A hospitalizaˋˋo por asma e a car那ncia de acompanhamento ambulatorial

作者:Sarinho; Emanuel; Queiroz; Gladys Reis e Silva de; Dias; Maria Laura Campelo de Melo; Silva; Alexandre Jorge Queiroz e
来源:Jornal Brasileiro de Pneumologia, 2007.
DOI:10.1590/S1806-37132007000400004

摘要

objective: to determine whether the children and adolescents with acute asthma attacks admitted to two public hospitals in the city of recife, brazil underwent outpatient follow-up treatment for the prevention and control of asthma. methods: a prospective case series study of hospitalized patients with asthma. the patients were asked to complete a questionnaire at admission in order to determine the frequency of prophylactic outpatient follow-up treatment. patients presenting two or more attacks of asthma that were responsive to bronchodilators were classified as having asthma. results: in the intervals between asthma attacks, 67% (112/167 - data regarding 2 patients were not available) of the patients had been treated only in the emergency room. although 53.3%(89/167 - data regarding 2 patients were not provided) of the patients had been referred to outpatient treatment, only 16% (27/169) had visited an outpatient asthma clinic regularly for preventive treatment, and only 13% (22/169) had used prophylactic medication. conclusion: most of the children and adolescents hospitalized with asthma had not undergone preventive outpatient follow-up treatment. various problems related to the health care system, such as non-referral for outpatient follow-up treatment at hospital discharge, limited access to outpatient clinics, and the cost of prophylactic medication, might have contributed to the low rate of outpatient follow-up treatment in the population studied. public health care policies that allow asthma control programs to work effectively should be implemented.

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