ArticleCanadian respiratory journal2007
Comparison of Canadian versus American emergency department visits for acute asthma.
Article in Canadian respiratory journal, 2007. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
18 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Clinical, economic, and humanistic burden of asthma in Canada: a systematic review.BMC pulmonary medicine · 2013Pooled it
- Admissions to Canadian hospitals for acute asthma: a prospective, multicentre study.Canadian respiratory journalTrial
- Acute Asthma Management in a Tertiary Hospital in Oman.Oman medical journal · 2024Article
- Inhaled Corticosteroids Rarely Prescribed at Emergency Department Discharge Despite Low Rates of Follow-Up Care.The Journal of emergency medicine · 2023Article
- Characteristics of medicine use for children with asthma in China: a nationwide population-based study.BMC pediatrics · 2022Article
- Care of acute conditions and chronic diseases in Canada and the United States: Rapid systematic review and meta-analysis.Journal of public health research · 2019Article
- Factors associated with relapse in adult patients discharged from the emergency department following acute asthma: a systematic review.BMJ open respiratory research · 2017Article
- Validation of the modified Vesikari score in children with gastroenteritis in 5 US emergency departments.Journal of pediatric gastroenterology and nutrition · 2013Article
- A local perspective to asthma management in the accident and emergency department in Malta.Lung India : official organ of Indian Chest Society · 2013Article
- Minimal difference in the prevalence of asthma in the urban and rural environment.Clinical medicine insights. Pediatrics · 2012Article
- Trends in asthma-related direct medical costs from 2002 to 2007 in British Columbia, Canada: a population based-cohort study.PloS one · 2012Article
- A case study and state of science review: private versus public healthcare financing.Global journal of health science · 2011Review
- Can an evidence-based guideline reminder card improve asthma management in the emergency department?Respiratory medicine · 2010Article
- Management of acute asthma in adults in the emergency department: assisted ventilation.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2010Article
- Management of acute asthma in adults in the emergency department: nonventilatory management.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2010Review
- Comparison of Canadian versus United States emergency department visits for chronic obstructive pulmonary disease exacerbation.Canadian respiratory journal · 2008Article
- Asthma in the emergency room in Canada.Canadian respiratory journalArticle
- Direct health care costs associated with asthma in British Columbia.Canadian respiratory journalArticle
Corrections and comments
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Authors and funding
5 authors.
Funding
Abstract
backgroundAcute asthma is a common emergency department (ED) presentation in both Canada and the United States.
objectiveTo compare ED asthma management and outcomes between Canada and the United States.
methodsA prospective cohort study of 69 American and eight Canadian EDs was conducted. Patients aged two to 54 years who presented with acute asthma underwent a structured ED interview and telephone follow-up two weeks later.
resultsA total of 3031 patients were enrolled. Canadian patients were more likely to be white (89% versus 22%; P<0.001), have health insurance (100% versus 69%; P<0.001) and identify a primary care provider (89% versus 64%; P<0.001) than American patients. In addition, Canadian patients were more likely to be using inhaled corticosteroids (63% versus 44%; P<0.001) and had higher initial peak expiratory flow (61% versus 48%; P<0.001). In the ED, Canadians received fewer beta-agonist (one versus two; P<0.001) and more anticholinergic (two versus one; P<0.001) treatments in the first hour; use of systemic corticosteroids was similar (60% versus 68%; P=0.13). Canadians were less likely to be hospitalized (11% versus 21%; P=0.02). Corticosteroids were prescribed similarly at discharge (60% versus 69%; P=0.13); however, Canadians were discharged more commonly on inhaled corticosteroids (63% versus 11%; P<0.001) and relapses were similar.
conclusionsCanadian patients with acute asthma have fewer barriers to primary care and are more likely to be on preventive medications, both before the ED visit and following discharge. Admissions rates are higher in the United States; however, relapse after discharge is similar between countries. These findings highlight the influences of preventive practices and heath care systems on ED visits for asthma.
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