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A program for children with severe asthma: impact analysis
Verónica Giubergia1, Nora Fridman, Hebe González Pena
1Servicio de Neumonología, Hospital Nacional de Pediatría Prof. Dr. Juan P. Garrahan, Buenos Aires, Argentina. verogiubergia@hotmail.com
Insights
The Healthcare Program for Children with Severe Asthma (PANAG) significantly reduced asthma attacks by 55% and hospital admissions in pediatric patients. This program offers an effective and affordable strategy for managing severe asthma in public healthcare settings.
Area of Science:
- Pediatric Pulmonology
- Public Health Management
- Healthcare Economics
Background:
- Asthma represents a substantial economic burden on families and public healthcare systems.
- Existing healthcare programs effectively manage childhood asthma, but data on severe cases is limited.
- Severe asthma in children necessitates targeted interventions to mitigate its impact.
Purpose of the Study:
- To evaluate the effectiveness of the Healthcare Program for Children with Severe Asthma (PANAG).
- To comparatively analyze the impact of PANAG on asthma exacerbations and hospital admissions.
- To assess the program's feasibility in a public healthcare setting.
Main Methods:
- A longitudinal, pre- and post-intervention study design was employed.
- Asthma exacerbations and hospital admissions were compared over 18-month pre- and post-PANAG periods.
- Participants received free preventive treatment and educational support during the program.
Main Results:
- A significant 55% reduction in asthma attacks was observed post-PANAG implementation (from 59 to 26).
- Asthma-related hospital admissions decreased from 4 to 1 after the program's initiation.
- The study included 20 children, with a mean age of 13.3 years, predominantly female (80%).
Conclusions:
- The Healthcare Program for Patients with Severe Asthma (PANAG) is a proven effective strategy for disease management.
- PANAG demonstrates affordability and applicability within public hospital systems.
- Implementing such programs can lead to improved outcomes for children with severe asthma.
Introduction:
Asthma is a major economic burden to families and public healthcare since it leads to a large number of emergency room (ER) visits and hospital admissions. Whereas healthcare programs for children with asthma have proved to be very effective to improve the course of the disease, there is less information about programs for children with severe asthma.
Objective:
To comparatively analyze the impact of the Healthcare Program for Children with Severe Asthma (Programa de Atención de Niños con Asma Grave, PANAG).
Methods:
This was a longitudinal, pre- and postintervention study. Two approaches were used to compare the frequency of asthma exacerbations and hospital admissions due to severe asthma in a group of patients: regular follow-up in a public hospital (pre-intervention period, 18 months) and follow-up while participating in PANAG (post-intervention period, 18 months). During the Program, patients received preventive treatment free of charge; educational activities were also organized.
Results:
Twenty children were included, 16 (80%) out of the 20 were females, and the mean age was 13.3 years (SD 3.8). During the pre-intervention period 59 asthma attacks were recorded; after PANAG was implemented, they decreased to 26. This accounts for a significant reduction of 55% of asthma attacks (p= 0.0002). During the period previous to PANAG implementation, there were 4 asthma-related hospital admissions. In the period after the program implementation, there was only one hospital admission.
Conclusions:
The Healthcare Program for Patients with Severe Asthma is an effective strategy to manage this disease. This healthcare program is affordable to be used in a public hospital.
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