Asthma is a reversible airway obstructive disorder characterized by airway inflammation and bronchoconstriction with symptoms such as intermittent cough, wheeze and shortness of breath. Global Initiative for Asthma (GINA) guidelines are published annually to help in decreasing the morbidity and mortality associated with asthma by guiding management. In this study, we compared management in two different population subsets, patients from the indigent clinic and from the private insured clinic, and determined if there was a disparity in asthma management. METHODS: After approval from the Institutional Review Board, a retrospective chart review was conducted among all patients with the diagnosis of asthma in two Internal Medicine resident-run community clinics from January 2016 to November 2019. Baseline demographics, asthma severity, number of exacerbations requiring hospital visits, and medication management were reviewed.
Global Initiative for Asthma (GINA) guidelines published annually follow a systematic approach in asthma diagnosis and management looking at patients with signs and symptoms of asthma along with objective evaluations centered on pulmonary function testing (PFT). The aim of this study is to evaluate if GINA guidelines are being utilized in outpatient primary care clinics to diagnose asthma. METHODS: After approval from the Institutional Review Board, a retrospective chart review was conducted among patients with diagnosis of asthma in two primary care clinics from November 2019 to January 2020. Baseline demographics, severity of symptoms including number of ED visits for exacerbations in a year, documented PFT, serum IgE levels, and FeNO levels were obtained.
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