Experiencia de un Programa de Control de Asma Bronquial en Puerto Montt, Chile / Report of a bronchial asthma control program in Puerto Montt, Chile
Rev. chil. enferm. respir
;
22(2): 93-97, jun. 2006. graf, tab
Article
in Spanish
| LILACS
| ID: lil-436521
ABSTRACT
Asthma is a disease with a variable clinical behaviour and usually insufficiently treated and managed. Methods:
An Asthma Control Program was implemented in Puerto Montt, Chile, with the out patient participation of the primary medical care system. This Program classifies the asthmatic patients by using preestablished criteria of severity. We analyzed the evolution of 135 patients through six quarterly medical controls covering 18 months of follow up.Results:
Patients diminished progressively and significantly their severity levels and their daily and nocturnal symptoms. Besides a significant increase of physical capacity (p = 0.001) and peak expiratory flow (PEF) (p = 0.0001) was observed. A series of severe asthmatic patients (12.5 percent) was identified. This group concentrated most of the emergency consultations and hospitalizations.Conclusions:
An organized management of asthmatic patients has allowed us to show objectively clinical improvements in these patients after entering to this programRESUMEN
El asma es una patología de comportamiento clínico variable y generalmente sub tratada. Material y métodos:
En Puerto Montt se implementó un Programa de Control de Asma Bronquial integrado con el nivel primario de atención, que clasifica los pacientes usando criterios de gravedad. Se analizó la evolución de 135 asmáticos en 6 controles trimestrales cubriendo 18 meses de seguimiento.Resultados:
Hubo disminución progresiva y significativa de los niveles de severidad, de síntomas diurnos y nocturnos, aumento de la capacidad de ejercicio (p = 0,001) y del flujo espiratorio máximo (PEF) (0,0001). Se identificó un subgrupo de asmáticos graves (12,5 por ciento) responsables de la gran mayoría de las consultas en urgencia y de las hospitalizaciones.Conclusiones:
El manejo organizado de los pacientes asmáticos permitió obtener ventajas clínicas objetivables
Full text:
Available
Index:
LILACS (Americas)
Main subject:
Asthma
/
Health Programs and Plans
/
Severity of Illness Index
Type of study:
Observational study
/
Prognostic study
Limits:
Child
/
Humans
Country/Region as subject:
South America
/
Chile
Language:
Spanish
Journal:
Rev. chil. enferm. respir
Journal subject:
Pulmonary Disease (Specialty)
Year:
2006
Type:
Article
Affiliation country:
Chile
Institution/Affiliation country:
Hospital de Puerto Montt/CL
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