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Dedicated Asthma Program Can Improve Treatment in Kids, Teens Compared to Routine Healthcare Visits
Lung Disease News Researchers from the Children's Hospital at Montefiore (CHAM) reported that a groundbreaking primary care-based program for asthma patients, called Pediatric Preventive Asthma Care Program, could improve the identification of mistreated asthma among … |
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Lung Disease News |
Dedicated Asthma Program Can Improve Treatment in Kids, Teens at Routine Healthcare Visits
Lung Disease News Researchers from the Children's Hospital at Montefiore (CHAM) reported that a groundbreaking primary care-based program for asthma patients, called Pediatric Preventive Asthma Care Program, could improve the identification of mistreated asthma among … |
View full post on asthma – Google News
|
Kids' Asthma Severity Under-Recognized & Undertreated at Routine Healthcare Visits
Newswise (press release) Newswise — NEW YORK (June 14, 2016) – An innovative primary care-based asthma program improves identification of poorly controlled asthma among children and enhances treatment plans, compared to care provided during routine office visits, … |
View full post on asthma – Google News
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Related Articles |
Medical care and treatment of allergic rhinitis. A population-based cohort study based on routine healthcare utilization data.
Allergy. 2016 Jan 8;
Authors: Schmitt J, Stadler E, Küster D, Wüstenberg EG
Abstract
BACKGROUND: Health services research on medical care and treatment of allergic rhinitis (AR) is scarce.
OBJECTIVES: To investigate the prevalence, incidence, comorbidities, and treatment of AR in a realistic setting.
METHODS: A cohort of 1,811,094 German National Health Insurance beneficiaries in 2005 was followed until 2011. To avoid misclassification, the ICD-10-code for AR (J30) had to be documented at least twice to classify patients as having AR. Descriptive statistics and logistic regression models were used to describe the burden, comorbidities, and treatment of AR.
RESULTS: A total of 111,394 patients (6.2%) had prevalent AR in 2005/2006. In another 60,145 individuals (3.3%) AR was newly diagnosed in 2007 to 2011 (incident cases). Patients with prevalent AR were three times more likely to develop asthma compared to patients without AR (age and sex-adjusted risk ratio (RR) 3.04; 95% confidence interval (95%CI) 2.98 – 3.10). Newly diagnosed recurrent depressive disorder (RR 1.61; 95%CI 1.55 – 1.68), anxiety disorder (RR 1.52; 95%CI 1.48 – 1.56) and ADHD (RR 1.21; 95%CI 1.13 – 1.29) were also related to prevalent AR. Approximately 20% of children and 36% of adults with AR were exclusively treated by general practitioners. Allergy immunotherapy (AIT) was prescribed for 16.4% of AR patients. Subcutaneous immunotherapy was most frequently used (80% of AIT).
CONCLUSIONS: This study highlights the significant burden of AR. Despite the established benefits of AIT to treat AR and prevent asthma this study suggests significant undertreatment. Future research is necessary to develop and implement adequate measures to increase guideline adherence. This article is protected by copyright. All rights reserved.
PMID: 26749452 [PubMed – as supplied by publisher]
View full post on pubmed: asthma
Laboratory Equipment |
Yoga can't be considered routine intervention for patients with asthma
News-Medical.net Researchers of the report, which is published in the June issue of Annals of Allergy, Asthma & Immunology, the scientific journal of the American College of Allergy, Asthma and Immunology (ACAAI), examined 14 previously published studies to determine … Yoga Doesn't Appear to Help Asthma Yoga Offers Little Relief to Those Suffering From Asthma Meditative Exercise May Not Provide Relief To Asthma Sufferers |
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[Live-threatening bronchospasm during anesthesia induction : When pure routine becomes a nightmare.]
Anaesthesist. 2011 Sep 16;
Authors: Rüggeberg A, Breckwoldt J
Abstract
This article reports a case of live-threatening respiratory failure during induction of anesthesia. An 18-year-old female was admitted to hospital for an axillary abscess incision on a public holiday. The patient had a history of asthmatic episodes and an allergy to milk protein and 2 years previously an asthmatic attack had possibly been treated by mechanical ventilation. Retrospectively, this event turned out to be a cardiac arrest with mechanical ventilation for 24 h. During induction of anesthesia the patient suddenly developed massive bronchospasms and ventilation was impossible for minutes. Oxygen saturation fell below 80% over a period of 12 min with a lowest measurement of 13%. The patient was treated with epinephrine, prednisolone, antihistamine drugs, ß(2)-agonists, s-ketamine and methylxanthines and 15 min later the oxygen saturation returned to normal values. After mild therapeutic hypothermia for 24 h mechanical ventilation was still required for another 4 days. The patient recovered completely and was discharged home on day 19. Initially propofol was suspected of having caused an anaphylactic shock but in retrospect, the diagnosis of near fatal asthma was more likely. The onset of the event was facilitated by the patient playing down the history of asthmatic episodes due to a strong wish for independency and negation of the severity of the disease.
PMID: 21918825 [PubMed – as supplied by publisher]
View full post on pubmed: asthma
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PPIs Not Recommended for Routine Treatment of Adult Asthma
Medscape April 11, 2011 — Proton pump inhibitor (PPI) therapy in adults with asthma shows a small, statistically, but not clinically, significant improvement in the morning peak expiratory flow (PEF) rate, according to the results of a meta-analysis reported … The Efficacy of Proton Pump Inhibitors for the Treatment of Asthma in Adults A … |
View full post on asthma – Google News