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  1. Care of asthma : allergy clinic versus emergency room.

    Article - En anglais

    Background 

    Demographic and socioeconomic factors have an impact upon the morbidity and mortality rates of asthma in inner-city pediatric populations.

    Many pediatric patients with asthma use the emergency room as their primary care physician, while a smaller number of children with asthma use the allergy-immunology clinic.

    Objective 

    We examined the demographic and socioeconomic characteristics of asthmatic patients using the emergency room as their primary care physician and of those attending the allergy-immunology clinic in the same inner-city hospital.

    We compared the morbidity and cost of care of asthmatic patients who received their medical care in the emergency room to that of those who received their care in the allergy-immunology clinic.

    Methods 

    Fifty consecutive emergency room patients and 25 clinic patients were studied using an identical questionnaire.

    Results 

    There was no difference between the two groups in the total number of individuals per household, children per family, monthly income, type or size of dwelling, financial problems purchasing medications, health insurance type, distance to the medical center, or education of the caretaker.

    Severity of asthma was not different in the two groups before the start of the study.

    The only significant demographic difference was in age : 10.6 years for the clinic group and 7.8 years for the emergency room group (P<. 002). (...)

    Mots-clés Pascal : Asthme, Traitement, Optimisation, Service hospitalier, Urgence, Immunologie, Allergie, Résultat, Enfant, Homme, Appareil respiratoire pathologie, Bronchopneumopathie obstructive

    Mots-clés Pascal anglais : Asthma, Treatment, Optimization, Hospital ward, Emergency, Immunology, Allergy, Result, Child, Human, Respiratory disease, Obstructive pulmonary disease

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 97-0276395

    Code Inist : 002B11B. Création : 15/07/1997.