TY - JOUR
T1 - Severe Asthma Global Evaluation (SAGE)
T2 - An Electronic Platform for Severe Asthma
AU - Denton, Eve
AU - Hore-Lacy, Fiona
AU - Radhakrishna, Naghmeh
AU - Gilbert, Annie
AU - Tay, Tunn Ren
AU - Lee, Joy
AU - Dabscheck, Eli
AU - Harvey, Erin S.
AU - Bulathsinhala, Lakmini
AU - Fingleton, James
AU - Price, David
AU - Gibson, Peter G.
AU - O'Hehir, Robyn
AU - Hew, Mark
PY - 2019/5
Y1 - 2019/5
N2 - Severe asthma is complex and heterogeneous; ad hoc outpatient assessment can be suboptimal. Systematic evaluation improves outcomes and is recommended by international guidelines. Electronic templates improve physician performance and clinical processes, and may be useful in severe asthma systematic evaluation. We developed the Severe Asthma Global Evaluation (SAGE) electronic platform to streamline this process, via Research Electronic Data Capture (REDCap). It incorporates: a questionnaire battery for patient completion before clinical consultation; asthma and comorbidity modules; a clinical summary page in an asthma management module; a nurse educator module; a structured panel discussion record; and an automatically generated report incorporating all key data. SAGE incorporates 282 clinician input fields, with a typical consultation requiring completion of 169. To streamline the process SAGE contains 34 autocalculations and 20 decision support tools. It incorporates all 95 core variables of the International Severe Asthma Registry, with which it is directly compatible. SAGE improves symptom control and exacerbations in patients with difficult asthma. In conclusion, we developed and validated an electronic platform that facilitates a comprehensive but streamlined systematic evaluation of severe asthma that is available for free download via REDCap. Its use enhances management of patients with severe asthma and facilitates audit and international research collaboration.
AB - Severe asthma is complex and heterogeneous; ad hoc outpatient assessment can be suboptimal. Systematic evaluation improves outcomes and is recommended by international guidelines. Electronic templates improve physician performance and clinical processes, and may be useful in severe asthma systematic evaluation. We developed the Severe Asthma Global Evaluation (SAGE) electronic platform to streamline this process, via Research Electronic Data Capture (REDCap). It incorporates: a questionnaire battery for patient completion before clinical consultation; asthma and comorbidity modules; a clinical summary page in an asthma management module; a nurse educator module; a structured panel discussion record; and an automatically generated report incorporating all key data. SAGE incorporates 282 clinician input fields, with a typical consultation requiring completion of 169. To streamline the process SAGE contains 34 autocalculations and 20 decision support tools. It incorporates all 95 core variables of the International Severe Asthma Registry, with which it is directly compatible. SAGE improves symptom control and exacerbations in patients with difficult asthma. In conclusion, we developed and validated an electronic platform that facilitates a comprehensive but streamlined systematic evaluation of severe asthma that is available for free download via REDCap. Its use enhances management of patients with severe asthma and facilitates audit and international research collaboration.
KW - Asthma
KW - Clinical decision support systems
KW - Difficult asthma
KW - Electronic platform
KW - REDCap
KW - Severe asthma
KW - Systematic assessment
UR - http://www.scopus.com/inward/record.url?scp=85063753533&partnerID=8YFLogxK
U2 - 10.1016/j.jaip.2019.02.042
DO - 10.1016/j.jaip.2019.02.042
M3 - Review Article
AN - SCOPUS:85063753533
SN - 2213-2198
VL - 5
SP - 1440
EP - 1449
JO - Journal of Allergy and Clinical Immunology: In Practice
JF - Journal of Allergy and Clinical Immunology: In Practice
IS - 6
ER -