哮喘联盟

   摘要
   背景：本研究评估了2003年1月1日到2008年3月31日期间，夏洛特敦爱德华王子岛(PEI) Dr. Patrick Gill哮喘教育中心(AEC)1918例哮喘患者初级保健就诊(PCVs)和急诊室就诊(EDVs)的变化，包括两处均有访问、只访问一处或预约但转诊的患者。从加拿大慢性疾病监测系统（CCDSS）的PEI哮喘病人列表中选出2799例作为对照组。
   方法：在与AEC联系前12个月以及AEC联系后0-1、>1-2和>2-3年，使用跨栏回归模型计算PCVs，负二项分布模型计算EDVs。该项目经PEI董事会批准。
   结果：预约转诊者在转诊后第一年里的儿科EDVs和PCVs显著增加。尽管PCVs和EDVs访问率仍然显著高于CCDSS对照组，但与参加AEC前病人较高的访问率相比，参加AEC后的访问率有所降低。
   结论：在转诊后第一年里参加AEC的患者的儿科EDVs 和 PCVs访问率有所降低，但与之相比，未参加AEC的患者则未达到类似的下降。
 

（林江涛 审校）
J Asthma. 2013 Dec 10. [Epub ahead of print]

Use of emergency departments and primary care visits for asthma related conditions in the 3 years following an asthma education program.
 

Gaudreau K, Stryhn H, Sanford C, Cheverie C Data Manager, Conklin J, Hansen J, Zelman M, McClure C.

ABSTRACT
BACKGROUND: This study examines changes in Primary Care Visits (PCVs) and Emergency Department Visits (EDVs) among 1,918 patients with asthma who attended either two visits, one visit or were no-show referrals at the Dr. Patrick Gill Asthma Education Center (AEC) in Charlottetown Prince Edward Island (PEI) between January 1, 2003 and March 31, 2008 compared to 2,799 controls selected from a list of PEI asthma patients developed for the Canadian Chronic Disease Surveillance System (CCDSS).
METHODS: Hurdle regression was used to model counts of PCVs and negative binomial models were used to model counts of EDVs at 12 months prior to AEC contact and 0-1, >1-2 and >2-3 years after AEC contact. The PEI Research Board approved the project.
RESULTS: No-show referrals had a significant increase in pediatric EDVs and PCVs in the first year after referral. The higher rates of PCVs and EDVs prior to contact with the AEC in patients referred to the AEC were reduced after contact with the AEC, although they remained significantly higher than the CCDSS controls.
CONCLUSIONS: Compared to patients who attended the AEC, referred patients who did not attend the AEC did not achieve similar reductions in pediatric EDVs and PCVs in the first year after referral.
 

J Asthma. 2013 Dec 10. [Epub ahead of print]