Dependence on crisis-oriented care rather than continuous ambulatory care for asthma is thought to contribute to asthma morbidity and mortality.
We contrasted the characteristics of patients who depend on emergency department (ED) care for the management of their asthma exacerbations to the characteristics of patients employing self-management plans in an ambulatory setting.
In prospective fashion, we used a structured interview and charted information to survey two cohorts of patients suffering from an acute exacerbation of asthma : those seen in a hospital ED (n=80) and those seen in an ambulatory asthma care facility (Asthma Center [AC]) (n=40) at the same hospital.
We looked for differences in socioeconomic characteristics, asthma severity, asthma knowledge, and asthma self-management skills between groups.
There were no significant differences in mean age (SD) (ED vs AC : 36.65 [13.8] vs 40 [13.8] years) or female to male ratio (ED vs AC : 2/1 vs 2.5/1) between the two groups.
There were no major differences in ethnic origin, educational status, marital status, smoking history, employment status, number of children in the household, possession of an extended health insurance plan, sick leave benefits, and child care availability between the two groups.
Patients seeking ED care were more likely to have resided in the city for<5 years (34% vs 8% ; p<0.05), and more likely to be living alone (35% vs 15% ; p<0.05). (...)
Mots-clés Pascal : Asthme, Crise, Urgence, Hospitalisation, Fonction respiratoire, Etats Unis, Amérique du Nord, Amérique, Complication, Traitement, Homme, Facteur risque, Appareil respiratoire pathologie, Bronchopneumopathie obstructive
Mots-clés Pascal anglais : Asthma, Crisis, Emergency, Hospitalization, Lung function, United States, North America, America, Complication, Treatment, Human, Risk factor, Respiratory disease, Obstructive pulmonary disease
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 97-0204920
Code Inist : 002B11B. Création : 21/05/1997.