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Are International Asthma Guidelines effective for low-income Brazilian children with asthma?

A L Cabral1, W A Carvalho, M Chinen

  • 1Darcy Vargas Hospital, and Dept of Medicine, Faculty of Medicine, University of São Paulo, SP, Brazil.

The European Respiratory Journal
|August 13, 1998
PubMed

Insights

International Asthma Guidelines significantly improved care for low-income children with asthma in São Paulo. The study showed reduced emergency visits and improved quality of life through education and proper medical treatment.

Area of Science:

  • Pediatric Pulmonology
  • Public Health

Background:

  • Asthma management in low-income populations often relies on inadequate primary care, primarily using bronchodilators.
  • International Asthma Guidelines offer a framework for effective asthma management.

Purpose of the Study:

  • To evaluate the effectiveness of International Asthma Guidelines in low-income children with moderate to severe asthma in São Paulo, Brazil.
  • To assess the impact of an educational program combined with guideline-based medical treatment.

Main Methods:

  • A pre- and post-education study design with 50 asthmatic children over a 1-year follow-up.
  • Patients served as their own controls, with parent interviews before and after the intervention.

Main Results:

  • Implementation of International Asthma Guidelines, including inhaled steroids and an educational program, led to a significant decrease in asthma severity and impairment scores (p<.0001).
  • Emergency room visits and hospital admissions were eliminated post-intervention.
  • Children experienced improved quality of life and reduced asthma symptoms.

Conclusions:

  • Combining medical care based on International Asthma Guidelines with patient education is effective in managing childhood asthma in underserved populations.
  • This approach shifts asthma management from crisis-oriented to preventive chronic care, reducing healthcare costs and improving patient outcomes.

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