| Trigger recognition and management in poorly controlled asthmatics. | |
| | |
MedLine Citation:
|
PMID: 20977834 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
Previous studies using cross-sectional designs suggest that asthma trigger recognition and management are suboptimal in clinical practice. The objective of this study was to assess gaps between asthma guideline recommendations and clinical practice regarding asthma trigger recognition and management by tracking poorly controlled asthma patients over a 2-year period. A retrospective cohort study of a representative sample of 102 children and adult residents of Olmsted County, MN, with poor asthma control in 2003-2004 was performed. All medical records from each asthma-related visit were examined for documented asthma trigger inquiries, specific trigger avoidance advice, and for adherence to the trigger avoidance advice. One hundred two subjects made 686 asthma-related visits that were included for analysis. At least 1 trigger inquiry occurred in 83% of visits, with an average of 2.0 triggers queried per visit. The most common trigger inquiries were for infection (47%), environmental tobacco smoke (41%), and allergens (29%). The mean number of triggers queried was higher during exacerbation visits versus nonexacerbation visits (2.1 versus 1.8; p < 0.001) and in the emergency care settings compared with outpatient settings (2.4 versus 1.7; p < 0.001). Advice for managing asthma triggers was given in 30% of visits and adherence to trigger advice was evaluated at 6% of visits. Future interventions for improving asthma trigger management should be targeted to routine asthma outpatient visits, where trigger avoidance advice is infrequent and rarely addressed in follow-up visits. |
| | |
Authors:
|
Matthew A Rank; Peter Wollan; James T Li; Barbara P Yawn |
Related Documents
:
|
18327774 - Fibular free flaps in the management of osteomyelitis of the mandible. 10567594 - Challenges in changing to non-chlorofluorocarbon inhalers in the treatment of asthma. 22094244 - Case study: determinants for successful marketing authorisation of orphan medicinal pro... 1829484 - Intraovarian abscess treated with laparoscopic aspiration and povidone-iodine lavage. a... 20207924 - Treatment of cervical dysplasia with the fischer cone biopsy excisor in a family medici... 19780934 - A survey of evidence in the journal of veterinary internal medicine oncology manuscript... |
Publication Detail:
|
Type: Journal Article; Research Support, N.I.H., Extramural; Research Support, Non-U.S. Gov't Date: 2010-10-25 |
Journal Detail:
|
Title: Allergy and asthma proceedings : the official journal of regional and state allergy societies Volume: 31 ISSN: 1539-6304 ISO Abbreviation: Allergy Asthma Proc Publication Date: 2010 Nov-Dec |
Date Detail:
|
Created Date: 2011-06-28 Completed Date: 2011-11-01 Revised Date: 2012-04-23 |
Medline Journal Info:
|
Nlm Unique ID: 9603640 Medline TA: Allergy Asthma Proc Country: United States |
Other Details:
|
Languages: eng Pagination: 99-105 Citation Subset: IM |
Affiliation:
|
Division of Allergic Diseases, Mayo Clinic, Rochester, Minnesota, USA. rank.matthew@mayo.edu |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Adult Advance Directive Adherence* / statistics & numerical data Asthma / epidemiology*, immunology*, physiopathology Child Cohort Studies Delivery of Health Care Female Follow-Up Studies Humans Immunization* / statistics & numerical data Male Minnesota Patient Education as Topic Practice Guidelines as Topic* Retrospective Studies |
| Grant Support | |
ID/Acronym/Agency:
|
R01 AG034676/AG/NIA NIH HHS; R01 AG034676-47/AG/NIA NIH HHS; R01 AR030582-43/AR/NIAMS NIH HHS; R01 AR30582/AR/NIAMS NIH HHS |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Identical twin Hispanic male infants with nonbilious nonbloody vomiting and diarrhea.
Next Document: 'An interventional urology list' - a novel concept for UK urological services.