Forum for Science, Industry and Business

Sponsored by:     3M 
Search our Site:

 

Quality improvement initiative improves asthma outcomes in teens

27.01.2014
Researchers at Cincinnati Children's Hospital Medical Center have successfully carried out what is believed to be the first initiative conducted exclusively among teenagers to show significant improvement in their asthma outcomes.

The quality improvement initiative, conducted in a primary care setting, dramatically improved asthma control and outcomes for high-risk adolescents.

The study is published online in the journal Pediatrics.

"Improving asthma is particularly difficult for teenagers, whose adherence to treatment is often poor and outcomes worse than those of younger patients," says Maria Britto, MD, director of the Center for Innovation in Chronic Disease Care at Cincinnati Children's and senior author of the study.

"We were able to achieve sustained improvement in patients whose chronic asthma is not well-controlled by implementing a package of chronic care interventions. These included standardized and evidence-based care; self-management support, such as self-monitoring by using diaries and journals; care coordination and active outreach among healthcare providers; linking these teens to community resources; and following-up with patients whose chronic asthma is not well-controlled."

From 2007 to 2011, Dr. Britto and her colleagues at Cincinnati Children's focused improvement efforts on 322 primary care patients, all of whom had asthma. Only 10 percent, however, had optimally well-controlled asthma. By August 2009, the proportion of these patients had increased to 30 percent and remained at that level over time.

Moreover, the initiative resulted in nearly 100 percent of patients receiving an evidence-based care bundle of tools to control their asthma. These tools included an action plan (which included goal setting and learning how to overcome barriers) and controller medications at the most recent doctor visit. Prior to the initiative, only 38 percent had received this bundle.

Ninety percent of patients also received a self-management bundle of tools, including a patient self-assessment and a personal action plan. Formal self-management support had not been in place prior to this initiative.

"Patients and parents who were confident in their ability to manage their asthma increased from 70 percent to 85 percent," says Dr. Britto. "But patients with chronically poor asthma control are likely to need additional interventions."

Asthma is the most common chronic disease of childhood, affecting seven million children in the United States, more than 9 percent of all children in the U.S. Asthma results in an estimated 10.5 million missed school days, 640,000 emergency visits, and 157,000 hospitalizations each year.

About Cincinnati Children's

Cincinnati Children's Hospital Medical Center ranks third in the nation among all Honor Roll hospitals in U.S.News and World Report's 2013 Best Children's Hospitals ranking. It is ranked #1 for cancer and in the top 10 for nine of 10 pediatric specialties. Cincinnati Children's, a non-profit organization, is one of the top three recipients of pediatric research grants from the National Institutes of Health, and a research and teaching affiliate of the University of Cincinnati College of Medicine. The medical center is internationally recognized for improving child health and transforming delivery of care through fully integrated, globally recognized research, education and innovation. Additional information can be found at http://www.cincinnatichildrens.org. Connect on the Cincinnati Children's blog, via Facebook and on Twitter.

Jim Feuer | EurekAlert!
Further information:
http://www.cchmc.org

Further reports about: Cincinnati Medical Wellness asthma control chronic asthma primary care

More articles from Health and Medicine:

nachricht UV light robot to clean hospital rooms could help stop spread of 'superbugs'
15.04.2015 | Texas A&M University

nachricht Heart cells regenerated in mice
14.04.2015 | Weizmann Institute of Science

All articles from Health and Medicine >>>

The most recent press releases about innovation >>>

Die letzten 5 Focus-News des innovations-reports im Überblick:

Im Focus: Astronomers reveal supermassive black hole's intense magnetic field

Astronomers from Chalmers University of Technology have used the giant telescope Alma to reveal an extremely powerful magnetic field very close to a supermassive black hole in a distant galaxy

Astronomers from Chalmers University of Technology have used the giant telescope Alma to reveal an extremely powerful magnetic field very close to a...

Im Focus: A “pin ball machine” for atoms and photons

A team of physicists from MPQ, Caltech, and ICFO proposes the combination of nano-photonics with ultracold atoms for simulating quantum many-body systems and creating new states of matter.

Ultracold atoms in the so-called optical lattices, that are generated by crosswise superposition of laser beams, have been proven to be one of the most...

Im Focus: UV light robot to clean hospital rooms could help stop spread of 'superbugs'

Can a robot clean a hospital room just as well as a person?

According to new research out of the Texas A&M Health Science Center College of Medicine, that is indeed the case. Chetan Jinadatha, M.D., M.P.H., assistant...

Im Focus: Graphene pushes the speed limit of light-to-electricity conversion

Researchers from ICFO, MIT and UC Riverside have been able to develop a graphene-based photodetector capable of converting absorbed light into an electrical voltage at ultrafast timescales

The efficient conversion of light into electricity plays a crucial role in many technologies, ranging from cameras to solar cells.

Im Focus: Study shows novel pattern of electrical charge movement through DNA

Electrical charges not only move through wires, they also travel along lengths of DNA, the molecule of life. The property is known as charge transport.

In a new study appearing in the journal Nature Chemistry, authors, Limin Xiang, Julio Palma, Christopher Bruot and others at Arizona State University's...

All Focus news of the innovation-report >>>

Anzeige

Anzeige

Event News

HHL's Entrepreneurship Conference on FinTech

13.04.2015 | Event News

World Conference On Regenerative Medicine 2015: Registration And Abstract Submission Now Open

25.03.2015 | Event News

University presidents from all over the world meet in Hamburg

19.03.2015 | Event News

 
Latest News

Engineer Improves Rechargeable Batteries with MoS2 Nano 'Sandwich'

17.04.2015 | Power and Electrical Engineering

Comparing Climate Models to Real World Shows Differences in Precipitation Intensity

17.04.2015 | Earth Sciences

A blueprint for clearing the skies of space debris

17.04.2015 | Physics and Astronomy

VideoLinks
B2B-VideoLinks
More VideoLinks >>>