How general practitioners manage acute asthma attacks.
The management of asthma attacks by general practitioners in 1992/93 was compared with 1991/92 in relation to recommended guidelines.
Methods The findings from a postal survey of 299 UK general practitioners who managed 2332 patients with an asthma attack in 1992/93 were compared with those from 218 practitioners who managed 1805 attacks in 1991192.
Management by a subgroup of practitioners from a special interest group was analysed separately.
In 1992/93 2031 (87%) of attacks were managed entirely by general practitioners, 251 (11%) were referred for admission to hospital, and 50 (2%) were managed by an accident and emergency department.
There was no change in the pattern of management relative to 1991192.
Compared with recommended guidelines there was underuse of systemic steroids and nebulised bronchodilators.
Between 1991/92 and 1992/93 use of systemic steroids in acute attacks increased from 56% to 71%, nebulised bronchodilators from 31% to 32%, and an increase in prophylactic medication after an acute attack from 41% to 49%. Contrary to guidelines, antibiotic use increased from 32% to 40% of attacks.
Practitioners from a special interest asthma group gave more of their patients systemic steroids and nebulised bronchodilators both in 1991/92 and 1992/93. (...)
Mots-clés Pascal : Asthme, Crise, Médecin généraliste, Hospitalisation, Urgence, Bronchodilatateur, Chimiothérapie, Royaume Uni, Europe, Traitement, Homme, Appareil respiratoire pathologie, Bronchopneumopathie obstructive
Mots-clés Pascal anglais : Asthma, Crisis, General practitioner, Hospitalization, Emergency, Bronchodilator, Chemotherapy, United Kingdom, Europe, Treatment, Human, Respiratory disease, Obstructive pulmonary disease
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 97-0219866
Code Inist : 002B11B. Création : 21/05/1997.