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Monitoring of Asthma Outpatients After Adapting Treatment to Meet International Guidelines
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Morell. Servei de Pneumologia. Hospital Universitari Vall d'Hebron. Pg. Vall d'Hebron, 119-129. 08035 Barcelona. España" ] ] ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2005-10-17" "fechaAceptado" => "2006-05-09" "PalabrasClave" => array:2 [ "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Key words" "identificador" => "xpalclavsec154580" "palabras" => array:3 [ 0 => "Asthma" 1 => "Education" 2 => "Adherence" ] ] ] "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec154581" "palabras" => array:3 [ 0 => "Asma" 1 => "Educación" 2 => "Adherencia" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "en" => array:1 [ "resumen" => "<span class="elsevierStyleSectionTitle">Objective</span><p class="elsevierStyleSimplePara elsevierViewall">Poor control of asthma treated in outpatient settings has been demonstrated. The aim of this study was to perform a short intervention, readily replicable in everyday practice, to try to improve control of asthma symptoms.</p> <span class="elsevierStyleSectionTitle">Patients and methods</span><p class="elsevierStyleSimplePara elsevierViewall">Two primary health care clinics made appointments with asthma patients to administer a questionnaire and adapt their treatment to the guidelines of the Global Initiative for Asthma. Patients also received an explanation of the disease lasting not more than 5 minutes. The protocol was repeated at a second visit 4 months later. Health care parameters were compared with those from the previous visit.</p> <span class="elsevierStyleSectionTitle">Results</span><p class="elsevierStyleSimplePara elsevierViewall">The characteristics of the 180 patients were as follows: 70% were women, 17% were smokers, 8% were illiterate, 46% had only primary education, 45% were in contact with cleaning products, and 63% had extrinsic asthma. The asthma severity was as follows: mild in 73%, moderate in 23%, and severe in 4%. Twenty-two percent had received previous explanations of the disease, 50% had a written treatment plan, 14% had a plan for exacerbations, and 54% were taking inhaled corticosteroids. The second appointment was kept by 110 (61%) of the patients, who showed differences with respect to the previous visit 4 months earlier in the percentage taking inhaled corticosteroids (78%, <span class="elsevierStyleItalic">P</span><.001), the number of visits to the physician (<span class="elsevierStyleItalic">P</span><.01), visits to the physician due to exacerbations (<span class="elsevierStyleItalic">P</span><.001), emergency visits to the outpatient clinic (<span class="elsevierStyleItalic">P</span><.002), and disease severity (<span class="elsevierStyleItalic">P</span><.02).</p> <span class="elsevierStyleSectionTitle">Conclusions</span><p class="elsevierStyleSimplePara elsevierViewall">This minimal clinical intervention reduced the need for visits to health care centers and improved the clinical control of the disease.