A hospitalização por asma e a carência de acompanhamento ambulatorial

Abstract

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.

Temporal and Spatial Trends in Childhood Asthma-Related Hospitalizations in Belo Horizonte, Minas Gerais, Brazil and Their Association with Social Vulnerability

“…New studies, exploring the indoor and outdoor environmental factors are necessary to understand better the persistence of asthma in geographic areas of greater social vulnerability, especially in cities where health care access policies have been implemented. In addition, studies to assessing the patients’ adherence to treatments are welcomed in order to further understand the increment of the cases [ 34 ].…”

Avaliação de um programa de controle da asma em unidades de saúde da família

“…Londrina, Paraná, Brasil, 2007. procurado atendimento em serviços de urgência em um período de doze meses anteriores à admissão em ambulatório de pneumologia. Estudo realizado por Sarinho et al 17 , em Recife (Pernambuco), verificou que a maioria dos pacientes asmáticos ainda era atendida exclusivamente em serviços de urgência, evidenciando que, apesar da importância do acompanhamento preventivo, ele se encontra longe de ser uma realidade acessível a toda população. O sofrimento e os gastos com internações e atendimentos de urgência poderiam ser minimizados se o acesso aos serviços de saúde em nível ambulatorial fosse facilitado, e se fosse efetivamente implantada uma política nacional de acompanhamento dos pacientes com asma.…”

Validation of scores of use of inhalation devices: valoration of errors

“…Asthma is a chronic inflammatory disease that causes airflow limitation and affects the performance of activities of daily living. 1 Pharmacological treatment is essential 2 and is aimed at achieving and maintaining clinical asthma control. 1 Inhalation is the most widely used approach for the treatment of asthma because it allows drugs to reach the lungs in a selective manner, increasing drug concentration in the airways and reducing systemic adverse effects.…”

“…A asma é uma doença crônica inflamatória que limita o fluxo aéreo e pode impedir que os pacientes exerçam suas atividades diárias adequadamente. 1 O tratamento farmacológico é essencial 2 e tem como objetivo alcançar e manter o controle clínico da doença. 1 A inalação é a via mais utilizada para o tratamento da asma porque permite que os medicamentos alcancem seletivamente os pulmões, com maior concentração do fármaco nas vias aéreas, reduzindo os efeitos adversos sistêmicos.…”