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Asthma Health Outcomes Project

Overviews of Surveyed Asthma ProgramsSeptember 2005

Domestic Programs: New Jersey (cont’d)Back to Index

The Pediatric Asthma Center: A Comprehensive Inner-City Asthma Program Reduces Hospital and Emergency Room Utilization

Bronx Lebanon Hospital Center

Englewood, NJ

Ziv Harish, MD

(201) 871-7475         

allergy@covad.net

"A Comprehensive Inner-City Asthma Program Reduces Hospital and Emergency Room Utilization" was a study implemented in 1994 to evaluate the efficacy of a comprehensive asthma program on emergency department visits and hospital admission rates in a pediatric population in Bronx, NY. The study was a 12-month prospective randomized trial.

Three hundred asthma patients, aged 2-17 years, were recruited and randomized in an inner-city pediatric emergency department, to obtain asthma care in a specialty clinic or to continue receiving care by other health resources. The specialty clinic provided intensive medical and environmental control, education, close monitoring, and 24-hour availability. Home visits were done for most of the participants. For the prospective study, monthly questionnaires were sent to the caregivers of these children to evaluate use of hospital facilities for asthma care. For the retrospective study, use of hospital resources by the study participants was analyzed using a hospital database.

One hundred twenty-nine patients (60 in the treatment group and 69 in the control group) were included in the final analysis. Emergency department visits and hospitalizations were decreased significantly.

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