التفاصيل البيبلوغرافية
| العنوان: |
The study of severe asthma in Latin America and Spain (1994-2004): characteristics of patients hospitalized with acute severe asthma |
| المؤلفون: |
Rodrigo, Gustavo Javier, Plaza, Vicente, Bellido-Casado, Jesús, Neffen, Hugo, Bazús, María Teresa, Levy, Gur, Armengol, Joseph |
| المصدر: |
Jornal Brasileiro de Pneumologia. July 2009 35(7) |
| بيانات النشر: |
Sociedade Brasileira de Pneumologia e Tisiologia, 2009. |
| سنة النشر: |
2009 |
| مصطلحات موضوعية: |
Status asthmaticus, Asthma/therapy, Hospitalization |
| الوصف: |
OBJECTIVE: Studies assessing the characteristics and management of patients hospitalized with asthma have been limited to a small number of facilities and have evaluated short time periods. The present study evaluated long-term changes among hospitalized asthma patients at a large number of facilities. METHODS: This was a retrospective, hospital-based observational case series, designated the Study of Severe Asthma in Latin America and Spain, which was conducted in Spain and in eight Latin-American countries. We reviewed the hospital records of 3,038 patients (age range, 15-69 years) hospitalized with acute severe asthma at one of nineteen tertiary-care hospitals in 1994, 1999 and 2004. RESULTS: Over time, the use of inhaled corticosteroids and long-acting β2 agonists increased significantly, whereas the use of theophylline as a controller medication decreased. The utilization of pulmonary function tests also increased. There was a significant reduction in the mean hospital stay (8.5 days, 7.4 days and 7.1 days in 1994, 1999 and 2004, respectively, p = 0.0001) and a significant increase in the mean of the lowest arterial pH at hospital admission. In contrast, there was a significant decrease in the proportion of cases in which PEF was determined in the emergency room (48.6% in 1994 vs. 43.5% in 2004, p = 0.0001). We found the quality of asthma management and care to be generally better in Spain than in Latin America. CONCLUSIONS: Although there have been certain improvements in the management of asthma between severe exacerbations and during hospitalization, asthma management remains suboptimal in Spain and, especially, in Latin America. |
| نوع الوثيقة: |
article |
| وصف الملف: |
text/html |
| اللغة: |
English |
| تدمد: |
1806-3713 |
| DOI: |
10.1590/S1806-37132009000700004 |
| URL الوصول: |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1806-37132009000700004 |
| Rights: |
info:eu-repo/semantics/openAccess |
| رقم الانضمام: |
edssci.S1806.37132009000700004 |
| قاعدة البيانات: |
SciELO |
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