[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"health-study-detail:100641326":3},{"organization":4,"armGroups":7,"interventions":19,"overallOfficials":12,"centralContacts":25,"locations":31,"responsibleParty":46,"collaborators":48,"id":52,"slug":53,"hasResults":54,"nctId":55,"briefTitle":56,"officialTitle":57,"acronym":58,"eligibilityCriteria":59,"healthyVolunteers":54,"sex":60,"minAge":61,"maxAge":62,"enrollmentInfo":63,"targetDuration":12,"studyType":66,"phases":67,"briefSummary":69,"conditions":70,"keywords":73,"overallStatus":78,"whyStopped":12,"lastUpdateSubmitDate":79,"lastUpdatePostDateStruct":80,"startDateStruct":83,"completionDateStruct":85,"leadSponsor":87,"locationsCount":88},{"fullName":5,"class":6},"Tel-Aviv Sourasky Medical Center","OTHER_GOV",[8,13],{"label":9,"type":10,"description":11,"interventionNames":12},"Control","NO_INTERVENTION","Participants in the control group will continue standard community-based medical care following discharge from the emergency department or hospitalization for asthma exacerbation, without additional remote pulmonology intervention. Follow-up assessments will be conducted by the research coordinator at predefined time points for study outcome evaluation only.",null,{"label":14,"type":15,"description":16,"interventionNames":17},"Remote Flare-Up Clinic","EXPERIMENTAL","Participants in the intervention group will undergo structured remote pulmonology follow-up through secure video consultations conducted 7-21 days and 5 months after discharge following an asthma exacerbation. The remote visits will include assessment of asthma control and exacerbation history, inhaler technique evaluation, treatment optimization according to current guidelines, and asthma self-management education. Visit summaries and treatment recommendations will be documented in the electronic medical record and provided to the participant. Additional follow-up phone assessments will be conducted by the research coordinator at predefined time points for study outcome evaluation.",[18],"Other: Follow-up in a remote flare-up clinic",[20],{"type":21,"name":22,"description":23,"armGroupLabels":24,"otherNames":12},"OTHER","Follow-up in a remote flare-up clinic","Participants assigned to the intervention group will undergo two structured remote pulmonology visits via secure video consultation, conducted 7-21 days and 5 months after discharge following an asthma exacerbation. The intervention will include assessment of asthma control and exacerbation history, inhaler technique evaluation, treatment optimization, and asthma self-management education according to current guidelines. Additional follow-up phone assessments will be conducted at 3, 9, and 12 months for study outcome evaluation only.",[14],[26],{"name":27,"role":28,"phone":29,"phoneExt":12,"email":30},"Amir Bar-Shai","CONTACT","+972-507265248","amirbs@tlvmc.gov.il",[32],{"facility":33,"status":12,"city":34,"state":12,"zip":12,"country":35,"countryCode":36,"cosmosGeoPoint":37,"geoPoint":42,"contacts":43},"Tel-Aviv Sourasky Medical Center, Tel Aviv","Tel Aviv","Israel","IL",{"type":38,"coordinates":39},"Point",[40,41],34.78057,32.08088,{"lat":41,"lon":40},[44],{"name":45,"role":28,"phone":29,"phoneExt":12,"email":30},"Amir Bar-Shai, MD",{"type":47,"investigatorFullName":12,"investigatorTitle":12,"investigatorAffiliation":12,"oldNameTitle":12,"oldOrganization":12},"SPONSOR",[49],{"name":50,"class":51},"The Dalia and Eli Hurvitz Foundation Grant","UNKNOWN","100641326","post-exacerbation-asthma-clinic-telecare-intervention-to-reduce-recurrent-exacerbations-100641326",false,"NCT07629830","Post Exacerbation Asthma Clinic Telecare Intervention to Reduce Recurrent Exacerbations","A Remote Clinic Intervention Following Hospital Discharge for Asthma Exacerbation to Reduce Recurrent Exacerbations","PACT","Inclusion Criteria:\n\n* Presentation to the emergency department with an asthma exacerbation.\n* Ability to complete telephone follow-up and access to a personal e-mail account.\n* Agreement to participate in the study.\n* Written or verbal informed consent according to study group assignment.\n\nExclusion Criteria:\n\n* Uncontrolled cardiac disease.\n* Any other uncontrolled medical condition.\n* Inability to complete telephone follow-up.\n* Pregnancy.\n* Patients lacking decision-making capacity.","ALL","18 Years","75 Years",{"count":64,"type":65},220,"ESTIMATED","INTERVENTIONAL",[68],"NA","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.\n\nThis 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:\n\n1. 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.\n2. Control group - will continue standard community care without additional intervention.\n\nAll participants will complete scheduled follow-up assessments over 12 months, including evaluation of exacerbations, asthma control, healthcare utilization, and medication use.",[71,72],"Asthma Acute","Asthma Attack",[74,75,76,77],"Asthma flare-up","Asthma management","remote clinic","pulmonologist","NOT_YET_RECRUITING","2026-06-18",{"date":81,"type":82},"2026-06-22","ACTUAL",{"date":84,"type":65},"2026-07-01",{"date":86,"type":65},"2028-12-31",{"name":5,"class":6},1]