Asthma Clinical Trial
Official title:
To Deliver a Pilot Project on Effective Interventions to Ensure: Diagnostic Accuracy, Management of Risk and Control and Self-management for Asthma Patients.
Following on from a 10 year study conducted in Finland this study is designed to test the validity and sustainability of an enhanced asthma management model for the UK.
Status | Active, not recruiting |
Enrollment | 33370 |
Est. completion date | August 2015 |
Est. primary completion date | August 2014 |
Accepts healthy volunteers | No |
Gender | Both |
Age group | 3 Years to 65 Years |
Eligibility |
Inclusion Criteria: - Motivated and driven local champions in the area - High rates of hospital admissions (aged 3-65) - High asthma prevalence - High percentage of patients who have had an asthma review in the previous 15 months. Exclusion Criteria: |
Observational Model: Cohort, Time Perspective: Prospective
Country | Name | City | State |
---|---|---|---|
n/a |
Lead Sponsor | Collaborator |
---|---|
Research in Real-Life Ltd | British Lung Foundation |
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Other | 1. Accident and Emergency (A&E) attendance | 1 year | No | |
Other | 2. Proportion of patients on each asthma register that have a confirmed asthma diagnosis | 1 year | No | |
Other | 3. Proportion of patients with an asthma management plan | 1 year | No | |
Other | 4. Proportion of patients with a recorded asthma control test (ACT) and Royal College of Physician three questions (RCP3) | 1 year | No | |
Primary | Exacerbations reduction | An exacerbation is defined (in line with the European Respiratory Society/American Thoracic Society guidelines) as: acute oral steroids, out of hours or Accident and Emergency (A&E) attendance for asthma, or hospitalisation for asthma. Rationale for selecting exacerbations as the primary outcome: They are the time of greatest risk to patients and greatest resource use Exacerbations are defined by routinely held data, such as drug prescriptions (oral steroids and out of hours and A&E attendance), hence are reliable when captured in primary care Exacerbations reflect current control and future risk; a reduction in exacerbations indicates an improvement in asthmatic inflammation control and improved use of anti-inflammatory therapy |
1 year | No |
Secondary | 1. Increased assessment of patients with equivocal diagnoses and reduction of diagnostic doubt (also detailed under process outcomes) | 1 year | No | |
Secondary | 2. Hospitalisations ¬- number and rate - coded for: • Asthma • Lower respiratory conditions (including asthma), i.e. "asthma-related" events | 1 year | No | |
Secondary | 3. Inhaled corticosteroids adherence | 1 year | No | |
Secondary | 4. Referral rate of high-risk patients to local specialist | 1 year | No | |
Secondary | 5. British Asthma Guideline adherence: appropriate step-wise management of patients | 1 year | No |
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