Introduction. Presented by : (speaker info). This session will . Provide an overview of the course Discuss the Burden of Asthma in the US Review the NAEPP Expert Panel Report 3: Guidelines for the Diagnosis and Management of Asthma. Course Objectives.
Introduction • Presented by: • (speaker info)
This session will • Provide an overview of the course • Discuss the Burden of Asthma in the US • Review the NAEPP Expert Panel Report 3: Guidelines for the Diagnosis and Management of Asthma
Course Objectives • To help prepare participants to pass the Asthma Educator Certification Exam(AE-C) • To prepare participants to provide NHLBI and NAEPP guideline directed asthma care to patients, families and health care providers across all settings • To identify the various roles of the asthma educator • Network with healthcare providers/educators and organizations surrounding asthma care and asthma care policies
Key Words Throughout the presentation, you will see words in BOLD. These words are defined on the Key Word Worksheet.
Define Asthma Develop a collaborative working definition of asthma
Asthma Remains a Serious Health Risk in the US Every day in America, approximately… 63,000people miss school or work due to asthma 34,000people have an asthma attack 5,000people visit an emergency room due to asthma 1,300people are admitted to the hospital due to asthma 10people die from asthma American Lung Association. Epidemiology and Statistics Unit, Research & Program Services Division. Trends in Asthma Morbidity & Mortality. November 2007. www.lungusa.org. Accessed 2/25/08.
Prevalence vs Incidence • Prevalence - the proportion or percentage of a population that has disease at a specific point or period of time • Incidence – the number of new cases of disease that develop in a population of individuals at risk during a specific point or period of time
Asthma Prevalence - Adults Trends in Asthma Morbidity and Mortality. American Lung Association, Epidemiology and Statistics Unit, Research and Program Services Division. January, 2007.
Asthma Prevalence – Children Trends in Asthma Morbidity and Mortality. American Lung Association, Epidemiology and Statistics Unit, Research and Program Services Division. January, 2007.
Asthma Age-Adjusted Death Rates Based on the 1940 and 2000 Standard populations, 1979-2005
Percentage Distribution of Current Asthma by Sex, Age, and Ethnic Origin Current Asthma 22,875,985 NCHS. National Health Interview Survey, 2007.
Percentage Distribution of Asthma Attacks by Sex, Age, and Ethnic Origin, 2007 Asthma Attacks 12,443,111 NCHS. National Health Interview Survey, 2007.
Asthma Impact – Economic Burden • Childhood asthma accounts for 12.8 million days missed from school annually • The number-one chronic condition causing children to be absent from school and the third highest ranked cause of pediatric hospitalizations in the United States • On average, a child with asthma will miss one full week of school each year due to the disease
Asthma Impact – Economic Burden • Adult asthma accounts for 10.1 million missed workdays annually • 4th leading cause of missed work days
Asthma Mortality • 1980-1996 prevalence of asthma in US increased • Since 1999, mortality and hospitalization due to asthma have decreased and prevalence appears to have stopped increasing
National Burden of Asthma $19.7 billion annually • $14.7 billion in direct costs (prescription medications, hospital care, and physician services) • $5 billion in indirect costs (lost productivity due to missed work or school and premature mortality)
Burden of Asthma in [STATE] • Asthma Rates in [STATE] • XXX [current prevalence (%) in adults, by State] adults • XXX [current attack prevalence (%) in adults, by State] adults • XXX [current prevalence (%) in children, by State] children • XXX [current attack prevalence (%) in children, by State] children • Asthma Burden in [STATE]: • XXX [No. of] Emergency Department visits • XXX [No. of] Hospitalizations for asthma as the main diagnosis
Asthma Disparities • Asthma occurs in disproportionate rates among people of different ethnic and cultural backgrounds • Studies suggest within Hispanic subgroups, Puerto Ricans have higher rates of asthma than other Hispanic subgroups and non-Hispanic whites • Asthma prevalence rate among blacks was 39% greater than among whites in 2007 • Asthma attack prevalence rate in blacks is 32% higher than the rate in whites • Prevalence is greater in boys than girls, but… • Greater in women than men
Asthma Disparities Asthma has been estimated to affect as many as 20.1 percent of mainland Puerto Rican children 6 months to 11 years old. This is a greater percentage of children than in any other ethnic group
National Asthma Education and Prevention Program. Expert Panel Report 3.
Acknowledgements • Rhonda Vosmus, RRT-NPS, AE-C Asthma Education Specialist AH! Program Maine Medical Center • Barbara Kaplan, MPH, CHES Manager, Adult Lung Disease Programs American Lung Association National Headquarters
References American Lung Association. Epidemiology and Statistics Unit, Research & Program Services Division. Trends in Asthma Morbidity & Mortality, November 2007. NIH. NAEPP Expert Panel Report 3: Guidelines for the Diagnosis and Management of Asthma, October 2007.