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Application and implementation of the GINA asthma guidelines by specialist and primary care physicians: a longitudinal follow-up study on 264 children

(2007) Prim Care Respir J 16 (6), pp. 357-362. Abstract:


Articolo pubblicato il 31.05.2012 in  AREA MEDICI COLLABORAZIONI

 

AIMS: To implement GINA guidelines and to assess their impact on the management of childhood asthma. METHODS: A working group of primary care physicians (PCPs) and specialists developed a GINA-based clinical pathway. We then monitored the impact on 385 children (aged 0-15 years) referred to the respiratory outpatients clinic at the University Children’s Hospital, Brescia, Italy by 179 PCPs between September 2003 and July 2005. RESULTS: Mean follow-up for 264 children with complete datasets was 10 months. Guidelines were followed by 94.6% of the PCPs. 98.6% of children learned to manage exacerbations. Half of the patients with persistent symptoms became intermittently symptomatic. Maintenance treatment was suspended in 47.2%, reduced in 27.6%, and increased in 4.9%. Asthma severity diminished (p<0.0001) and requirement for medication for exacerbations was significantly reduced (p<0.0001). CONCLUSIONS: Regular specialist visits, a website, and a written management plan shared by all those involved, led to clinical improvements as well as a reduction in, and more efficient use of, asthma medication.

 

Per Approfondimenti:

http://www.thepcrj.org/journ/view_article.php?article_id=522

DOI: http://dx.doi.org/10.3132/pcrj.2007.00077

Article web page: http://www.thepcrj.org/journ/view_article.php?article_id=522

PDF  http://www.thepcrj.org/journ/vol16/16_6_357_362.pdf

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