Home intervention in the treatment of asthma among inner-city children
Home intervention in the treatment of asthma among inner-city children
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DOI：
10.1067/mai.2001.119155
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发表时间：
2001-11-01
影响因子：
14.2
通讯作者：
Platts-Mills, TAE
中科院分区：
文献类型：
--
作者：
Carter, MC;Perzanowski, MS;Platts-Mills, TAE
背景资料：在亚特兰大，与美国其他主要城市地区一样，哮喘是学校缺勤、急诊和住院的主要原因。最近的哮喘管理指南建议减少暴露于相关的过敏原，但这种形式的治疗的可行性和有效性尚未建立在children living in poverty.Objective：我们试图调查过敏原避免作为一种治疗哮喘的内城儿童。亚特兰大市的104名哮喘儿童参加了一项不进行皮肤测试的对照试验。这些儿童被随机分为主动回避组、安慰剂回避组和第二个对照组，第二个对照组在第一年结束前不进行家访。避免包括床和枕头套，热洗床上用品，蟑螂诱饵。85名儿童完成了这项研究，结果被测量为计划外的门诊就诊、急诊就诊、因哮喘住院以及螨和蟑螂过敏原水平的变化。结果：在家庭访问的儿童中，哮喘急性就诊率显著下降（P
Background: In Atlanta, as in other major urban areas of the United States, asthma is a leading cause of school absenteeism, emergency department use, and hospitalization. Recent guidelines for asthma management recommend reducing exposure to relevant allergens, but neither the feasibility nor the efficacy of this form of treatment has been established for children living in poverty.Objective: We sought to investigate allergen avoidance as a treatment for asthma among inner-city children.Methods: One hundred four children with asthma living in the city of Atlanta were enrolled into a controlled trial of avoidance without being skin tested. The children were randomized to an active avoidance group, a placebo avoidance group, and a second control group for which no house visits occurred until the end of the first year. Avoidance included bed and pillow covers, hot washing of bedding, and cockroach bait. Eighty-five children completed the study, and the outcome was measured as unscheduled clinic visits, emergency department visits, and hospitalization for asthma, as well as changes in mite and cockroach allergen levels.Results: There was a significant decrease in acute visits for asthma among children whose homes were visited (P