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Medication Utilization and Emergency Room Visits for Patients With Persistent Asthma


The researchers Dutta and Li indicate the beta agonists when administered properly have very few side effects. (Dutta & Li, 2002) Other studies showed the results of the efficaciousness of one combination over the other

Medication Utilization and Emergency Room Visits for Patients With Persistent Asthma


An Atlanta study showed that cockroach allergens were present in the dust of most urban homes, but were not found in twenty six suburban homes. (Ernst, Demissie, Joseph, Locher, & Becklake, 2004) Preventive Measures for Asthma Besides the effective treatment methods already established that seek to help patients get rid of immediate symptoms and also long terms effects, it is relatively easy to manage asthma such that normal life can continue with a combination of medication and simple preventive measures

Medication Utilization and Emergency Room Visits for Patients With Persistent Asthma


Those who had milder symptoms did not recourse to ERs as much as those with moderate to severe asthma did. (Ford et al

Medication Utilization and Emergency Room Visits for Patients With Persistent Asthma


(Davidson, Klein, Settipane, & Alario, 1994) Even when Medicaid was associated with a model of Managed care, and Medicaid recipients were provided with a primary care provider, a pediatric care provider and pediatric hospitalization, emergency room utilizations did not decrease, though hospitalizations from asthma did. (Gadomski, Jenkins, & Nichols, 1998) Success of decreasing ER utilization was achieved by the Virginia Health Outcomes Partnership project

Medication Utilization and Emergency Room Visits for Patients With Persistent Asthma


Even when factors of education and income were taken out of the equation, the study showed that the genetic proclivity for African-Americans to suffer (and/or die) from asthma was higher than Caucasians. (Haan, Kaplan, & Camacho, 1987) As has been mentioned before, specific studies related to hygiene from inner city living conditions played a critical role in incidences of asthma

Medication Utilization and Emergency Room Visits for Patients With Persistent Asthma


Follow up studies indicated that the emergency room visits reduced significantly by almost seventy percent. (Harish et al

Medication Utilization and Emergency Room Visits for Patients With Persistent Asthma


The study, a random trial, involving one hundred and sixty four patients showed that patients whose asthma was under control using triamcinolone during the first part of the clinical trial were then divided in groups that continued the use of triamcinolone, switched to salmeterol or were given a placebo. (Holt et al

Medication Utilization and Emergency Room Visits for Patients With Persistent Asthma


The efficacy of the combinations were measured based on expiration rates during and following twelve week treatment period. (Hughes et al

Medication Utilization and Emergency Room Visits for Patients With Persistent Asthma


Rhinovirus, corona virus, influenza and parainfluenza, syncytial virus, mycoplasma and Chlamydia infections are also known to cause asthma attacks. (Johnston et al

Medication Utilization and Emergency Room Visits for Patients With Persistent Asthma


Knowing more about the patient is a first step in the beginning of a diagnosis and establishing a treatment method or even a more global asthma management program. (Juniper et al

Medication Utilization and Emergency Room Visits for Patients With Persistent Asthma


Routine visits might preclude the frequency ER visits. (Lafata, Xi, & Divine, 2002) Establishing an effective program of asthma management provides all around benefits

Medication Utilization and Emergency Room Visits for Patients With Persistent Asthma


A study by Lanes and co-workers showed that for more than a thousand patients involved in a study a combination of ipratropium bromide and salbutamol in treating acute attacks of asthma proved better (in terms of measured expiratory rates) than using salbutamol nebulizers alone. (Lanes, Garrett, Wentworth, Fitzgerald, & Karpel, 1998) The expiratory rates were measured forty five and ninety minutes after treatment was administered

Medication Utilization and Emergency Room Visits for Patients With Persistent Asthma


In addition to other symptoms, adult asthma can also be characterized by intolerance to smells of chemicals and chronic nighttime coughing. (Marabini, Siracusa, Stopponi, Tacconi, & Abbritti, 2003) Older people also develop asthma with age

Medication Utilization and Emergency Room Visits for Patients With Persistent Asthma


In the last case, this atopy can continue into adulthood. (Martinez & Helms, 1998) Later, it will be discussed that there is a potential drawback of overuse of certain medication in a child's normal growth

Medication Utilization and Emergency Room Visits for Patients With Persistent Asthma


In the last case, this atopy can continue into adulthood. (Martinez & Helms, 1998) Later, it will be discussed that there is a potential drawback of overuse of certain medication in a child's normal growth

Medication Utilization and Emergency Room Visits for Patients With Persistent Asthma


The last part supports the results of the study by Awadh and co-workers, though both studies do not report the reasons for this discrepancy in asthma presentation. (Montealegre, Bayona, Chardon, & Trevino, 2002) Similarly, age plays an important factor in asthma presentations among with seasonal fluctuations

Medication Utilization and Emergency Room Visits for Patients With Persistent Asthma


The results were better in clinics irrespective of socioeconomic factors. (Moore et al

Medication Utilization and Emergency Room Visits for Patients With Persistent Asthma


The researchers caution that other factors may be at play, including the fact that ICS might have an impact of "pubertal maturation." (Moudiou, Theophilatou, Priftis, & Papadimitriou, 2003) In recognizing adverse effects due to long-term use, the concept of therapeutic margin is an important consideration

Medication Utilization and Emergency Room Visits for Patients With Persistent Asthma


In addition to preventive measures, quick access to a qualified opinion on the choice and dosage of medication also helps to prevent the preponderance of emergency rooms visits. (Pauley, Magee, & Cury, 1995) Emergency room visits can also be reduced by routine visits to the primary care physician

Medication Utilization and Emergency Room Visits for Patients With Persistent Asthma


The study was conducted for subjects in Northern Italy where the prescription information was obtained from reimbursement receipts from a Universal Health coverage plan. (Poluzzi et al