severe asthma, for better patient care there is now a red carpet

Rome, March 23 (Adnkronos Health) – Improving the management of severe asthma, optimizing the diagnostic and therapeutic course of the patient thanks to the centralization of the figure of the general practitioner and a closer and more effective collaboration between local medicine and specialist. This is the objective of Red Carpet, an innovative project which plans to select certain potentially uncontrolled asthmatic patients, after evaluation of the medical files at the family doctor, and to submit them to the main tests for the diagnosis of severe asthma. in an outpatient clinic. .from the same doctor, with the support of a nurse who will carry out the screening tests (spirometry, prick test, total IgE, asthma control test), for a maximum of one hour for each patient. This is reported in an article published on the Aleati per la Salute website (, the portal dedicated to medical-scientific information created by Novartis.

The project was born from an idea of ​​Diego Bagnasco, head of the Severe Asthma Center of the Clinic of Respiratory Diseases and Allergology of the San Martino Polyclinic in Genoa, and Pierclaudio Brasesco, general practitioner at Asl 3 in Genoa and president of the Cooperative of General Practitioners and Pediatricians of Free Choice Medicoop Liguria, whom Aleati per la Salute interviewed.

But what is the difference between severe asthma and uncontrolled asthma? “Uncontrolled asthma – explains Bagnasco – is a form of disease that is not controlled for a series of reasons: first of all, poor compliance with treatment; they follow an underdosed treatment or an incorrect diagnosis of Asthma Comorbidities, such as rhinosinusitis and gastroesophageal reflux disease, may contribute to poor symptom control. of inhaled medication that may be prescribed for asthma have at least 1-2 flare-ups per year, for which cortisone is taken systemically (tablets or injections).”

In the current care of the asthmatic patient, the critical aspects are not lacking and must be highlighted both from the point of view of the general practitioner and that of the specialist doctor. “The lack of time and organization of a clinic dedicated to chronic diseases”, as well as “the lack of adequate nursing support” and “the lack of real interactive networks between general practitioner and pulmonologist”, are, according to Brasesco, ” serious deficiencies, which negatively affect the process of diagnosis and treatment of the patient, lengthening the time necessary to reach an adequate therapy”.

From the specialist’s point of view, “one of the major difficulties – emphasizes Bagnasco – is not to consider his asthma as uncontrolled. Patients often think that it is sustainable to use cortisone tablets, which does not is more acceptable, except in special cases”. difficulty is that of being able to access the national reference centres, because of the long waiting lists. A third difficulty is that of being able to quickly carry out the checks necessary to make a rapid diagnosis”. The question of the moment of the intervention therefore remains central, as well as the need for greater awareness of the disease by the patient himself.

Hence the need to identify and test new support processes that enable faster and more cost-effective management. In this perspective, initiative medicine plays an important role which, as Brasesco explains, “consists in actively promoting the participation of its client/patient in the promotion of its own health, in the prevention of diseases and their complications. “.

The Red Carpet project was designed to allow patients to complete a comprehensive screening in a single appointment, a convenient and helpful way to remove the barrier of long waiting times and arrive at a diagnosis quickly. “With the Red Carpet project – concludes Bagnasco – a better link with general practitioners has been made possible, increasing the speed of patient screening and allowing them to access national reference centers for severe asthma. Our experience, the project is proving to be very virtuous, also succeeding in collaborating with local medicine, creating a strong link to act on this particular type of patient, allowing us to offer targeted therapies, such as biologicals, to patients who would otherwise remain poorly controlled” .

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