Change search
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • harvard1
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf
Adherence to national guidelines for children with asthma at primary health centres in Sweden: potential for improvement
Pediatric Outpatient Clinic, Astrid Lindgrens Children’s Hospital, Stockholm.
Red Cross University College of Nursing.ORCID iD: 0000-0003-2504-343X
Department of Clinical Sciences, Danderyd Hospital, Karolinska Institutet, Stockholm.
Pediatric Outpatient Clinic, Astrid Lindgrens Children’s Hospital, Stockholm.
Show others and affiliations
2012 (English)In: Primary Care Respiratory Journal, ISSN 1475-1534, E-ISSN 1471-4418, Vol. 21, no 3, 276-282 p.Article in journal (Refereed) Published
Abstract [en]

BACKGROUND: Although asthma is the most common chronic paediatric disease in Western Europe, the extent of adherence to guidelines for primary care management of paediatric asthma remains unclear. AIMS: To evaluate adherence to national guidelines for primary care management of children with asthma. METHODS: This survey involved 18 primary healthcare centres in Stockholm, Sweden. The medical records of 647 children aged 6 months to 16 years with a diagnosis of asthma, obstructive bronchitis, or cough were selected and scrutinised. 223 children with obstructive bronchitis or cough not fulfilling the evidence-based criteria for asthma were excluded, yielding a total of 424 subjects. Documentation of the most important indicators of quality as stipulated in national guidelines (i.e., tobacco smoke, spirometry, pharmacological treatment, patient education, and demonstration of inhalation technique) was examined. RESULTS: Only 22% (n=49) of the children 6 years of age or older had ever undergone a spirometry test, but the frequency was greater when patients had access to an asthma nurse (p=0.003). Although 58% (n=246) of the total study population were treated with inhaled steroids, documented patient education and demonstration of inhalation technique was present in 14% (n=59). Exposure to tobacco smoke was documented in 14% (n=58). CONCLUSIONS: This study reveals a substantial gap between the actual care provided for paediatric asthma and the recommendations formulated in national guidelines.

Place, publisher, year, edition, pages
Elsevier, 2012. Vol. 21, no 3, 276-282 p.
Keyword [en]
asthma, care guidelines. paediatric asthma, primary care
National Category
Nursing
Identifiers
URN: urn:nbn:se:rkh:diva-528DOI: 10.4104/pcrj.2012.00051PubMedID: 22751738OAI: oai:DiVA.org:rkh-528DiVA: diva2:607721
Available from: 2013-02-25 Created: 2013-02-25 Last updated: 2014-11-07Bibliographically approved

Open Access in DiVA

No full text

Other links

Publisher's full textPubMed

Search in DiVA

By author/editor
Egmar, Ann-Charlotte
By organisation
Red Cross University College of Nursing
In the same journal
Primary Care Respiratory Journal
Nursing

Search outside of DiVA

GoogleGoogle Scholar

Altmetric score

Total: 99 hits
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • harvard1
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf