Paediatric asthma outpatient care by asthma nurse, paediatrician or general practitioner: Randomised controlled trial with two-year follow-up

摘要: textabstractAims: For children with stable asthma, to test non-inferiority of care provided by a hospital-based specialised asthma nurse versus general practitioner (GP) or paediatrician. Methods: Randomised controlled trial evaluating standard GP, paediatrician an nurse, two-year follow-up. Results: 107 were recruited, 45 from practice and 62 hospital. After two years, no significant differences between groups found for airway responsiveness, FEV1, control, medication, school absence parental work absence. In the group there was significantly lower frequency regular review visits ('regular' = at least one per six months) compared group, both after year [45.7% 87.9% 94.3%, respectively, (p<0.0005)] years [26.5% 75.8%, (p<0.0005)]. We in unplanned visits. most cases able provide without consultation Conclusion: The degree disease control childhood managed is not inferior traditional management primary secondary physicians. results also suggest that does detract good control.