</p>" ] "es" => array:1 [ "resumen" => "<span class="elsevierStyleSectionTitle">Objetivo</span><p class="elsevierStyleSimplePara elsevierViewall">Los pacientes asmáticos en régimen ambulato-rio muestran un deficiente control de su enfermedad. El objetivo de este estudio ha sido realizar una intervención cor-ta, y factible de repetir en la práctica, con el fin de intentar mejorar dicho control.</p> <span class="elsevierStyleSectionTitle">Pacientes y métodos</span><p class="elsevierStyleSimplePara elsevierViewall">Se citó a los pacientes asmáticos de 2 centros de asistencia primaria para encuestarles, adaptar el tratamiento según las recomendaciones de la GINA (Global Initiative for Asthma) y explicarles en 5 min en qué consista la enfermedad. A los 4 meses se realizó una segunda visita repitiendo el protocolo. Se compararon los paráme-tros asistenciales de los 4 meses anteriores a cada visita.</p> <span class="elsevierStyleSectionTitle">Resultados</span><p class="elsevierStyleSimplePara elsevierViewall">De las características clínicas de los 180 pacientes destaca que un 70% eran mujeres, un 17% fumaba, un 8% eran analfabetos, un 46% únicamente tenía estudios primarios, un 45% estaba en contacto con productos de lim-pieza y en un 63% el asma era extrínseca. Por lo que se re-fiere a la gravedad del asma, en un 73% ésta era leve, en un 23%, moderada y en un 4%, grave. Un 22% había recibido explicaciones sobre su enfermedad, un 50% tenía el tratamiento por escrito, un 14% tenía un plan para las exacerba-ciones y el 54% recibía corticoides inhalados. Los 110 (61%) que acudieron a la segunda visita mostraron diferencias, en los 4 meses previos a cada visita, en el tratamiento con corticoi-des inhalados (78%, p < 0,001) en el número de visitas a su médico (p < 0,01), en las visitas por agudización a su médico (p < 0,001) y a urgencias en su ambulatorio (p < 0,002), y también en el estadio de la enfermedad (p < 0,02).</p> <span class="elsevierStyleSectionTitle">Conclusiones</span><p class="elsevierStyleSimplePara elsevierViewall">Esta actuación clínica mínima ha reduci-do la frecuentación a los centros asistenciales y ha mejorado el grado de control clínico de los pacientes.</p>" ] ] "NotaPie" => array:1 [ 0 => array:1 [ "nota" => "<p class="elsevierStyleNotepara">This study received partial funding from RedRespira-ISCiii-RTIC-03/11 and a grant from the Fundació Catalana de Pneumologia (FUCAP-Astra).</p>" ] ] "bibliografia" => array:2 [ "titulo" => "REFERENCES" "seccion" => array:1 [ 0 => array:1 [ "bibliografiaReferencia" => array:28 [ 0 => array:3 [ "identificador" => "bib1" "etiqueta" => "1" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Estudio Europeo del Asma. 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| Year/Month | Html | Total | |
|---|---|---|---|
| 2024 November | 3 | 2 | 5 |
| 2024 October | 37 | 16 | 53 |
| 2024 September | 36 | 24 | 60 |
| 2024 August | 49 | 32 | 81 |
| 2024 July | 25 | 20 | 45 |
| 2024 June | 29 | 32 | 61 |
| 2024 May | 40 | 45 | 85 |
| 2024 April | 17 | 22 | 39 |
| 2024 March | 17 | 13 | 30 |
| 2024 February | 16 | 16 | 32 |
| 2023 March | 2 | 2 | 4 |
| 2023 February | 21 | 21 | 42 |
| 2023 January | 15 | 24 | 39 |
| 2022 December | 25 | 29 | 54 |
| 2022 November | 15 | 24 | 39 |
| 2022 October | 19 | 26 | 45 |
| 2022 September | 19 | 21 | 40 |
