[Evaluation of a program for asthmatic children treated in primary care outpatient units in Embu, São Paulo,

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Ventura1, Naspitz, Puccini

  • 1Programa de Integração Docente-Assistencial do Embu, Escola Paulista de Medicina, Universidade Federal de São Paulo, Rua Botucatu 740, São Paulo, SP, 04023-900, Brasil.

Cadernos De Saude Publica
|May 21, 1998
PubMed

Insights

This study shows that consistent adherence to the Program Targeting Children with Chest Wheezing improves outcomes for pediatric asthma patients. Even with simple treatments, steady compliance leads to better clinical evolution and fewer exacerbations.

Area of Science:

  • Pediatric Pulmonology
  • Public Health Interventions
  • Clinical Effectiveness Research

Background:

  • Chest wheezing is a common respiratory issue in children.
  • Effective management programs are crucial for pediatric respiratory health.
  • The Program Targeting Children with Chest Wheezing was implemented in Embu, São Paulo.

Purpose of the Study:

  • To evaluate the effectiveness of the Program Targeting Children with Chest Wheezing.
  • To assess clinical outcomes and treatment adherence in pediatric patients.
  • To identify factors influencing treatment success in children with chest wheezing.

Main Methods:

  • Analysis of 434 children aged 0-14 years enrolled between May 1988 and July 1993.
  • Review of clinical diagnoses, treatment compliance, and healthcare referrals.
  • Longitudinal follow-up of patients, particularly moderate and severe cases, for over a year.

Main Results:

  • The program successfully diagnosed asthma in children over 2 years old.
  • Children with moderate to severe cases and good medication compliance showed improved clinical evolution.
  • A significant dropout rate (53.2%) was observed, primarily within the first six months, especially in moderate cases.

Conclusions:

  • Consistent patient compliance with the program significantly benefits children with chest wheezing.
  • The program demonstrated effectiveness despite its simplicity and limitations in available medications.
  • Adherence to treatment is a key factor for positive clinical outcomes in pediatric respiratory conditions.

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