AI Article Synopsis
- The Inner-City Asthma Study helped kids with asthma by making their homes cleaner to reduce allergens, which improved their health and fewer kids had asthma attacks.
- The program cost about $1469 per family and was able to give each family about 27 extra days without asthma symptoms for a year.
- The study showed that this home clean-up program is a good idea because it not only helps kids feel better but also saves money on doctor visits and medicine.
Article Abstract
Background: Exposure to indoor allergens contributes to increased asthma morbidity. The Inner-City Asthma Study, a randomized trial involving home environmental allergen and irritant remediation among children aged 6 through 11 years with moderate-to-severe asthma, successfully reduced asthma symptoms. A cost-effectiveness analysis can help stakeholders to evaluate the potential costs and benefits of adopting such a program.
Objective: We sought to assess the cost-effectiveness of the environmental intervention of the Inner-City Asthma Study.
Methods: Incremental cost-effectiveness ratios for a 2-year study period were calculated. Health outcome was measured as symptom-free days. Resource use measures included ambulatory visits, hospitalizations, and pharmaceutical use. CIs were obtained by using bootstrapping.
Results: The intervention, which cost $1469 per family, led to statistically significant reductions in symptom days, unscheduled clinic visits, and use of beta-agonist inhalers. Over the year of the intervention and a year of follow-up, the intervention cost was $27.57 per additional symptom-free day (95% CI, $7.46-$67.42). Subgroup analysis showed that targeting the intervention to selected high-risk subgroups did not reduce the incremental cost-effectiveness ratio.
Conclusions: A targeted home-based environmental intervention improved health and reduced service use in inner-city children with moderate-to-severe asthma. The intervention is cost-effective when the aim is to reduce asthma symptom days and the associated costs.
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| http://dx.doi.org/10.1016/j.jaci.2005.07.032 | DOI Listing |
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