[Cost and management of asthma attacks treated in primary care (COAX Study)].

نویسندگان

  • J Molina París
  • G Lumbreras García
  • E Calvo Corbella
  • K Naberan Toña
  • M A Lobo Alvarez
چکیده

OBJECTIVES To estimate the cost and characterize the management of asthma attacks in primary care. DESIGN Prospective, observational study of 1 year's duration. Setting. 10 physician's offices at 9 primary care centers located in 5 provinces (Asturias, Barcelona, Cadiz, Madrid, and Valencia) of Spain. PARTICIPANTS 10 family physicians who saw 133 consecutive patients with an asthma attack. METHOD Prospective, observational study; no intervention was used. Direct and indirect costs arising from asthma attacks were calculated. Episodes were treated according to the physicians' habitually used procedures; the study protocol did not specify any predetermined intervention. RESULTS The attacks were classified as mild in 43.6% of the cases, moderately severe in 43.6%, and severe in 12.8%. Of all severe attacks, 17.2% occurred in patients with intermittent asthma. The more severe the attack, the less preventive treatment patients had received previously. The mean cost of asthma attacks was 166.7 (95% CI, 146.5-192.3); 80% (132.4) (95% CI, 122.7-143.8) were direct costs and 20% (34.3) (95% CI, 17-56.2) were indirect costs. The most economical management option was to change treatment, perform diagnostic tests and have the patient attend 2 follow-up appointments with the physician. CONCLUSIONS Mean cost of each asthma attack treated in primary care was 166.7 (95% CI, 146.5-192.3), of which 80% were direct costs and 20% indirect costs.

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

منابع مشابه

Development of a conceptual model for asthma management system in primary care

Introduction: Asthma is uncontrolled in more than half of asthma patients due to inadequate and incorrect management. The main reasons for inadequate management are non-adherence, inadequate knowledge of a general practitioner about patientchr('39')s clinical condition, and not following asthma management guidelines The purpose of this study was to develop a conceptual model for the asthma mana...

متن کامل

Predicting and reducing risk of exacerbations in children with asthma in the primary care setting: current perspectives

Childhood asthma is a very common condition in western countries and is becoming more prevalent worldwide. Asthma attacks (or exacerbations) affect the quality of life for child and parent, can rarely result in death, and also come at a cost for health care providers and the economy. The aims of this review were to 1) describe the burden of asthma exacerbations, 2) describe factors that might p...

متن کامل

بررسی ارتباط متغیرهای اقلیمی و بروز حملات آسم منجر به بستری در بیمارستان کودکان شهر خرم‌آباد از سال 1379 لغایت 1387

Background : Asthma is one of the commonest chronic childhood diseases and one of the main factors of hospital admission at these ages. The main causes of increasing death due to asthma are inability in the diagnosis and piddling the severity of the diseases, delay in the recourse and inappropriate treatment. Therefore the early diagnosis of children at risk for urgent admission in special care...

متن کامل

Cost-effectiveness analysis of subcutaneous immunoglobulin replacement therapy in Iranian patients with primary immunodeficiencies

    Background: Economic evaluation of subcutaneous immunoglobulin therapy (SCIG) is important, and it has recently been used for treatment of patients with primary immunodeficiency (PID) diseases, and can improve allocation of resources in health care systems. The present research aimed at providing an economic assessment of SCIG and IVIG (intravenous immunoglobulin therapy) adm...

متن کامل

Clinical Predictors of Intensive Care Unit Admission for Asthmatic Children

IntroductionChildren with severe asthma attack are a challenging group of patients who could be difficult to treat and leading to significant morbidity and mortality. Asthma attack severity is qualitatively estimated as mild, moderate and severe attacks and respiratory failure based on conditions such as respiration status, feeling of dyspnea, and the degree of unconsciousness. part of which ar...

متن کامل

ذخیره در منابع من


  با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

عنوان ژورنال:
  • Atencion primaria

دوره 36 1  شماره 

صفحات  -

تاریخ انتشار 2005