Victoria DellaDona
A Retrospective Case Study of Asthma Control on Patients with Suboptimal Asthma

SchoolRiverside High School


ProgramScience


MentorMarianne J. Sumego, MD


DepartmentInternal Medicine/Pediatrics at Willoughby Hills Family Health Center


Research
A Retrospective Case Study of Asthma Control on Patients with Suboptimal Asthma
Hypothesis
The purpose of this study is to determine if educational focus and peer interaction result in an improved asthma outcome. If the patient is provided with educational resources and attends the asthma shared medical appointments (SMA), then there will be a decrease in the inappropriate beta-agonist use and an increase in peak expiratory flow (PEF).
Methodology
Conducted SMA and extrapolated data from 2003-2010 Epic on asthma SMA patients at Willoughby Hills FHC. Tracked PEF, frequency of beta-agonist use, time spent in the SMA, demographics, and smoking status.
Outcomes
68% of the 25 patients with recorded PEF displayed an increase in PEF from their first SMA to their final SMA. Taking into account the fact that some patients only attended one SMA, 4 of the original 10 patients who were passively exposed to smoke in their first SMA were no longer exposed by their final SMA. Overall there was a decrease in beta-agonist use in the population from their first SMA to their final SMA. Evidence suggests the hypothesis was correct.