Asmáticos brasileiros: o tratamento desejado

Holanda, Márcia Alcântara

doi:10.1590/s0102-35862000000300001

Cited by 9 publications

(11 citation statements)

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“…In our study, it is difficult to ascer-tain whether the absence of regular medical care and underuse of antiinflammatory drugs are patient-or doctor-related factors. Holanda (33) reported a survey among the main coordinators of asthma management in 10 capitals of Brazil. All the participants reported that no inhaled drugs were available in the primary care units, that there was an unmet demand for anti-asthma drugs, and that few specialized asthma outpatient services existed in the nonacademic public health services.…”

Section: Referencesmentioning

confidence: 99%

“…All the participants reported that no inhaled drugs were available in the primary care units, that there was an unmet demand for anti-asthma drugs, and that few specialized asthma outpatient services existed in the nonacademic public health services. The author concluded that management of lowincome patients with asthma was behind the most recent international asthma management guidelines (33).…”

Section: Referencesmentioning

confidence: 99%

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Characterization of autopsy-proven fatal asthma patients in São Paulo, Brazil

Mauad

Ferreira

Costa

et al. 2008

Rev Panam Salud Publica

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Few data are available on autopsy-proven fatal asthma patients in São Paulo, Brazil. We characterized 73 asthma patients who were autopsied at the Serviço de Verificação de Obitos da Universidade de São Paulo between 1996 and 2004. An interview with the next of kin assessed socioeconomic status, history, and treatment of asthma. There were 42 women and 31 men. Fifty-six (76.7%) of them were older than 34 years. Sixty-three percent were Caucasians, 77.3% had < 8 years of schooling, and the median income was 1.6 times the minimum wage. Twenty-two patients (30.1%) were smokers and 14 (19.2%) were ex-smokers. Only 25 (34.2%) patients were regularly followed by a doctor. Only 12.3% received inhaled steroids. Thirty-five patients (47.9%) had moderate-to-severe asthma. Fifty-five (75.3%) deaths took place outside a hospital. We conclude that this population shares characteristics of severe or poorly controlled asthma, low educational and socioeconomic levels, and lack of medical care and of inhaled steroid use.

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Section: Referencesmentioning

confidence: 99%

Section: Referencesmentioning

confidence: 99%

Characterization of autopsy-proven fatal asthma patients in São Paulo, Brazil

Mauad

Ferreira

Costa

et al. 2008

Rev Panam Salud Publica

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“…(5) These interventions can result in a reduction in the number of asthmarelated hospital admissions in specific groups or in severe cases of asthma. (6) However, there are no studies suggesting an overall reduction in hospital morbidity among the patients treated within the public health care system.…”

Section: Introductionmentioning

confidence: 99%

Redução do número de internações hospitalares por asma após a implantação de programa multiprofissional de controle da asma na cidade de Londrina

Neto¹,

Filho

Bueno³

et al. 2008

J. bras. pneumol.

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Objective: To evaluate the relationship between the reduction in the number of asthma-related hospital admissions and the changes occurring after the intervention performed in the health care system of the city of Londrina, Brazil. Methods: In 2003, an intervention was performed in the local health care system (Family Health Clinics) The steps adopted were as follows: development of a protocol based on the III Brazilian Consensus on Asthma Management; access to free inhaled corticosteroids for patients; training of health professionals; and implementation of educational measures, especially for the community. The authorizations for hospital admission of patients diagnosed with asthma alone between 2002 and 2005 in the city of Londrina were analyzed. Results: The mean age was 14.3 ± 0.5 years, without gender predominance. The number of hospital admissions fell more markedly in 2005 than in the previous years studied. This decline was more pronounced at the Family Health Clinics where professional training occurred earlier. The post-intervention (2004The post-intervention ( -2005 rate of asthma-related hospital admissions (120/100,000 inhabitants) was significantly lower than the pre-intervention (2002)(2003) rate (178/100,000 inhabitants; p < 0.01). Conclusions: The admission curve showed a tendency toward a reduction after 2003, and, aside from the intervention performed, no other factors that would explain the results obtained were identified. The rate at which the number of hospital admissions decreased was in direct proportion to the length of time elapsed since the intervention (greater decreases over time). We conclude that the intervention performed in the local health care system was responsible for the data presented.

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“…Inappropriate asthma management in lowincome patients was attributed to lack of appropriate medication, insufficient resources to purchase such medication, and functional difficulties related to public service. (16) The objective of the present study was to identify the management of asthma attacks in children up to five years of age treated in an emergency room of a hospital in the greater metropolitan area of the city of Recife, Brazil, as well as to determine whether the way in which asthma attacks are managed can influence the duration of emergency room visits for such children. The guidelines established in the 2002 III Brazilian Consensus on Asthma Management (BCAM) were used as parameters.…”

Section: Introductionmentioning

confidence: 99%

Comparação entre o tratamento farmacológico aplicado em crianças de zero a cinco anos atendidas em uma unidade de emergência e as diretrizes do III Consenso Brasileiro no Manejo da Asma

2007

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Objective: To evaluate the management of asthma attacks in children up to five years of age treated in the pediatric emergency room of a hospital in the metropolitan area of the city of Recife, Brazil, as well as to determine whether the way in which asthma attacks are managed can influence the duration of emergency room visits for such children. Methods: A descriptive, exploratory study employing a quantitative, cross-sectional approach. The study sample comprised 246 children treated for asthma attacks in an emergency room. The approach used was evaluated in comparison with the approach recommended in the III Brazilian Consensus on Asthma Management, as was the length of time each child spent in the emergency room. Results: In 69 (28.1%) of the cases, the medications were used in accordance with the Consensus guidelines. In 34 (13.8%) of the cases, the doses used were those recommended in the Consensus guidelines, and the guidelines regarding nebulization procedures were followed in 33 cases (13.4%). No correlation was found between the approach taken and the length of the emergency room visit. In the logistic regression analysis, we observed that the adjusted risk of being released from the emergency room sooner than recommended in the Consensus guidelines (a length of time sufficient to allow the response to the treatment to be analyzed) was four times and fifteen times greater, respectively, for children with mild persistent asthma and for those with intermittent asthma. Conclusion: Although there are obstacles to using the asthma management approach recommended in the Consensus guidelines (such obstacles including the lack of familiarity with the guidelines on the part of the multidisciplinary team, as well as the lack of recommended material and therapeutic resources), the duration of emergency room visits was found to be related to the degree of asthma severity.

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Asmáticos brasileiros: o tratamento desejado

Cited by 9 publications

References 0 publications

Characterization of autopsy-proven fatal asthma patients in São Paulo, Brazil

Characterization of autopsy-proven fatal asthma patients in São Paulo, Brazil

Redução do número de internações hospitalares por asma após a implantação de programa multiprofissional de controle da asma na cidade de Londrina

Comparação entre o tratamento farmacológico aplicado em crianças de zero a cinco anos atendidas em uma unidade de emergência e as diretrizes do III Consenso Brasileiro no Manejo da Asma

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