Asthma Attack in the Emergency Department : Reasons Of This Attendance
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 182
- 试验地点
- 2
- 主要终点
- Poor observance of GINA criteria
研究概览
简要总结
Objective: Identify modifiable factors that may affect asthma control and the use of emergency room to define customized interventions for the management of asthma prior to emergency room.
Emergency department attendance is always a sign of poor balance or control of asthma. In spite of a decrease in the number of deaths that has been halved in 20 years and hospitalization due to asthmatic disease, the use of emergency center for this disease has not decreased. We now know that the passage through emergencies and hospitalization for aggravation of asthma is in itself a factor of mortality. Acting on the determinants of poor balance or control of asthma is essential to further reduce the mortality and morbidity of asthma.
详细描述
There is two parts in this study:
Part 1 - Qualitative study by individual interviews until data saturation (although about ten patients should be enough to capture the concepts of interest) on the factors that induce an imbalance of asthma (based on the GINA (Global Initiative for Asthma) report whose criteria are validated).
An interview guide will be written to systematically address all aspects related to asthma control.
In agreement with the patient the interview will be recorded, and the verbatim will be transcribed and coded using a software (Nvivo version 10).
Preparation of a questionnaire
研究设计
- 研究类型
- Observational
- 观察模型
- Cohort
- 时间视角
- Prospective
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Age> 18 years
- •Ambulatory patient, visiting one of these centers
- •Diagnosis of asthma already evolving for more than 6 months
- •Prescription of treatment for more than 3 months
- •Patient who can read and write French
- •Agreement for an individual interview (Part 1) or fill up a self-questionnaire (Part 2)
- •Health insurance coverage
排除标准
- •Patients with other etiology that may explain their dyspnea: heart failure, chronic obstructive pulmonary disease , pneumopathy
- •Patients with a social background that is not compatible with the study: a patient who does not speak French, is homeless or does not have a telephone number
- •Inpatients
结局指标
主要结局
Poor observance of GINA criteria
时间窗: Less than 24 hours: the outcome measure will be assessed the visiting day at emergency room, when the asthma attack will be solved, before discharge from hospital
Explanation of Asthma imbalance by poor observance and knowledge of GINA global strategy for asthma management and prevention criteria.
次要结局
- GHQ-12 Psychometric tool(Less than 24 hours: the outcome measure will be assessed the visiting day at emergency room, when the asthma attack will be solved, before discharge from hospital)
研究者
Olivier CHASSANY
Director
University Paris 7 - Denis Diderot