Emergency diagnostic and treatment units (EDTUs) may provide an alternative to hospitalization for patients with reversible diseases, such as asthma, who fail to adequately respond to emergency department therapy.
Objective To evaluate the medical and cost-effectiveness, patient satisfaction, and quality of life of patients receiving EDTU care for acute asthma compared with inpatient care.
A prospective, randomized clinical trial performed at 2 urban public hospitals enrolled patients with acute asthma (age range, 18-55 years) not meeting discharge criteria after 3 hours of emergency department therapy.
Patients were treated with inhaled adrenergic agonists and steroids in an EDTU for up to 9 hours after randomization or with routine therapy in a hospital ward.
Main Outcome Measures :
Discharge rate from the EDTU, length of stay, relapse rates, days missed from work or school, days incapacitated during waking hours, symptom-free days and nights, nocturnal awakenings, direct medical costs, patient satisfaction, and patient quality of life.
The study consisted of 222 patients with asthma.
Sixty-five patients (59%) treated in an EDTU were discharged home ; the remainder were admitted to the hospital.
There were no differences during the follow-up period in relapse rates (P=74) or in any other morbidities between the EDTU and inpatient groups. (...)
Mots-clés Pascal : Asthme, Aigu, Diagnostic, Traitement, Etude comparative, Analyse coût efficacité, Economie santé, Qualité vie, Hospitalisation, Unité, Urgence, Adulte, Homme, Etats Unis, Amérique du Nord, Amérique, Appareil respiratoire pathologie, Bronchopneumopathie obstructive
Mots-clés Pascal anglais : Asthma, Acute, Diagnosis, Treatment, Comparative study, Cost efficiency analysis, Health economy, Quality of life, Hospitalization, Unit, Emergency, Adult, Human, United States, North America, America, Respiratory disease, Obstructive pulmonary disease
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 97-0534630
Code Inist : 002B27B02. Création : 13/02/1998.