Abstract：
BACKGROUND:A written action plan (WAP) reduces emergency visits for asthma exacerbations. However, a WAP is underused and often focused on asthma control. The innovation is an AppWeb that includes an expert software aimed at diagnosing the level of severity of asthma exacerbations and delivering a personalized digital action plan (DAP) when patients are in urgent need of medical advice. Symptoms describing the level of severity of asthma exacerbations and the consequent treatments have been established by working groups of the French Respiratory Societies (SPLF and SP2A for adults and children, respectively). The main objective of the study is to evaluate the effect of the DAP on the frequency of urgent medical attendance. Secondary objectives are to evaluate adherence to the DAP compared to a WAP and the qualitative satisfaction of patients using the DAP. METHODOLOGY:A randomized, prospective, comparative, multicenter study on two parallel groups, conducted in private practice and in hospitals. In both arms, asthmatic patients (240 children aged 6 to 12 years and 270 adults aged 18 to 50 years) with severe asthma exacerbation(s) during the previous year and an Internet connection via a smartphone or a tablet computer, will have at their disposal a WAP and one arm will have, in addition, the DAP. Included patients will be followed up every three months for one year. EXPECTED RESULTS:A decrease in the number of urgent medical attendances and better adherence in the WAP+DAP group compared to the WAP group.
journal_name
Rev Mal Respirjournal_title
Revue des maladies respiratoiresauthors
Beydon N,Delclaux C,Groupe PANAME.doi
10.1016/j.rmr.2016.10.881subject
Has Abstractpub_date
2017-11-01 00:00:00pages
1026-1033issue
9eissn
0761-8425issn
1776-2588pii
S0761-8425(17)30224-3journal_volume
34pub_type
杂志文章,多中心研究,随机对照试验abstract：INTRODUCTION:Lung hyperinflation (LH) has become a major concern in the management of chronic obstructive pulmonary disease (COPD). MAIN AIM:To evaluate the role of lung volumes in the positive diagnosis of COPD and in the assessment of airway obstruction reversibility. POPULATION AND METHODS:Three hundred and sixty-...
journal_title：Revue des maladies respiratoires
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journal_title：Revue des maladies respiratoires
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journal_title：Revue des maladies respiratoires
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更新日期：1990-01-01 00:00:00
abstract：INTRODUCTION:To investigate the safety, feasibility and effectiveness of an inpatient pulmonary rehabilitation program (i-PR) after lung resection (LR) for cancer. METHODS:Between January 2007 and December 2009, we conducted a prospective observational study on patients admitted in our institution. An i-PR was offered...
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journal_title：Revue des maladies respiratoires
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journal_title：Revue des maladies respiratoires
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journal_title：Revue des maladies respiratoires
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journal_title：Revue des maladies respiratoires
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doi：
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journal_title：Revue des maladies respiratoires
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journal_title：Revue des maladies respiratoires
pub_type： 杂志文章
doi：
更新日期：1995-01-01 00:00:00
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journal_title：Revue des maladies respiratoires
pub_type： 杂志文章,评审
doi：
更新日期：1992-01-01 00:00:00
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journal_title：Revue des maladies respiratoires
pub_type： 杂志文章,评审
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更新日期：1994-01-01 00:00:00
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journal_title：Revue des maladies respiratoires
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doi：
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journal_title：Revue des maladies respiratoires
pub_type： 杂志文章
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更新日期：1991-01-01 00:00:00
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journal_title：Revue des maladies respiratoires
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journal_title：Revue des maladies respiratoires
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journal_title：Revue des maladies respiratoires
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更新日期：2005-12-01 00:00:00
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journal_title：Revue des maladies respiratoires
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doi：
更新日期：2001-06-01 00:00:00
