Reduction in the number of asthma-related hospital admissions after the implementation of a multidisciplinary asthma control program in the city of Londrina, Brazil

Jornal Brasileiro de Pneumologia
Ano: 2008
Número: 34
Volume: 9

Autores: Alcindo Cerci Neto, Olavo Franco Ferreira Filho, Tatiara Bueno, Maria Amélia Talhari

Objective: To evaluate the relationship between the reduction in the number of asthma-related hospital admissions and the changes occurring after the intervention performed in the health care system of the city of Londrina, Brazil. Methods: In 2003, an intervention was performed in the local health care system (Family Health Clinics) The steps adopted were as follows: development of a protocol based on the III Brazilian Consensus on Asthma Management; access to free inhaled corticosteroids for patients; training of health professionals; and implementation of educational measures, especially for the community. Continue reading


Lack of control of severe asthma is associated with co-existence of moderate-to-severe rhinitis

Journal compilation  2008 Blackwell Munksgaard
Ano: 2008
Volume: 63

Authors: E. V. Ponte, R. Franco,H. F. Nascimento, A. Souza-Machado, S. Cunha, M. L. Barreto, C. Naspitz, . A. Cruz

Background: Retrospective studies provide evidence that rhinitis is associated with more severe asthma. The aim of this study was to evaluate prospectively whether rhinitis is a predictor of increased asthma severity. Methods: Five hundred and fifty seven patients with severe asthma were enrolled. During 1 year of follow-up, each patient was evaluated every 3 months with a record of emergency room visits and supply of topical corticosteroids for asthma and rhinitis. In the 1 year of follow-up visit, the patients were checked for rhinitis diagnosis, severity and answered questionnaires for asthma symptoms and quality of life.  Continue reading


Cost-effectiveness analysis of a state funded programme for control of severe asthma

BMC Public Health
Ano: 2007
Volume: 7
Numero: 82

Authors: Rosana Franco, Andreia C Santos, Harrison F do Nascimento,
Carolina Souza-Machado, Eduardo Ponte, Adelmir Souza-Machado,
Sebastião Loureiro, Maurício L Barreto, Laura C Rodrigues and
Alvaro A Cruz

Background: Asthma is one of the most common chronic diseases and a major economical burden to families and health systems. Whereas efficacy of current therapeutical options has been clearly established, cost-effectiveness analysis of public health interventions for asthma control are scarce. Continue reading