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Management, asthma control and quality of life in Swedish adolescents with asthma
Department of Public Health and Caring Sciences, Section of Family Medicine and Clinical Epidemiology, Uppsala University, Uppsala, Sweden; Primary Care Research Unit, Vårdcentralen Kronoparken, Karlstad, Sweden.ORCID iD: 0000-0003-4241-7851
Department of Paediatrics, Örebro University Hospital, Örebro, Sweden.
Department of Public Health and Caring Sciences, Section of Family Medicine and Clinical Epidemiology, Uppsala University, Uppsala, Sweden.
Department of Public Health and Caring Sciences, Section of Family Medicine and Clinical Epidemiology, Uppsala University, Uppsala, Sweden.
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2005 (English)In: Acta Paediatrica, ISSN 0803-5253, E-ISSN 1651-2227, Vol. 94, no 6, 682-688 p.Article in journal (Refereed) Published
Abstract [en]

AIM: In Sweden, paediatricians or general practitioners treat most adolescents with asthma. This study compares management, treatment goals and quality of life for adolescents aged 15-18 y in paediatric or primary care.

MATERIAL AND METHODS: A random sample of patients answered a disease-specific and a quality-of-life (MiniAQLQ) questionnaire.

RESULTS: The 146 adolescents in paediatric care had more years with asthma, better continuity of annual surveillance, higher use of inhaled steroids and a stated better knowledge of their asthma than the 174 patients in primary care. No difference could be detected in asthma control or quality of life. Of all 320 adolescents, approximately 20% had woken at night due to asthma symptoms during the last week. About 15% had made unscheduled, urgent care visits and a third had used short-acting beta-agonist relievers more than twice a week. Quality-of-life scores were high and similar in both settings.

CONCLUSIONS: Swedish adolescents with asthma are managed and treated somewhat differently in paediatric and primary care but with equal and, for the most part, satisfying results. The difference between the two settings probably reflects both differences in severity of asthma and different treatment traditions. For all adolescents, better fulfilment of goals regarding symptoms and exacerbations would be desirable, whereas a good quality of life including normal physical activity seems to have been achieved.

Place, publisher, year, edition, pages
Taylor & Francis, 2005. Vol. 94, no 6, 682-688 p.
Keyword [en]
adolescent; asthma; outcome and process assessment (healthcare); paediatric ambulatory care; primary healthcare
National Category
Pediatrics
Identifiers
URN: urn:nbn:se:oru:diva-55842DOI: 10.1080/08035250510025851ISI: 000229836900008PubMedID: 16188769Scopus ID: 2-s2.0-19344378577OAI: oai:DiVA.org:oru-55842DiVA: diva2:1075320
Available from: 2017-02-17 Created: 2017-02-17 Last updated: 2017-10-18Bibliographically approved

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