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Clinical Trial
. 1996 Mar 23;312(7033):748-52.
doi: 10.1136/bmj.312.7033.748.

Randomised comparison of guided self management and traditional treatment of asthma over one year

A Lahdensuo  1 , T Haahtela, J Herrala, T Kava, K Kiviranta, P Kuusisto, E Perämäki, T Poussa, S Saarelainen, T Svahn
Affiliations
Clinical Trial

Randomised comparison of guided self management and traditional treatment of asthma over one year

A Lahdensuo et al. BMJ. .

Abstract

Objective: To compare the efficacy of self management of asthma with traditional treatment.

Design: 12 month prospective randomised trial.

Setting: Outpatient clinics in Finland.

Subjects: 115 patients with mild to moderately severe asthma.

Interventions: Patient education and adjustment of anti-inflammatory therapy guided by peak flow measurements.

Main outcome measures: Unscheduled admissions to hospital and outpatient visits, days off work, courses of antibiotics and prednisolone, lung function, and quality of life.

Results: The mean number of unscheduled visits to ambulatory care facilities (0.5 v 1.0), days off work (2.8 v 4.8), and courses of antibiotics (0.4 v 0.9) and prednisolone (0.4 v 1.0) per patient were lower and the quality of life score (16.6 v 8.4 at 12 months) higher in the self management group than in the traditionally treated group. In both groups admissions for asthma were rare.

Conclusions: Self management reduces incidents caused by asthma and improves quality of life.

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