Impacto del asma en escolares de dos centros de salud primaria / Impact of asthma among primary attention children
Rev. méd. Chile
;
138(2): 205-212, feb. 2010. tab
Article
in Spanish
| LILACS
| ID: lil-546212
ABSTRACT
Background:
Asthma is one of the chronic diseases that generate an impact on quality of life and major health care expenses.Aim:
To evaluate the impact of asthma on primary attention expenses, the health related quality of life (HRQOL) and the sanitary resources use. Material andMethods:
Follow up of a cohort of 56 asthmatic children aged 6 to 14 years (56 percent women), during 12 months. The severity and the impact of the disease on HRQOL was assessed using the International Study of Asthma and Allergies in Childhood (ISAAC) video questionnaire and the Pediatric Asthma Quality of Life Questionnaire (PAQLQ) respectively Costs were derived from the number of medical attentions, hospital admissions, medication requirements, school absenteeism among patients and work absenteeism among caregivers.Results:
Patients required twice the number of medical attentions than the general population. Fourteen percent of children had severe asthma. Compared with subjects without severe asthma, the latter required more attentions (3.8 and 9.7 attentions per year respectively, p< 0.01), had a lower PAQLQ score (4.1 ±0.11 and 5.2 ± 1 respectively, p< 0.05) and a higher school absenteeism (10 and 27 days per year respectively, p < 0.01). Medication use was not different between patients with and without severe asthma. They early cost per patient was $ 106,550 (Chilean pesos).Conclusions:
Asthma has a great impact on HRQOL and the use of primary attention resources, specially those children with severe asthma.
Full text:
Available
Index:
LILACS (Americas)
Main subject:
Primary Health Care
/
Quality of Life
/
Asthma
/
Health Care Costs
/
Health Expenditures
Type of study:
Qualitative research
Limits:
Adolescent
/
Child
/
Female
/
Humans
/
Male
Language:
Spanish
Journal:
Rev. méd. Chile
Journal subject:
Medicine
Year:
2010
Type:
Article
Affiliation country:
Chile
/
United States
Institution/Affiliation country:
Ministerio Nacional de Salud/CL
/
Pontificia Universidad Católica de Chile/CL
/
University of Cork/US
Similar
MEDLINE
...
LILACS
LIS