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Transition to Virtual Asthma Care During the COVID-19 Pandemic: An Observational Study.
Cvietusa, Peter J; Goodrich, Glenn K; Steiner, John F; Shoup, Jo Ann; King, Diane K; Ritzwoller, Debra P; Shetterly, Susan M; Bender, Bruce G.
Afiliación
  • Cvietusa PJ; Institute for Health Research, Kaiser Permanente Colorado, Denver, Colo; Department of Asthma, Allergy, and Immunology, Permanente Medical Group, Denver, Colo. Electronic address: Peter.J.Cvietusa@kp.org.
  • Goodrich GK; Institute for Health Research, Kaiser Permanente Colorado, Denver, Colo.
  • Steiner JF; Institute for Health Research, Kaiser Permanente Colorado, Denver, Colo.
  • Shoup JA; Institute for Health Research, Kaiser Permanente Colorado, Denver, Colo.
  • King DK; Center for Behavioral Health Research and Services, Institute of Social and Economic Research, University of Alaska Anchorage, Anchorage, Alaska.
  • Ritzwoller DP; Institute for Health Research, Kaiser Permanente Colorado, Denver, Colo.
  • Shetterly SM; Institute for Health Research, Kaiser Permanente Colorado, Denver, Colo.
  • Bender BG; Division of Pediatric Behavioral Health, National Jewish Health, Denver, Colo.
J Allergy Clin Immunol Pract ; 10(6): 1569-1576, 2022 06.
Article en En | MEDLINE | ID: mdl-35263682
BACKGROUND: The COVID-19 pandemic increased reliance on virtual care for patients with persistent asthma. OBJECTIVE: This retrospective cohort study assessed changes from in-person to virtual care during the pandemic. In patients with persistent asthma, compared with the same period before the pandemic. METHODS: Kaiser Permanente Colorado members aged 18 to 99 years with persistent asthma were evaluated during two periods (March to October 2019 and March to October 2020). Comparison of asthma exacerbations (hospitalizations, emergency department visits, and courses of oral prednisone) and asthma medication metrics were evaluated between the two periods and by type of care received during the pandemic (no care, virtual care only, in-person care only, or a mix of virtual and in-person care). Population characteristics by type of care received during the pandemic were also evaluated. RESULTS: Among 7,805 adults with persistent asthma, those who used more virtual care or sought no care during the pandemic were younger and had fewer comorbidities, mental health diagnoses, or financial barriers. Exacerbations decreased (0.264 to 0.214; P <.001) as did courses of prednisone (0.213 to 0.169). Asthma medication adherence (0.53 to 0.54; P <.001) and the asthma medication ratio, a quality-of-care metric (0.755 to 0.762; P = .019), increased slightly. Patients receiving a mix of in-person and virtual care had the highest rate of exacerbations (0.83) and a lower asthma medication ratio (0.74) despite having the highest adherence (.57). CONCLUSIONS: Despite an increase in virtual care, asthma exacerbations decreased except among individuals who received both in-person and virtual care, likely because they had more severe disease.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Asma / Telemedicina / Antiasmáticos / COVID-19 Tipo de estudio: Diagnostic_studies / Observational_studies / Risk_factors_studies Límite: Adult / Humans Idioma: En Revista: J Allergy Clin Immunol Pract Año: 2022 Tipo del documento: Article Pais de publicación: Estados Unidos
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Asma / Telemedicina / Antiasmáticos / COVID-19 Tipo de estudio: Diagnostic_studies / Observational_studies / Risk_factors_studies Límite: Adult / Humans Idioma: En Revista: J Allergy Clin Immunol Pract Año: 2022 Tipo del documento: Article Pais de publicación: Estados Unidos