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- W2080690694 abstract "RATIONALE: The emergency department (ED) is increasingly recognized as a major source of asthma care. ED management focuses on acute issues, however, and rarely prevention. METHODS: Prospective cohort study of patients ages 2-54 who present to the ED with acute asthma. This analysis was restricted to the 2,996 patients (74%) with a primary care provider (PCP). RESULTS: Despite having a PCP, 760 (25%) patients reported “usually” getting asthma prescriptions from the ED (Rx group). 97% of Rx patients reported “usually” going to the ED for asthma problems. Rx patients were more often Black or Hispanic, had less formal education, and lacked private insurance (all p<0.001). Although most patients lacked written action plans, Rx patients were even less likely to have one (36% vs. 30%; p=0.006). Indeed, Rx patients had more ED visits over the past year (median, 2 vs. 3; p<0.001). They were less likely to use inhaled corticosteroids (45% vs. 31%; p<0.001). Initial peak flow (53% vs. 53%; p=0.99) and ED treatment were comparable, but the Rx group was less often admitted (26% vs. 19%; p<0.001). Discharge prescriptions for systemic (76% vs. 76%; p=0.95) and inhaled (24% vs. 23%; p=0.58) corticosteroids were similar. Multivariate predictors of being in the Rx group were older age, Black or Hispanic, less formal education, and lack of private insurance. CONCLUSION: Among ED patients with a PCP, sociodemographic factors play a major role in where asthma prescriptions are obtained. ED-based interventions or changes in follow-up care are needed to increased ICS usage in this high-risk population." @default.
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- W2080690694 date "2005-02-01" @default.
- W2080690694 modified "2023-09-25" @default.
- W2080690694 title "Patients who use the emergency department as their usual source of asthma prescriptions" @default.
- W2080690694 doi "https://doi.org/10.1016/j.jaci.2004.12.563" @default.
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