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post in: Lifestyle, Health Date:08 Oct 2017, 06:52 views:1409
Abstract, many hospitalizations for antonio asthma could potentially be avoided with appropriate management.
The aim of this study was to yze data on disease management of a paediatric population with a hospitalization breathing for asthma. The study population comprised 617 year old asthma subjects belonging to three local health units of the Lombardy Region, northern Italy.
Regional administrative databases were used to collect data on: the number of children with an incident hospitalization for asthma during the period, anti-asthma therapy, specialist visit referrals, and claims for spirometry, released in the 12 months before and after hospitalization.
Each patients asthma management profile was compared with gina guideline recommendations.
Among the 183 hospitalized subjects, 101 (55) received therapy before hospitalization and 82 (45) did not. 10 did not receive any therapy either before or after hospital admission and in 13 the therapy was discontinued afterward. Based on gina guidelines, asthma management adhered to recommendations only for 55 of subjects.
Results may suggest that for half of hospitalized subjects, inaccurate diagnosis, under-treatment/scarce compliance with asthma guidelines by physicians, and/or scarce compliance to therapy by patients/their parents occurred.
In all these cases, hospitalization would be a proxy indicator of preventable poor control of disease, rather than a proxy indicator of severity.