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Please use this identifier to cite or link to this item: http://repositorio.ufba.br/ri/handle/ri/12941

Title: Rapid reduction in hospitalisations after an intervention to manage severe asthma
Other Titles: European Respiratory Journal
Authors: Machado, Adelmir de Souza
Franco, R.
Ponte, Eduardo Vieira
Barreto, Mauricio Lima
Rodrigues, L. C.
Bousquet, Jean
Cruz Filho, Álvaro Augusto Souza da
Keywords: Asthma;Hospitalisation;Prevention;Treatment
Issue Date: 2010
Abstract: Asthma is the third cause of hospitalisations due to clinical illnesses in Brazil. The Programme for Control of Asthma in Bahia (ProAR) leads an initiative in Salvador City (Brazil) to manage severe asthma for free. The aim of this study was to identify trends in asthma hospitalisation in the entire city and to evaluate the impact of ProAR. Information on asthma hospitalisations from 1998 to 2006 was collected. We analysed trends in Salvador (2.8 million inhabitants) before and after ProAR, taking pneumonia and myocardial infarction into account for local comparison. As an external control we obtained information on asthma from Recife, which is the most comparable Brazilian city. In Salvador, asthma hospital admissions declined by 82.3% (1998–2006). A greater proportion of this reduction (74%) occurred after 2003, in parallel with the implementation of ProAR. The reduction in asthma admissions in Recife was smaller. The rates of hospitalisation in 2006 were 2.25 per 10,000 inhabitants in Salvador and 17.06 in Recife. In Salvador, we found an inverse correlation between the provision of medication for asthma and hospitalisation (-0.801; p<0.0001). A rapid reduction in asthma admissions in the entire city of Salvador was associated with ProAR, a public health intervention targeting severe asthma.
Description: Texto completo: acesso restrito. p.515-521
URI: http://www.repositorio.ufba.br/ri/handle/ri/12941
ISSN: 0903-1936
Appears in Collections:Artigos Publicados em Periódicos (Medicina)

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