Outcome of Asthma Clinic in Nakhonpathom Hospital of the Asthmatic Patients Who has Experiences of Acute Asthmatic Attack and Hospitalization

Abstract

          Objective: To study the treatment outcome after 1 year post- registration at the asthma clinic, Nakhonpathom Hospital, of the asthmatic patients who had had experiences of acute asthmatic attack and hospitalization before.

          Material and method: A retrospective descriptive study of the asthmatic patients who had had experiences of acute asthmatic attack and hospitalization and continuously visited asthma clinic for not less than 12 months. The data of acute asthmatic attack rate in emergency unit and hospitalization rate were compared before and after 1 year post-registration at asthma clinic. The level of asthma controlled and peak expiratory flow rate were compared pre and post visit the asthma clinic after 3, 6 and 12 months. The data were collected between January 1^st, 2011 - October 31^st, 2012.

          Result: One hundred and four patients were included in the study. After visiting the asthma clinic for completely 12 months, acute asthmatic attack rate at emergency unit declined 79.6% or from 3.6 to 0.73 times per patient per year and also hospitalization rate declined 71.7% or from 1.63 to 0.46 times per patient per year. The uncontrolled asthma patients decreased from 74% to 20.2%, 13.5% and 6.7% after 3, 6 and 12 months post-registration, respectively. The controlled asthma patients increased from 1% to 26%, 37.7% and 49% after 3, 6 and 12 months of treatment, respectively with statistically significance. The peak expiratory flow rate showed statistically significantly improvement from 61.84 to 75.1, 77.8 and 83.73% predicted after treatment in asthma clinic 3, 6 and 12 months.

          Conclusion: The treatment outcome of asthmatic patients who had had experiences of acute asthmatic attack and hospitalization in asthma clinic can improve level of asthma controlled, peak expiratory flow rate and decreased asthmatic attack rate at emergency unit and hospitalization.