The Breathmobiles: Improved asthma control for kids
Poor asthma control is problematic in the United States, particularly for inner-city children of low socioeconomic status. Mobile asthma clinics have been developed to improve asthma care delivery for such populations.
In a study published in the May 2011 issue of The Journal of Allergy and Clinical Immunology (JACI), Scott et al. examined clinical data for 7822 pediatric patients receiving guidelines-defined asthma-specialty care in a school oriented mobile asthma clinic program operating in six sites across the country (The Breathmobile Program).
Children who participated in the program for at least one year reported a 66% decrease in ED utilization and 84% decrease in hospitalizations from asthma. These children also reported a 78% improvement in school attendance. 80% of children achieved well-controlled asthma by their third visit to the mobile clinic, with an average of 62.4% of children with well-controlled asthma at any follow-up visit. Children who received care on a regular basis (<90 day visit interval) and who were rated as adherent to prescribed medications were more likely to have well-controlled asthma.
This study highlights the importance of regularly scheduled, preventative care in association with improving asthma control and reducing asthma-related morbidities. Clinicians can utilize findings to identify patient factors associated with achieving and maintaining well-controlled asthma.
The Journal of Allergy and Clinical Immunology (JACI) is the official scientific journal of the AAAAI, and is the most-cited journal in the field of allergy and clinical immunology.