Asthma Attack in the Emergency Department : Reasons Of This Attendance

NCT03099915 | Completed

• 1 other identifier: AERO
• Study Type: observational
• Target: 182
• Locations: 1 country
• Sites: 2

Brief Summary

Objective: Identify modifiable factors that may affect asthma control and the use of emergency room to define customized interventions for the management of asthma prior to emergency room. Emergency department attendance is always a sign of poor balance or control of asthma. In spite of a decrease in the number of deaths that has been halved in 20 years and hospitalization due to asthmatic disease, the use of emergency center for this disease has not decreased. We now know that the passage through emergencies and hospitalization for aggravation of asthma is in itself a factor of mortality. Acting on the determinants of poor balance or control of asthma is essential to further reduce the mortality and morbidity of asthma.

Conditions

Asthma Attack; Emergency Medicine

Outcome Measures

Primary Outcomes (1)

• Poor observance of GINA criteria

  Explanation of Asthma imbalance by poor observance and knowledge of GINA global strategy for asthma management and prevention criteria.

  Less than 24 hours: the outcome measure will be assessed the visiting day at emergency room, when the asthma attack will be solved, before discharge from hospital

Secondary Outcomes (1)

• GHQ-12 Psychometric tool

  Less than 24 hours: the outcome measure will be assessed the visiting day at emergency room, when the asthma attack will be solved, before discharge from hospital

Interventions

completion of self-reported questionnaires OTHER

Single completion: Participants will have to complete self-reported questionnaires based on gina criteria and 12-item general health questionnaire

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)
• Sampling Method: Non-Probability Sample

Study Population

Adults visiting emergency department for asthma attack

You may qualify if:

• Age\> 18 years
• Ambulatory patient, visiting one of these centers
• Diagnosis of asthma already evolving for more than 6 months
• Prescription of treatment for more than 3 months
• Patient who can read and write French
• Agreement for an individual interview (Part 1) or fill up a self-questionnaire (Part 2)
• Health insurance coverage

You may not qualify if:

• Patients with other etiology that may explain their dyspnea: heart failure, chronic obstructive pulmonary disease , pneumopathy
• Patients with a social background that is not compatible with the study: a patient who does not speak French, is homeless or does not have a telephone number
• Inpatients

Sponsors & Collaborators

• Olivier CHASSANY: lead
• EA 7334, Patient-Centered Outcomes Research: collaborator
• Bichat Hospital: collaborator
• Beaujon Hospital: collaborator

Study Sites (2)

Service d'accueil des urgences Hôpital Beaujon

Clichy, 92110, France

Location

Service d'acceuil des urgences hôpital Bichat- Claude Bernard

Paris, 75018, France

Location

Study Officials

• Olivier CHASSANY, MD, PhD

  EA 7334, University Paris-Diderot, Paris

  STUDY DIRECTOR

• Prabakar VAITTINADA AYAR, MD

  Hôpital Bichat-Claude Bernard

  PRINCIPAL INVESTIGATOR

• Enrique CASALINO, MD

  Hôpital Bichat-Claude Bernard

  STUDY CHAIR

Study Design

• Study Type: observational
• Observational Model: COHORT
• Time Perspective: PROSPECTIVE
• Sponsor Type: OTHER
• Responsible Party: SPONSOR INVESTIGATOR
• PI Title: Director

Study Record Dates

• First Submitted: March 17, 2017
• First Posted: April 4, 2017
• Study Start: March 17, 2017
• Primary Completion: March 30, 2019
• Study Completion: December 31, 2019
• Last Updated: April 27, 2021

Record last verified: 2021-04

Data Sharing

• IPD Sharing: Will not share

Locations

FR (2)