To introduce a new tool to facilitate the uniformity and obtain better results than the ones obtained since the introduction of National Asthma Educational Management Program (NAEMP) guidelines. Our clinical experience with 736 patients, all of them referred because of their refractoriness in their course, confirms the usefulness of the Asthma Patient Bill of Rights (APBOR) is such a tool.
Age of patients was 16-60 years. A questionnaire describing symptoms and quality of life was filled at the first visit, together with a complete physical examination, laboratory, chest and paranasal X rays, electrocardiogram, spirometry and flow volume loop before and after broncodilators and oxymetry. Medications were prescribed following the guidelines according to status of the condition and after each was proficient in the use of the spacer and peak flow meter. Scheduled visits were every 2 weeks until improvement was >50% of baseline; then every 6-10 weeks. All learned how to identify dangerous situations to access hospitas.
After one year only 2.5% visited emergency departments and 1.8% were admitted with a lenght of stay between 7-15 days. The expenses of the admitted were almost equal to the amount paid in medications for the rest.
The results obtain are significants; demostrating that adherence to the management guidelines is the only path to get better results than previous obtained in the last decade.
To obtain better results we need a tool that simplifies and improve the compliance with the NAEMP guidelines.
R.F. Lebron, None.