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Post Exacerbation Asthma Clinic Telecare Intervention to Reduce Recurrent Exacerbations

Not Yet RecruitingNA

Sponsor: Tel-Aviv Sourasky Medical Center

Conditions: Asthma Acute, Asthma Attack

Interventions: Follow-up in a remote flare-up clinic

Countries: Israel

Asthma exacerbations leading to emergency department visits or hospitalization are associated with a high risk of recurrent exacerbations, poor disease control, and increased healthcare utilization in the months following discharge. Early specialist follow-up during this vulnerable transition period remains limited, and many patients do not receive optimized long-term asthma management. The purpose of this study is to evaluate whether a structured remote asthma clinic intervention initiated shortly after hospital discharge can reduce recurrent exacerbations and improve asthma-related outcomes compared to standard community care. This prospective randomized study will enroll 220 adult patients (18-75 years) presenting to the emergency department at Tel Aviv Sourasky Medical Center with an asthma exacerbation. Participants will be randomly assigned to one of two groups: 1. Intervention group - will undergo two structured remote pulmonology follow-up visits via secure video consultation within 7-21 days and 5 months after discharge, including treatment optimization, inhaler technique assessment, and self-management education. 2. Control group - will continue standard community care without additional intervention. All participants will complete scheduled follow-up assessments over 12 months, including evaluation of exacerbations, asthma control, healthcare utilization, and medication use.

Eligibility overview

Sex: ALL

Age: 18 Years to 75 Years

Healthy volunteers: No

Study type: INTERVENTIONAL

Eligibility criteria

Inclusion Criteria:

* Presentation to the emergency department with an asthma exacerbation.
* Ability to complete telephone follow-up and access to a personal e-mail account.
* Agreement to participate in the study.
* Written or verbal informed consent according to study group assignment.

Exclusion Criteria:

* Uncontrolled cardiac disease.
* Any other uncontrolled medical condition.
* Inability to complete telephone follow-up.
* Pregnancy.
* Patients lacking decision-making capacity.

Locations (1)

Tel Aviv, Israel