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PACIENTES COM ASMA GRAVE E COM RINITE ASSOCIADA GERAM MAIORES CUSTOS PARA A FAM Í LIA E PARA O SISTEMA DE SAUDE. EDUARDO V PONTE ROSANA FRANCO HARRISSON FLORIAN ADELMIR SOUZA-MACHAD MAURICIO L BARRET CHARLES K NASPIT ALVARO A CRUZ. Programa de Controle da Asma e da Rinite Alergica da Bahia
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PACIENTES COM ASMA GRAVE E COM RINITE ASSOCIADA GERAM MAIORES CUSTOS PARA A FAMÍLIA E PARA O SISTEMA DE SAUDE EDUARDO V PONTE ROSANA FRANCO HARRISSON FLORIAN ADELMIR SOUZA-MACHAD MAURICIO L BARRET CHARLES K NASPIT ALVARO A CRUZ Programa de Controle da Asma e da Rinite Alergica da Bahia Universidade Federal da Bahia
Evidences Rhinitis is a risk factor for severe asthma • Emergency room visit for acute asthma • Hospital admission for acute asthma • Asthma related quality of life • Cost of asthma
Objetivo Avaliar se o custo da asma e maior em pacientes asmáticos com rinite em comparação com pacientes sem rinite Avaliar se a gravidade dos sintomas de rinite estão associados a maior custo da asma
Patients • Inclusion criteria • Severe asthma • > 12 years old • ARIA criteria • Exclusion criteria • Abnormal chest x-ray • Other pulmonary co-morbidities • Severe extra-pulmonary disease Asthmatic patients at admission in ProAR
Study design 3 m 3 m 3 m 3 m Last study visit V1 V2 V3 V4 V5 V1: report of emergency room visit in the last year, provision of free topical medication and lung function V2: report of emergency room visit, cost data and provision of free topical medication V3: report of emergency room visit, cost data, provision of free topical medication and lung function V4: report of emergency room visit, cost data and provision of free topical medication V5: report of emergency room visit, cost data and provision of free topical medication and lung function Last study visit: rhinitis evaluation, ACQ, AQLQ, lung function and clinical evaluation of asthma control
Economic data Data from Patients were evaluated in order to estimate the direct and indirect cost of rhinitis and asthma for the public health system and for their families
Conclusion Preliminary data indicate that the cost of asthma is increased in rhinitis patients, and correlate with the severity of rhinitis