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- Title
Competencia clínica de médicos de urgencias en la atención de niños con exacerbación asmática.
- Authors
Arenas, Jesús Arturo Zavala; Furuya, María Elena Y.; Vargas, Mario H.
- Abstract
In spite of its high prevalence, asthma continues to be undertreated worldwide, and a physician's deficient knowledge seems to be the main reason. Objectives: To measure the degree of physician's knowledge about classification and treatment of asthma exacerbations in children, and to identify physician's factors that might be involved. Methods: A prospective, observational, cross-sectional and analytical study was carried out. A 13 item questionnaire to evaluate the knowledge about asthma exacerbations was constructed and validated. This instrument was applied to clinicians working at emergency rooms in four secondary-level hospitals. Results: Forty doctors answered the questionnaire, with a median of 38.5% correct answers. Age, time-span working as specialist, years working at emergency rooms, number of courses attended, number of papers on asthma read, and number of asthma patients seen in a weekly basis did not influence the percentage of correct answers. Variables influencing the degree of knowledge were: being pediatrician (38.5% correct answers vs 23.1% in other specialties, p=0.035) and working at night (50.0 vs 30.8% in other shift p=0.031). A multiple lineal regression analysis corroborated the influence of these last two variables on the percentage of correct answers. Conclusions: The questionnaire proved to be a useful tool that fulfilled expected goals. Percentage of correct answers was low among participating physicians, which indicated the need of educative intervention maneuvers to improve medical management of asthma exacerbation.
- Subjects
ASTHMA treatment; LUNG diseases; RESPIRATORY allergy; ANTIASTHMATIC agents; CROSS-sectional method
- Publication
Revista Alergia de Mexico, 2008, Vol 55, Issue 4, p139
- ISSN
0002-5151
- Publication type
Article