The objective of this study was to audit the care of patients after discharge from hospital, following admission for acute severe asthma, using the British Thoracic Society guidelines (1) as a standard.
Discharge prescriptions and questionnaires sent to patients at home were analyzed for 51 patients who had been admitted to a teaching hospital with acute severe asthma.
Main outcome measures were Peak flow measurements, written instructions, prescription of steroids, and outpatient follow-up.
Of the 34 patients responding to the questionnaires, 15 (44%) had no peak flow meter, 23 (68%) had no written instructions, 15 (38%) had no supply of oral steroids at home, and 32 (94%) were prescribed a beta-agonist regularly of whom 12 (35%) were not on an inhaled steroid.
Four (9%) patients were not followed up as outpatients ; appointments ranged from 2 to 56 days following discharge.
In over 60% of asthmatic patients discharged from hospital the guidelines recommended by the British Thoracic Society were not followed.
The method used is an inexpensive, efficient way of auditing hospital practice.
Mots-clés Pascal : Asthme, Crise, Hospitalisation, Education sanitaire, A domicile, Evaluation, Grande Bretagne, Royaume Uni, Europe, Traitement, Prévention, Homme, Appareil respiratoire pathologie, Bronchopneumopathie obstructive
Mots-clés Pascal anglais : Asthma, Crisis, Hospitalization, Health education, At home, Evaluation, Great Britain, United Kingdom, Europe, Treatment, Prevention, Human, Respiratory disease, Obstructive pulmonary disease
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 95-0315464
Code Inist : 002B11B. Création : 01/03/1996.