| 2022 August | 18 | 39 | 57 |
| 2022 July | 15 | 35 | 50 |
| 2022 June | 16 | 34 | 50 |
| 2022 May | 19 | 33 | 52 |
| 2022 April | 17 | 29 | 46 |
| 2022 March | 19 | 39 | 58 |
| 2022 February | 16 | 25 | 41 |
| 2022 January | 17 | 29 | 46 |
| 2021 December | 14 | 45 | 59 |
| 2021 November | 14 | 43 | 57 |
| 2021 October | 50 | 57 | 107 |
| 2021 September | 39 | 67 | 106 |
| 2021 August | 37 | 28 | 65 |
| 2021 July | 19 | 23 | 42 |
| 2021 June | 10 | 30 | 40 |
| 2021 May | 13 | 28 | 41 |
| 2021 April | 28 | 50 | 78 |
| 2021 March | 19 | 22 | 41 |
| 2021 February | 13 | 17 | 30 |
| 2021 January | 14 | 13 | 27 |
| 2020 December | 7 | 9 | 16 |
| 2020 November | 16 | 12 | 28 |
| 2020 October | 7 | 8 | 15 |
| 2020 September | 6 | 4 | 10 |
| 2020 August | 12 | 7 | 19 |
| 2020 July | 8 | 11 | 19 |
| 2020 June | 7 | 3 | 10 |
| 2020 May | 18 | 18 | 36 |
| 2020 April | 13 | 14 | 27 |
| 2020 March | 10 | 12 | 22 |
| 2020 February | 17 | 13 | 30 |
| 2020 January | 13 | 11 | 24 |
| 2019 December | 10 | 7 | 17 |
| 2019 November | 9 | 9 | 18 |
| 2019 October | 11 | 4 | 15 |
| 2019 September | 10 | 15 | 25 |
| 2019 August | 8 | 5 | 13 |
| 2019 July | 11 | 12 | 23 |
| 2019 June | 8 | 6 | 14 |
| 2019 May | 12 | 5 | 17 |
| 2019 April | 16 | 10 | 26 |
| 2019 March | 8 | 11 | 19 |
| 2019 February | 6 | 9 | 15 |
| 2019 January | 8 | 10 | 18 |
| 2018 December | 4 | 9 | 13 |
| 2018 November | 26 | 12 | 38 |
| 2018 October | 32 | 17 | 49 |
| 2018 September | 13 | 9 | 22 |
| 2018 May | 3 | 1 | 4 |
| 2018 April | 11 | 8 | 19 |
| 2018 March | 3 | 3 | 6 |
| 2018 February | 5 | 7 | 12 |
| 2018 January | 8 | 4 | 12 |
| 2017 December | 6 | 8 | 14 |
| 2017 November | 4 | 5 | 9 |
| 2017 October | 5 | 4 | 9 |
| 2017 September | 2 | 8 | 10 |
| 2017 August | 7 | 11 | 18 |
| 2017 July | 2 | 2 | 4 |
| 2017 June | 7 | 10 | 17 |
| 2017 May | 5 | 5 | 10 |
| 2017 April | 2 | 3 | 5 |
| 2017 March | 2 | 3 | 5 |
| 2017 February | 0 | 3 | 3 |
| 2017 January | 1 | 2 | 3 |
| 2016 December | 8 | 5 | 13 |
| 2016 November | 7 | 5 | 12 |
| 2016 October | 16 | 14 | 30 |
| 2016 September | 5 | 6 | 11 |
| 2016 August | 5 | 4 | 9 |
| 2016 July | 3 | 4 | 7 |
| 2016 March | 1 | 0 | 1 |
| 2016 February | 1 | 0 | 1 |
| 2015 December | 3 | 0 | 3 |
| 2015 October | 31 | 12 | 43 |
| 2015 September | 37 | 5 | 42 |
| 2015 August | 36 | 8 | 44 |
| 2015 July | 41 | 7 | 48 |
| 2015 June | 30 | 3 | 33 |
| 2015 May | 35 | 4 | 39 |
| 2015 April | 24 | 9 | 33 |
| 2015 March | 27 | 9 | 36 |
| 2015 February | 18 | 4 | 22 |
| 2015 January | 23 | 2 | 25 |
| 2014 December | 21 | 4 | 25 |
| 2014 November | 18 | 4 | 22 |
| 2014 October | 29 | 7 | 36 |
| 2014 September | 24 | 3 | 27 |
| 2014 August | 27 | 6 | 33 |
| 2014 July | 20 | 9 | 29 |
| 2014 June | 40 | 6 | 46 |
| 2014 May | 31 | 9 | 40 |
| 2014 April | 35 | 8 | 43 |
| 2014 March | 46 | 5 | 51 |
| 2014 February | 30 | 9 | 39 |
| 2014 January | 26 | 7 | 33 |
| 2013 December | 33 | 9 | 42 |
| 2013 November | 24 | 6 | 30 |
| 2013 October | 25 | 6 | 31 |
| 2013 September | 31 | 10 | 41 |
| 2013 August | 32 | 7 | 39 |
| 2013 July | 33 | 11 | 44 |
| 2013 June | 19 | 6 | 25 |
| 2013 May | 29 | 7 | 36 |
| 2013 April | 11 | 2 | 13 |
| 2013 March | 8 | 3 | 11 |
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