Hospital asthma management - a comparison between general medical units with and without a respiratory input

C.E. Bucknall, C. Robertson, R.D. Stevenson, F. Moran

Research output: Contribution to journalConference Contribution

Abstract

Full details including admitting ward were available for 77% (150) of all asthma admissions in a prospective audit of hospital asthma management. Cases could be subdivided into 64 admitted to general wards with a respiratory input (A) and 86 to similar wards without such specialist interest (B). Cases in A and B were similar in terms of age, previous severity of asthma, previous treatment and initial pulse rate. Fewer cases in B were treated with oral corticosteroids (A 83 %, B 67%; p = 0.04), had regular peak flow recordings made (A 73%, B 42%; p<0.005) or review planned (A 92%, B 56%; p<0.005) and fewer had their regular inhaled therapy increased after discharge (A 55%, B 28%; p<0.005). These differences in management were associated with more cases from B reporting sleep disturbances (A 23 %, B 41 %; p = 0.03), morning chest tightness (A 37%, B 55%; p=0.03) or wheeze on one flight of stairs (A 34%, B 58%; p<0.005) at interview 13 days later. In addition 20% of cases first admitted to B were readmitted within the year compared with 2% for A. The better outcome in cases admitted to A shows that the more intensive management practised in these wards is worthwhile.
Original languageEnglish
Pages (from-to)720-720
Number of pages1
JournalThorax
Volume42
Issue number9
DOIs
Publication statusPublished - Sep 1987
Event1987 Summer Meeting of the British Thoracic Society, Scottish Thoracic Society and Thoracic Society of Australia - Edinburgh, United Kingdom
Duration: 1 Jul 19873 Jul 1987

Keywords

  • hospital asthma management
  • general medical units
  • respiratory input
  • comparison

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