-parent homes compared to dual-parent households, according to a new study presented at the American
Research Examines Asthma Control and Anaphylaxis Guidelines to Improve Newswise (press release)
Changes coming to allergy immunotherapyPediatric SuperSite
Improved Allergy Shots Might Be on HorizonHispanically Speaking News

all 7 news articles »

View full post on asthma – Google News

Nonmedical interventions for asthma prevention still in dispute – Pediatric SuperSite


Pediatric SuperSite

Nonmedical interventions for asthma prevention still in dispute
Pediatric SuperSite
About 7.1 million children nationwide have asthma. Inhaled steroid and beta-agonists remain the gold standard for treating asthma, but because these medications have some adverse events and can be costly, recent research has also focused on nonmedical

View full post on asthma – Google News