Scientific Elaboration of Evidence-based Focused Approach for Fulfillment of Aims: Experiences of an Asthma Clinic

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Scientific Elaboration of Evidence-based Focused Approach for Fulfillment of Aims: Experiences of an Asthma Clinic

September 18, 2020 Health 0

In this chapter the effectiveness of asthma clinic providing comprehensive care based has been
evaluated on the best available scientific evidence. This study was conducted in a tertiary care
hospital having a devoted asthma clinic for the comprehensive management and data of cases
managed from July 2014 to June 2016. Outcome measures were treatment direction, asthma control,
emergency visits, and hospitalizations. 260 children were treated over a 2-year period. The effects of
focused approach with progressive expertise lead to statistically significant benefits over the two
successive years from July 2014 to June 2015 and July 2015 to June 2016. These were in: (i)
Treatment direction: Cases requiring stepping up of treatment decreased from 36.49% to 17.24%
(relative risk [RR]: 0.473 [95% confidence interval {CI}: 0.249-0.895]); p=0.01229, (ii) asthma control:
Cases with not well-controlled asthma decreased from 16.44% to 7.02% (RR 0.427: [95% CI: 0.199-
0.914]); p=0.045, (iii) emergency department visits decreased from 35.62% to 21.05% (RR 0.591:
[95% CI: 0.39-0.897]), p=0.00766, (iv) hospitalizations decreased from 16.44% to 5.26% (RR 0.32:
[95% CI: 0.135-0.757]), p=0.00462. Establishing an asthma clinic and progressive expertise leads to
significant beneficial results.

Author (s) Details

Dr. Col Sunil Jain
Department of Pediatrics, Command Hospital (CC), Lucknow, Uttar Pradesh, India.

Dr. Col Rajeev Kumar Thapar
Department of Pediatrics, Command Hospital (CC), Lucknow, Uttar Pradesh, India.

Maj Abhishek Mallick
Department of Pediatrics, Command Hospital (CC), Lucknow, Uttar Pradesh, India.

Sudhanshu Tiwari
Department of Pediatrics, Command Hospital (CC), Lucknow, Uttar Pradesh, India.

Dakhane Yogesh
Department of Pediatrics, Command Hospital (CC), Lucknow, Uttar Pradesh, India.

Y. V. Abhijith
Department of Pediatrics, Command Hospital (CC), Lucknow, Uttar Pradesh, India.

View Book :- http://bp.bookpi.org/index.php/bpi/catalog/book/260

 

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