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REGULAR OBSERVATION OF CHILDREN WITH BRONCHIAL ASTHMA BY ALLERGOLOGIST AND ITS INFLUENCE ON CLINICAL AND FUNCTIONAL PARAMETERS OF THE DISEASE AND CONSUMPTION OF HEALTHCARE RESOURCES

Abstract

In real practice, treatment of patients with bronchial asthma (BA) is accompanied by unreasonable increase of healthcare resources consumption because of unplanned visits to the doctor due to health worsening, hospital treatment of exacerbations and emergency calls. Objective: to evaluate an effectiveness of children’s with bronchial asthma observations by allergologist. Methods: the dynamics of clinical and functional signs and frequency of emergency claims was analyzed in 115 children with BA who were observed by allergologist once in 3 months during one year. Results: in 3 months of regular observation by allergologist the number of children with day and night symptoms of BA and patients with daily rescue use of short-acting 2-agonists decreased, there were fewer children with limitations of physical activity. The number of patients with normal FEV1 increased in 6 months. Regular observation with allergologist resulted in reduction of number of patients with exacerbations and hospitalizations, shortening of acute period of BA and hospital stay, decreasing of emergency claims rate compared to those who were observed by GPs. Conclusion: regular observation by allergologist once in 3 months results in stabilization of clinical and functional state in patients with BA and decreases the consumption of emergency care resources.
Key words: children, bronchial asthma, allergologist, clinical and functional state, healthcare resources.
(Voprosy sovremennoi pediatrii — Current Pediatrics. 2011; 10 (3): 55–59)

About the Authors

I.P. Artyukhov
V.F. Voyno-Yasenetskiy Krasnoyarsk State Medical University


N.A. Il'enkova
V.F. Voyno-Yasenetskiy Krasnoyarsk State Medical University


A.V. Shul'min
V.F. Voyno-Yasenetskiy Krasnoyarsk State Medical University


L.V. Stepanova
City Children’s Hospital № 4, Krasnoyarsk


References

1. Нижевенко М.В., Иноземцева Г.А., Швыдченко Н.Ю. и др. Анализ амбулаторного наблюдения детей, больных бронхиальной астмой в Ростове–на–Дону. Пульмонология детского возраста: проблемы и решения. 2003; 3: 162.

2. Ленская Л.Г., Огородова Л.М., Малаховская М.В. и др. Анализ прямых медицинских затрат на лечение бронхиальной астмы в Томской области. Пульмонология. 2004; 4: 37–43.

3. Национальная программа «Бронхиальная астма у детей. Стратегия лечения и профилактика». 3–е изд., исправ. и доп. М.: Союз педиатров России. 2008. 108 с.

4. Глобальная стратегия лечения и профилактики бронхиальной астмы. Под ред. А.Г. Чучалина. М.: Атмосфера. 2007. 104 с.

5. Министерство здравоохранения и социального развития Российской Федерации. Приказ № 678 от 25 сентября 2006 г. Об утверждении стандарта медицинской помощи больным астмой. Здравоохранение. 2006; 3: 113–117.

6. Мещеряков В.В., Маренко А.Г., Маренко Е.Ю. Уровень знаний педиатров и качество диагностики бронхиальной астмы у детей в условиях поликлиники. Пульмонология. 2007; 4: 41–45.

7. Чучалин А.Г., Смоленов И.В., Огородова Л.М. и др. Фармакоэпидемиология детской астмы: результаты многоцентрового российского ретроспективного исследования (ФЕДА-2000). Пульмонология. (Прил.). 2001; 3–34.

8. Демко И.В., Толкушин А.Г., Козлов С.Н. Фармако-экономический анализ использования поддерживающего противоастматического лечения. Пульмонология. 2008; 4: 67–72.


Review

For citations:


Artyukhov I., Il'enkova N., Shul'min A., Stepanova L. REGULAR OBSERVATION OF CHILDREN WITH BRONCHIAL ASTHMA BY ALLERGOLOGIST AND ITS INFLUENCE ON CLINICAL AND FUNCTIONAL PARAMETERS OF THE DISEASE AND CONSUMPTION OF HEALTHCARE RESOURCES. Current Pediatrics. 2011;10(3):55–59.

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