Format

Send to

Choose Destination
See comment in PubMed Commons below
Chest. 1997 Dec;112(6):1534-8.

The effect of a peak flow-based action plan in the prevention of exacerbations of asthma.

Author information

1
Calgary Asthma Program, University of Calgary, Alberta, Canada.

Abstract

STUDY OBJECTIVE:

To determine the effect of a symptom-based and a peak flow-based action plan in preventing acute exacerbations in subjects with poorly controlled asthma.

DESIGN:

A randomized controlled trial in which subjects who had required urgent treatment for their asthma were allocated to receive no action plan, a symptom-based plan, or a peak flow-based action plan.

SETTING:

A university hospital asthma clinic.

POPULATION:

One hundred fifty subjects were recruited after attending an emergency department or a clinic for urgent treatment of asthma.

INTERVENTIONS:

All subjects received evaluation and education for asthma before being randomly allocated to receive no action plan, a symptom-based action plan, or a peak flowmeter and a peak flow-based action plan.

MEASUREMENTS:

Subjects were assessed by questionnaire at 3 and 6 months after enrollment with questions relating to their asthma control and their need for urgent treatment or hospital admission for asthma.

RESULTS:

At 6 months after enrollment, although all three intervention groups experienced improvement in their asthma control, there was a striking reduction in emergency department visits for asthma only in the peak flow-based action plan group (p=0.006). No significant difference in emergency visits was apparent between the symptom-based action plan and no action plan groups.

CONCLUSIONS:

We conclude that a peak flow-based action plan is effective, at least in the short term, in protecting patients with asthma against severe exacerbations of their disease.

PMID:
9404750
[Indexed for MEDLINE]
PubMed Commons home

PubMed Commons

0 comments
How to join PubMed Commons

    Supplemental Content

    Full text links

    Icon for Elsevier Science
    Loading ...
    Support Center