A randomized controlled trial of a pediatric asthma outreach program☆,☆☆,★
Section snippets
METHODS
A total of 57 pediatric patients with asthma between the age of 1 and 15 years were enrolled in this phase of the AOP. Patients less than 12 months of age at randomization who had wheezing for the first time or who had the eventual diagnosis of bronchopulmonary dysplasia were excluded. Patients were selected from predominately urban health centers of the Health Centers Division of Harvard Pilgrim Health Care, a large health maintenance organization in New England. This study was approved by the
RESULTS
Fifty-seven patients were enrolled in this randomized trial as defined above. A total of 18 patients were recruited from the hospitalization list, with 9 being randomized into the “control” group (group H, Table I) and an equal number into the AOP group (group H, Table II).An additional 39 patients were obtained by referral from pediatricians and were randomized independently into the “control” (group R, Table I) and AOP (group R, Table II) groups. As expected, the patients derived from the
DISCUSSION
The before and after intervention results for the AOP group are similar to those obtained in our previously reported uncontrolled trial.10 In that study we did not have a control group and therefore had no effective way to estimate the influence of natural regression to the mean or what effect the result of identifying patients as high risk (by their pediatrician or because of the patients’ EW use or hospitalizations) would have on subsequent use. We have independent observations on a similar
Acknowledgements
We thank all the pediatricians who referred patients to the project and cared for those who were randomized to the control group.
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Cited by (143)
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Patient- and family-centered care as an approach to reducing disparities in asthma outcomes in urban African American children: A review of the literature
2015, Journal of the National Medical AssociationError and Timeliness Analysis for Using Machine Learning to Predict Asthma Hospital Visits: Retrospective Cohort Study
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Supported in part by the Harvard Pilgrim Health Care Foundation.
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Reprint requests: Dirk K. Greineder, MD, PhD, Department of Allergy, Harvard Pilgrim Health Care, 133 Brookline Ave, Boston, MA 02215.
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0091-6749/99 $8.00 + 0 1/1/96025