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Órgano Oficial del Colegio Mexicano de Alergia, Asma e Inmunología Pediátrica y de la Asociación Latinoamericana de Pediatría

2002, Number 2

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Alerg Asma Inmunol Pediatr 2002; 11 (2)

Asthma clinic: Is really useful?

Lara-Pérez EA

Language: Spanish
References: 28
Page: 41-47
PDF size: 161.37 Kb.


ABSTRACT

Introduction: The asthma programs are inoperative, because of the low use of the PEF (peak expiratory flow) and the excessive use of ambulatory therapy. Objective: To compare the PEF in the crisis and the intercrisis, and the medical therapy in the intercrisis period, between the ones that assist and do not assist to the asthma clinic. Material and methods: It was compared the PEF in crisis and intercrisis and the medical therapy in the intercrisis period. Group I; they attend, Group II; they do not attend to the “asthma clinic”. Results: One hundred and twenty eight asthmatic scholastics, 64 by group; Group I; difference of the crisis PEF values between incomes/outcomes 60 L/min (medium values). Group II; differences of the crisis PEF values between incomes/outcomes 87.5 L/min (medium values). Intercrisis; Group I; 87.5 L/min PEF, existing a relation between average values (66.04%) of the group compared with the normal average values. Group II; 102.5 L/min of PEF which correspond to 71.25% of the normal average values. When classifying the severity of the crisis; there were no significant differences between the groups. Group I medicines 95.31%, Group II; 51.56%. Discussion: Without using the PEF, we will not be able to verify the benefits of the therapy, and the training. We must insist on the family participation for the best asthma control. Conclusions: The Lack of information and training in the PEF usefulness, the values of PEF are better during crisis and intercrisis in childrens that do not attend to the “asthma clinic”.


REFERENCES

  1. Meza-Morales A. Uso de esteroides en niños asmáticos. Rev Alergia de México 1995; 4: 74-77.

  2. Cuba. Ministerio de Salud Pública. Objetivos, propósitos y directrices para incrementar la salud de la población cubana 1992-2000. La Habana: Editorial Ciencias Médicas 1992.

  3. 3, Cuba. Ministerio de Salud Pública. Informe anual de datos estadísticos. Cuba 1996.

  4. Rodríguez de la Vega A. Investigación sobre la prevalencia de asma bronquial en Cuba. Rev Cubana Adm Salud 1983; 9: 95-118.

  5. British Thoracic Society. The British guidelines on asthma management. 1995 review and position statement. Thorax 1997; 52 (Suppl. 1): S1-S21.

  6. Lara-Pérez EA. Flujo espiratorio máximo en asmáticos asintomáticos. Archiv Invest Ped Mex 2000; 3; 9: 343-48.

  7. Lara-Pérez EA. Flujo espiratorio máximo en escolares sanos. Archiv Invest Ped Mex 1999; 5: 165-70

  8. Donaghy D. The asthma specialist and patient education. Prof Nurse 1995; 11: 160-2.

  9. Salmún N, Kohan M. Fundaler y la educación del asmático y su familia. Arch Argent Alergia Inmunol Clin 1994; 25: 254-8.

  10. Arias-Díaz A, Pernas-Gómez M, Martín G. Aplicación de un programa de entrenamiento para el automanejo del asma bronquial. Rev Cubana Med Gen Integr 1998; 14: 335-9

  11. Kotses H. A self management program for adult asthma part I: development evaluation. J Allergy Clin Immunol 1995; 95: 259-40.

  12. Ignacio García JM, González Santos P. Asthma self/management education program by name monitoring of peak expiratory flow. Am J Respir Crit Care Med 1995; 195: 353-9.

  13. Department of Health and Human Services International Consensus. Report and Diagnosis and Management of Asthma, 1992.

  14. Mendenhall AB, Tsien AY. Evaluation of physician and patient compliance with the use of peak flow meters in commercial insurance and Oregon health plan asthmatic populations. Ann Allergy Asthma Immunol 2000; 84: 523-527.

  15. Boggs PB, Wheeler D, Washburne WF, Hayati F. Peak expiratory flow rate control chart in asthma care: chart construction and use in asthma care. Ann Allergy Asthma Immunol 1998; 81: 552-62.

  16. Boland M. Lo que esperan los pacientes de los médicos. Foro Mundial de la Salud 1995; 16: 251-5.

  17. Nutting P. Métodos de evaluación de la calidad en atención primaria. Guías para clínicos. Barcelona: Ediciones S.G, 1991:114.

  18. Mendoza GR. Peak flow monitoring at home: an interactive process between you and your physician. In: Spector A, editor. Understanding asthma. Palatine III: American College of Allergy and Immunology 1989; 155-62

  19. British Thoracic Society. The British guidelines on asthma management. 1995 review and position statement. Thorax 1997; 52 (Suppl. 1): S1-S21.

  20. Alcock SM, Mamun M, Prescott RJ, Connolly CK. Symptoms and pulmonary function in asthma. Respir Med 1998; 92: 6: 849-57.

  21. Weytjens K, Malo JL, Cartier A, Ghezzo H, Delwiche JP, Vandenplas O. Comparison of peak expiratory flows and FEV1 in assessing immediate asthmatic reactions due to occupational agents. Allergy 1999; 54: 621-5.

  22. Thiadens HA, De Bock GH, Van Houwelingen JC, Dekker FW, De Waal MW, Springer MP, Postma DS. Can peak expiratory flow measurements reliably identify the presence of airway obstruction and bronchodilator response as assessed by FEV(1) in primary care patients presenting with a persistent cough? Thorax 1999; 54: 1055-60

  23. Emond SD, Woodruff PG, Lee EY, Singh AK, Camargo CA Jr. Effect of an emergency department asthma program on acute asthma care. Ann Emerg Med 1999; 34: 321-5.

  24. McCarren M, Zalenski RJ, McDermott M, Kaur K. Predicting recovery from acute asthma in an emergency diagnostic and treatment unit. Acad Emerg Med 2000; 7: 28-35.

  25. Abisheganaden J, Ng SB, Lam KN, Lim TK. Peak expiratory flow rate guided protocol did not improve outcome in emergency room asthma. Singapore Med J 1998; 39: 479-84.

  26. Nolan S, Tolley E, Leeper K, Strayhorn Smith V, Self T. Peak expiratory flow associated with change in positioning of the instrument: comparison of five peak flow meters. J Asthma 1999; 36: 291-4.

  27. Kokubu F, Nakajima S, Ito K, Makino S, Kitamura S, Fukuchi Y, Mano K, Sano Y, Inoue H, Morita Y, Fukuda K, Akiyama K, Adachi M, Miyamoto T . Hospitalization reduction by an asthma tele-medicine system. Arerugi 2000; 49: 19-31.

  28. Ueshima Y, Kikuchi T, Kaneko N, Kaneshige H, Suzuki H. Study of how to continue peak flow monitoring for patients with bronchial asthma: questionnaire to continuation and interruption patients. Arerugi 2000; 49: 420-7.




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