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Planned primary health care asthma contacts during 12-year follow-up after Finnish National Asthma Programme: focus on spirometry.
npj Primary Care Respiratory Medicine ( IF 3.1 ) Pub Date : 2020-03-20 , DOI: 10.1038/s41533-020-0166-2
Jaana Takala 1, 2 , Pinja Ilmarinen 2 , Leena E Tuomisto 2 , Iida Vähätalo 2 , Onni Niemelä 3, 4 , Hannu Kankaanranta 2, 5
Affiliation  

Primary health care (PHC) providers are at the front line of asthma management. To evaluate how planned asthma follow-up occurred in PHC and whether lung function tests were used, 203 patients were followed for 12 years as part of a real-life asthma cohort Seinäjoki Adult Asthma Study (SAAS). A total of 152 patients had visits in PHC attending on average to four planned contacts during 12-year follow-up corresponding to one visit every third year. National guideline recommends annual visits. Patients with ≥4 contacts seemed to have more difficult asthma and better adherence to inhaled corticosteroid medication. Lung function tests were performed on average in 87.5% of annual planned follow-up contacts. Spirometry was performed in 70%, 71% and 97% of all contacts depending on whether it was a contact to GP, nurse or both. Overall, the frequency of follow-up contacts was insufficient but PHC adherence to lung function testing was excellent.

中文翻译:

芬兰国家哮喘计划实施后的12年随访中计划的初级保健哮喘接触者:重点在于肺活量测定。

初级卫生保健(PHC)提供者处于哮喘管理的第一线。为了评估在PHC中计划性哮喘随访的发生方式以及是否使用肺功能检查,作为真实哮喘队列Seinäjoki成人哮喘研究(SAAS)的一部分,对203例患者进行了为期12年的随访。在12年的随访期间,总共有152名患者在PHC进行了平均平均4次计划接触的就诊,每3年一次。国家指南建议年度访问。接触≥4的患者似乎更难治哮喘,并且对吸入糖皮质激素药物的依从性更好。平均在年度计划随访接触者中进行肺功能测试的比例为87.5%。在所有接触者中分别有70%,71%和97%进行肺活量测定,这取决于是GP,护士还是两者接触。总体,
更新日期:2020-03-20
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