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Regular follow-up visits reduce the risk for asthma exacerbation requiring admission in Korean adults with asthma.

Authors
 Hye Jung Park  ;  Min Kwang Byun  ;  Hyung Jung Kim  ;  Chul Min Ahn  ;  Chin Kook Rhee  ;  Kyungjoo Kim  ;  Bo Yeon Kim  ;  Hye Won Bae  ;  Kwang-Ha Yoo 
Citation
 Allergy, Asthma, and Clinical Immunology, Vol.14(1) : 29-36, 2018 
Journal Title
 Allergy, Asthma, and Clinical Immunology 
ISSN
 1710-1484 
Issue Date
2018
Keywords
Asthma ; Compliance ; Exacerbation
Abstract
Background: Asthma requires regular follow-up visits and sustained medication use. Although several studies have reported the importance of adherence to medication and compliance with the treatment, none to date have reported the importance of regular follow-up visits. We investigated the effects of regular clinical visits on asthma exacerbation. Methods: We used claims data in the national medical insurance review system provided by the Health Insurance Review and Assessment Service of Korea. We included subjects aged ≥ 15 years with a diagnosis of asthma, and who were prescribed asthma-related medication, from July 2013 to June 2014. Regular visitors (frequent visitors) were defined as subjects who visited the hospital for follow-up of asthma three or more times per year. Results: Among 729,343 subjects, 496,560 (68.1%) were classified as regular visitors. Old age, male sex, lack of medical aid insurance, attendance of a tertiary hospital, a high Charlson comorbidity index, and a history of admission for exacerbated asthma in the previous year were significant determining factors for regular visitor status. When we adjusted for all these factors, frequent visitors showed a lower risk of asthma exacerbation requiring general ward admission (odds ratio [OR] 0.48; 95% confidence interval [CI] 0.47-0.50; P < 0.001), emergency room admission (OR 0.83; 95% CI 0.79-0.86; P < 0.001), and intensive care unit admission (OR 0.49; 95% CI 0.44-0.54; P < 0.001) than infrequent visitors. Conclusions: Regular clinical visits are significantly associated with a reduced risk of asthma exacerbation requiring hospital admission in Korean adults with asthma.
Files in This Item:
T201803798.pdf Download
DOI
10.1186/s13223-018-0250-0
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Internal Medicine (내과학교실) > 1. Journal Papers
Yonsei Authors
김형중(Kim, Hyung Jung) ORCID logo https://orcid.org/0000-0003-2498-0683
박혜정(Park, Hye Jung) ORCID logo https://orcid.org/0000-0002-1862-1003
변민광(Byun, Min Kwang) ORCID logo https://orcid.org/0000-0003-1525-1745
안철민(Ahn, Chul Min)
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URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/165301
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