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- Dahlén, Elin, et al.
(författare)
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Sibship and dispensing patterns of asthma medication in young children : a population based study
- 2019
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Ingår i: Pharmacoepidemiology & Drug Safety. - Stockholm : Karolinska Institutet, Dept of Medical Epidemiology and Biostatistics. - 1053-8569 .- 1099-1557.
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Tidskriftsartikel (refereegranskat)abstract
- Purpose: Our aim was to study the association between sibship and dispensing patterns of asthma medication in young children, focusing on incidence and persistence, and taking sibship status, asthma diagnoses, and siblings’ medication into account. Methods: A register-based cohort study including all children (n=50,546) born in Stockholm, Sweden 2006–2007, followed up during 2006–2014. Exposure was sibling status; outcome was incidence of dispensed asthma medication and persistence over time. A Cox-model was used to study the association between sibship and asthma medication. Persistence was defined using two different time windows (4- and 18-months) in a refill sequence model including siblings’ and unrelated control children’s medication. Results: After one year of age, the adjusted hazard ratio of dispensed asthma medication was 0.85 (95%CI 0.80–0.90) among children with siblings compared to singletons. The estimated proportion of children with persistent controller medication was 7.2% (4-month model) and 64.5% (18-month model). When including the siblings’ controller medication, the estimated proportion was 8.8% (4-months) and 7.8% for control children (relative risk, RR 0.89, 95%CI 0.81-0.98). The persistence was lower for those with siblings compared to singletons (adj. RR 0.72, 95%CI 0.62-0.85 for 4-months) with similar estimates for older, younger, and full siblings and regardless of asthma diagnoses. Conclusions: Siblings have different dispensing patterns of asthma medications compared to singletons regardless of asthma diagnoses. After including the siblings’ asthma medication and compared with control children, the proportion of children with persistent medication increased which may indicate that siblings share asthma medications.
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| 2. |
- Kull, Inger, et al.
(författare)
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Nya Kriterier för astma/KOL-mottagningar I primärvården - Patientutbildning, rökslutarstöd Och Fysisk Aktivitet är Prioriterat – även Fysioterapeut bör Inkluderas I Teamet
- 2018
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Ingår i: Läkartidningen. - 0023-7205 .- 1652-7518. ; 115
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Tidskriftsartikel (refereegranskat)abstract
- Updated criterias for an asthma/COPD clinic in primary care based on Swedish guidelines We here present updated criterias for an asthma/COPD clinic in primary care based on Swedish guidelines and an estimate of the time required for its tasks. Certified staff should assist in diagnosis and follow-up of asthma/COPD patients, provide patient education, provide and follow up written management plans, facilitate smoking cessation in patients and parents of children with asthma, evaluate symptoms with validated tools (ACT, CAT), and assess and support physical activity. To provide such care, 4.8 hours are required for asthma/COPD nurses and 1.3 hours for physiotherapists per 1,000 listed patients and week. At least 1-2 hours/week are needed for the responsible physician. To ensure high competence, asthma/COPD nurses should have ≥15 credits, advanced level, and physiotherapists ≥7.5 credits in asthma/COPD, advanced level. The responsible physician should have advanced knowledge in the field.
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