Quality of Life, Asthma Control, Urinary Cotinine, and Therapeutic Education among Asthmatic Children (notice n° 586026)

détails MARC
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control field 20250121143011.0
041 ## - LANGUAGE CODE
Language code of text/sound track or separate title fre
042 ## - AUTHENTICATION CODE
Authentication code dc
100 10 - MAIN ENTRY--PERSONAL NAME
Personal name Beydon, Nicole
Relator term author
245 00 - TITLE STATEMENT
Title Quality of Life, Asthma Control, Urinary Cotinine, and Therapeutic Education among Asthmatic Children
260 ## - PUBLICATION, DISTRIBUTION, ETC.
Date of publication, distribution, etc. 2012.<br/>
500 ## - GENERAL NOTE
General note 96
520 ## - SUMMARY, ETC.
Summary, etc. Therapeutic patient education (TPE) has been standard practice in France for roughly 20 years. However, TPE has only recently been officially recognized and has rarely been assessed. The objective of this study was to assess the impact of TPE on passive smoking exposure and asthma outcomes in young patients referred to a hospital school for children with asthma.A prospective cohort study was conducted to determine the socio-economic status, environmental exposure (including parental tobacco consumption) and medical history of children starting out on a TPE course. The study measured quality of life and urinary cotinine. Asthma control was also assessed.Out of a total of 54 children (median age 8.6 years), 35 and 26 children attended three or at least four TPE sessions, respectively. Uncontrolled asthma and a history of hospitalization for exacerbation of asthma were frequent (43% and 61%, respectively). In utero passive smoke exposure was more frequent in the hospitalization group (p = 0.07). Urinary cotinine levels were similar in children exposed and not exposed to tobacco smoke (259 vs 141 nMol.L-1, p = 0.15), but only decreased in the group of exposed children. In 34 children, quality of life improved significantly between the first and the third or fourth sessions (n = 23, median increase 1.06, p = 0.1), while asthma control improved in 64% of the patients (n = 33, p = 0.01) and emergency attendances decreased (n = 34, p = 0.001).The positive effects of TPE on asthma control and quality of life were quickly visible but did not prevent children from withdrawing from the program. Urinary cotinine was not useful for detecting exposure to tobacco smoke, but may be useful as an indicator of exposure to tobacco smoke.The results indicate an improvement in quality of life and asthma control as TPE proceeded.
690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN)
Topical term or geographic name as entry element asthma
690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN)
Topical term or geographic name as entry element education
690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN)
Topical term or geographic name as entry element quality of life
690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN)
Topical term or geographic name as entry element tobacco smoke pollution
700 10 - ADDED ENTRY--PERSONAL NAME
Personal name Robbe, Margaret
Relator term author
700 10 - ADDED ENTRY--PERSONAL NAME
Personal name Lebras, Marie-Noëlle
Relator term author
700 10 - ADDED ENTRY--PERSONAL NAME
Personal name Marchand, Valérie
Relator term author
700 10 - ADDED ENTRY--PERSONAL NAME
Personal name Périès, Marie-Annick
Relator term author
700 10 - ADDED ENTRY--PERSONAL NAME
Personal name Alberti, Corinne
Relator term author
700 10 - ADDED ENTRY--PERSONAL NAME
Personal name Dupré, Thierry
Relator term author
786 0# - DATA SOURCE ENTRY
Note Santé Publique | 24 | 2 | 2012-06-12 | p. 105-119 | 0995-3914
856 41 - ELECTRONIC LOCATION AND ACCESS
Uniform Resource Identifier <a href="https://shs.cairn.info/journal-sante-publique-2012-2-page-105?lang=en&redirect-ssocas=7080">https://shs.cairn.info/journal-sante-publique-2012-2-page-105?lang=en&redirect-ssocas=7080</a>

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