An interventional study of Emergency Department based asthma follow-up clinic in Asthma, sponsored by Stephen J. Teach, MD, MPH. Completed at 1 site in United States. Open to participants aged 12 Months to 17 Years. Per ClinicalTrials.gov, last updated 2015-08-25.
Sponsored by Stephen J. Teach, MD, MPH · Not applicable, Interventional, and Treatment
Little is known about how ED-based programs can help to reduce pediatric ED visits for asthma. The current study evaluated a novel intervention in which the ED itself became the site of highly individualized, comprehensive follow-up asthma care. It sought to determine if such an intervention could decrease subsequent unscheduled visits for asthma while improving asthma quality of life.
Prospective, randomized clinical trial of a single visit to a specialized emergency department-based asthma follow-up clinic occurring 2-15 days after emergency department care for an acute exacerbation. All patients were followed for 6 months. Analysis was by intention-to-treat with adjustment for baseline differences. Our primary hypothesis was that this intervention would decrease subsequent unscheduled visits (both to EDs and other sources of urgent care) for asthma over a six-month follow-up period. We further hypothesized that the intervention would decrease hospitalizations for asthma, improve compliance with an individualized medical plan and with trigger control, increase scheduled primary care practitioner (PCP) visits for routine asthma care, and decrease asthma symptoms while improving asthma quality of life (QOL).
3,921 studies on the registry are indexed under Asthma; 507 are open to participants now.
This study's enrollment of 488 is above the median of 83 across 2,752 interventional studies indexed under Asthma.
Browse Asthma studies →Stephen J. Teach, MD, MPH is the lead sponsor of 3 studies on the registry; none are open to participants now.
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The clinical activities of the intervention followed a fully specified protocol and provided education and care in three domains: 1. Asthma self-monitoring and management: Educators first reviewed the basic physiology of asthma with emphasis on its chronicity. After evaluating asthma severity and treatment history, the physician completed an individualized medical action plan (MAP) and provided any necessary device teaching. 2. Environmental modification and trigger control: After evaluation of potential environmental triggers in the home, each family was educated on their control. Each child was provided hypoallergenic bed encasings. 3. Linkages and referrals to ongoing primary care: Clinic staff stressed the importance of longitudinal asthma care by a PCP. A full report of the clinic visit was mailed to each child's PCP. In addition, the asthma educator scheduled a follow-up appointment with the PCP within 4 weeks
Unscheduled visits for asthma
Time frame: 6 months following enrollment
Hospitalizations for asthma
Time frame: 6 months following enrollment
Compliance
Time frame: 6 months following enrollment
Quality of Life
Time frame: 6 months following enrollment
Morbidity
Time frame: 6 months following enrollment
This study is completed, as verified in Aug 2015. You cannot join it, but the record below documents what was studied.
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Stephen J. Teach, MD, MPH