Role of Adult Asthma Education in Improving Asthma Control and Reducing Emergency Room Utilization and Hospital Admissions in an Inner City Hospital

Objective. Asthma education programs have been shown to decrease healthcare utilization and improve disease control and management. The purpose of our study was to evaluate the impact of an outpatient adult asthma education program in an inner city hospital caring for patients with low socioeconomic...

Full description

Saved in:
Bibliographic Details
Main Authors: Rashmi Mishra, Muhammad Kashif, Sindhaghatta Venkatram, Teresa George, Kristina Luo, Gilda Diaz-Fuentes
Format: Article
Language:English
Published: Wiley 2017-01-01
Series:Canadian Respiratory Journal
Online Access:http://dx.doi.org/10.1155/2017/5681962
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1832555127560470528
author Rashmi Mishra
Muhammad Kashif
Sindhaghatta Venkatram
Teresa George
Kristina Luo
Gilda Diaz-Fuentes
author_facet Rashmi Mishra
Muhammad Kashif
Sindhaghatta Venkatram
Teresa George
Kristina Luo
Gilda Diaz-Fuentes
author_sort Rashmi Mishra
collection DOAJ
description Objective. Asthma education programs have been shown to decrease healthcare utilization and improve disease control and management. The purpose of our study was to evaluate the impact of an outpatient adult asthma education program in an inner city hospital caring for patients with low socioeconomic and educational status. Methods. An asthma education program was implemented in September 2014. Patients who received education from September 2014 to July 2015 were evaluated. Outcomes were compared for the same group of patients before and after education. Primary outcomes were emergency room (ER) visits and hospital admissions. Secondary outcomes were change in Asthma Control Test (ACT) score and number of pulmonary clinic visits. Results. Asthma education significantly decreased number of patients requiring ER visits and hospital admissions (p = 0.0005 and p = 0.0015, resp.). Asthma control as per ACT score ≥ 20 improved with education (p = 0.0001) with an increase in clinic visits (p = 0.0185). Conclusions. Our study suggests that implementation of a structured asthma education program in an inner city community hospital has a positive impact on reduction of ER visits and hospital admissions with improvement in asthma control. Institutional Review Board Clinical Study registration number is 01081507.
format Article
id doaj-art-b69cf47f37454e57ba83fb21572c656e
institution Kabale University
issn 1198-2241
1916-7245
language English
publishDate 2017-01-01
publisher Wiley
record_format Article
series Canadian Respiratory Journal
spelling doaj-art-b69cf47f37454e57ba83fb21572c656e2025-02-03T05:49:33ZengWileyCanadian Respiratory Journal1198-22411916-72452017-01-01201710.1155/2017/56819625681962Role of Adult Asthma Education in Improving Asthma Control and Reducing Emergency Room Utilization and Hospital Admissions in an Inner City HospitalRashmi Mishra0Muhammad Kashif1Sindhaghatta Venkatram2Teresa George3Kristina Luo4Gilda Diaz-Fuentes5Division of Pulmonary and Critical Care, Bronx-Lebanon Hospital Center, Bronx, NY, USADivision of Pulmonary and Critical Care, Bronx-Lebanon Hospital Center, Bronx, NY, USADivision of Pulmonary and Critical Care, Bronx-Lebanon Hospital Center, Bronx, NY, USADepartment of Pharmacy, Bronx-Lebanon Hospital Center, Bronx, NY, USADepartment of Pharmacy, Bronx-Lebanon Hospital Center, Bronx, NY, USADivision of Pulmonary and Critical Care, Bronx-Lebanon Hospital Center, Bronx, NY, USAObjective. Asthma education programs have been shown to decrease healthcare utilization and improve disease control and management. The purpose of our study was to evaluate the impact of an outpatient adult asthma education program in an inner city hospital caring for patients with low socioeconomic and educational status. Methods. An asthma education program was implemented in September 2014. Patients who received education from September 2014 to July 2015 were evaluated. Outcomes were compared for the same group of patients before and after education. Primary outcomes were emergency room (ER) visits and hospital admissions. Secondary outcomes were change in Asthma Control Test (ACT) score and number of pulmonary clinic visits. Results. Asthma education significantly decreased number of patients requiring ER visits and hospital admissions (p = 0.0005 and p = 0.0015, resp.). Asthma control as per ACT score ≥ 20 improved with education (p = 0.0001) with an increase in clinic visits (p = 0.0185). Conclusions. Our study suggests that implementation of a structured asthma education program in an inner city community hospital has a positive impact on reduction of ER visits and hospital admissions with improvement in asthma control. Institutional Review Board Clinical Study registration number is 01081507.http://dx.doi.org/10.1155/2017/5681962
spellingShingle Rashmi Mishra
Muhammad Kashif
Sindhaghatta Venkatram
Teresa George
Kristina Luo
Gilda Diaz-Fuentes
Role of Adult Asthma Education in Improving Asthma Control and Reducing Emergency Room Utilization and Hospital Admissions in an Inner City Hospital
Canadian Respiratory Journal
title Role of Adult Asthma Education in Improving Asthma Control and Reducing Emergency Room Utilization and Hospital Admissions in an Inner City Hospital
title_full Role of Adult Asthma Education in Improving Asthma Control and Reducing Emergency Room Utilization and Hospital Admissions in an Inner City Hospital
title_fullStr Role of Adult Asthma Education in Improving Asthma Control and Reducing Emergency Room Utilization and Hospital Admissions in an Inner City Hospital
title_full_unstemmed Role of Adult Asthma Education in Improving Asthma Control and Reducing Emergency Room Utilization and Hospital Admissions in an Inner City Hospital
title_short Role of Adult Asthma Education in Improving Asthma Control and Reducing Emergency Room Utilization and Hospital Admissions in an Inner City Hospital
title_sort role of adult asthma education in improving asthma control and reducing emergency room utilization and hospital admissions in an inner city hospital
url http://dx.doi.org/10.1155/2017/5681962
work_keys_str_mv AT rashmimishra roleofadultasthmaeducationinimprovingasthmacontrolandreducingemergencyroomutilizationandhospitaladmissionsinaninnercityhospital
AT muhammadkashif roleofadultasthmaeducationinimprovingasthmacontrolandreducingemergencyroomutilizationandhospitaladmissionsinaninnercityhospital
AT sindhaghattavenkatram roleofadultasthmaeducationinimprovingasthmacontrolandreducingemergencyroomutilizationandhospitaladmissionsinaninnercityhospital
AT teresageorge roleofadultasthmaeducationinimprovingasthmacontrolandreducingemergencyroomutilizationandhospitaladmissionsinaninnercityhospital
AT kristinaluo roleofadultasthmaeducationinimprovingasthmacontrolandreducingemergencyroomutilizationandhospitaladmissionsinaninnercityhospital
AT gildadiazfuentes roleofadultasthmaeducationinimprovingasthmacontrolandreducingemergencyroomutilizationandhospitaladmissionsinaninnercityhospital