Effectiveness of Asthma Treatment after Implementation Asthma Clinical Practice Guideline in Nongki Hospital, Buriram Province 2004-2005

Abstract

Background: Asthma is one of the most common chronic diseases worldwide and the prevalence is increased. Acute asthmatic attack may cause morbidity and mortality in asthma patient. Fortunately asthma can be treated and controlled.
Objectives: To compare the effectiveness of asthma treatment before and after implementation Asthma CPG.
Research design and Setting: Pretest-posttest retrospective study in Nongki Hospital.
Patients: All adult asthmatic patients who continuously follow up during June 2004-May 2005.
Measure: Acute asthmatic attack rate, admission rate 1 length of stay in the hospital and acute respiratory failure rate of asthmatic patients.
Result: Acute asthmatic attack rate decreases from 79% to 27% ( p<0.001), admission rate decreases from 41% to 29% ( p=0.186 ), length of stay in the hospital decreases from 5.84 days to 2.18 days ( p<0.001) and acute respiratory failure rate decreases from 3% to 0%( p=0.5 ) after implementation clinical practice guideline of asthma in Nongki Hospital.
Conclusion: Implementation asthma CPG for asthma management can decrease asthmatic attack, length of stay in the hospital and hospital days significantly and decreases admission rate and improves quality of life.
Key words: Asthma, clinical practice guideline.