Are International Asthma Guidelines effective for low-income Brazilian children with asthma?
Are International Asthma Guidelines effective for low-income Brazilian children with asthma?
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DOI：
10.1183/09031936.98.12010035
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发表时间：
1998-07-01
影响因子：
24.3
通讯作者：
Martins, MA
中科院分区：
文献类型：
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作者：
Cabral, ALB;Carvalho, WAF;Martins, MA
本研究旨在评估国际哮喘指南在巴西圣保罗低收入哮喘儿童中的有效性。对50名患有中度或重度哮喘的儿童进行评估。采用教育前和教育后设计，在1年随访期前后对患者进行评估，患者作为自己的对照，在项目前和项目后1年对家长进行访谈。大多数儿童从他们的初级医生那里得到的医疗照顾不足，主要是支气管扩张剂。在教育方案与主要以吸入类固醇为基础的医疗治疗相结合之后，急诊室就诊次数减少，不需要住院。哮喘严重程度和损害评分也有显著下降(p
The present study was designed to evaluate the effectiveness of International Asthma Guidelines in low-income asthmatic children in the city of Sao Paulo, Brazil.Fifty children with moderate or severe asthma were evaluated. Patients were evaluated before and after a 1 yr follow-up period using a pre- and post-education design with patients acting as their own controls, Parents were interviewed before and 1 yr after the programme.Most of the children were receiving inadequate medical care from their primary physicians, based mainly on bronchodilators, After the educational programme combined with a medical treatment based mainly on inhaled steroids, there was a decrease in emergency room visits and no need for hospital admissions. There was also a significant decrease in asthma severity and impairment scores (p