PMID- 32812836
OWN - NLM
STAT- MEDLINE
DCOM- 20220103
LR  - 20220103
IS  - 1532-4303 (Electronic)
IS  - 0277-0903 (Linking)
VI  - 58
IP  - 11
DP  - 2021 Nov
TI  - Patient characteristics associated with improvements in asthma control and 
      reduction in emergency department visits for older adults with asthma.
PG  - 1528-1535
LID - 10.1080/02770903.2020.1805753 [doi]
AB  - OBJECTIVE: To identify patient characteristics associated with improvements in 
      asthma control among older adults with asthma. METHODS: Secondary analysis of 
      data from a randomized controlled trial of an asthma self-management support 
      intervention for adults ages 60 and older with moderate-severe persistent asthma 
      (n = 391). We tested the association of baseline patient characteristics with 
      reduced emergency department (ED) visits and improvement in asthma control equal 
      to or exceeding the minimal clinically important difference (MCID) in asthma 
      control test (ACT) scores (3.0) 12 months. RESULTS: At baseline, the mean age was 
      68 years, 15.0% were male, 30.3% were black, and 56.5% were Hispanic. Patients 
      with a history of ED visits in the 12 months preceding study enrollment were 
      significantly more likely to experience an ED visit during the study period 
      (adjusted odds ratio [AOR] 6.92, 95% confidence interval [CI] 2.18-21.9, 
      p < .0001). Similarly, those with poorer asthma control (baseline ACT scores <13) 
      had greater odds of achieving improved asthma control (AOR 13.7, 95% CI 
      5.32-35.1, p < .0001). No other variables had statistically significant 
      associations with the outcomes. CONCLUSIONS: Low scores on the asthma control 
      test and prior ED visits for asthma are strong correlates of later clinically 
      meaningful changes in asthma control among older adults. Health systems preparing 
      for population management of patients with asthma ought to consider incorporating 
      serial collection of data on the ACT into the monitoring and management of older 
      asthmatics, a high-risk patient population.
FAU - Federman, Alex D
AU  - Federman AD
AD  - Division of General Internal Medicine, Icahn School of Medicine at Mount Sinai, 
      New York, NY, USA.
FAU - Thanik, Erin
AU  - Thanik E
AD  - Department of Environmental Medicine and Public Health, Icahn School of Medicine 
      at Mount Sinai, New York, NY, USA.
FAU - O'Conor, Rachel
AU  - O'Conor R
AD  - Division of General Internal Medicine, Feinberg School of Medicine, Northwestern 
      University, Chicago, IL, USA.
FAU - Arora, Arushi
AU  - Arora A
AD  - Division of General Internal Medicine, Icahn School of Medicine at Mount Sinai, 
      New York, NY, USA.
FAU - Wolf, Michael S
AU  - Wolf MS
AD  - Division of General Internal Medicine, Feinberg School of Medicine, Northwestern 
      University, Chicago, IL, USA.
FAU - Wisnivesky, Juan P
AU  - Wisnivesky JP
AD  - Division of General Internal Medicine, Icahn School of Medicine at Mount Sinai, 
      New York, NY, USA.
LA  - eng
SI  - ClinicalTrials.gov/NCT02316223
PT  - Journal Article
PT  - Randomized Controlled Trial
PT  - Research Support, Non-U.S. Gov't
DEP - 20200819
PL  - England
TA  - J Asthma
JT  - The Journal of asthma : official journal of the Association for the Care of 
      Asthma
JID - 8106454
SB  - IM
MH  - Aged
MH  - Aged, 80 and over
MH  - Asthma/*prevention & control/therapy
MH  - Emergency Service, Hospital/*statistics & numerical data
MH  - Female
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Self-Management
MH  - Severity of Illness Index
OTO - NOTNLM
OT  - Geriatric
OT  - control/ management
OT  - morbidity and mortality
EDAT- 2020/08/20 06:00
MHDA- 2022/01/04 06:00
CRDT- 2020/08/20 06:00
PHST- 2020/08/20 06:00 [pubmed]
PHST- 2022/01/04 06:00 [medline]
PHST- 2020/08/20 06:00 [entrez]
AID - 10.1080/02770903.2020.1805753 [doi]
PST - ppublish
SO  - J Asthma. 2021 Nov;58(11):1528-1535. doi: 10.1080/02770903.2020.1805753. Epub 
      2020 Aug 19.