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  1. Effect of an emergency department asthma program on acute asthma care.

    Article - En anglais

    Study objective 

    To examine the effect of an emergency department program on acute asthma care.

    Methods 

    We conducted a before-after study of an acute asthma quality improvement initiative in an urban teaching hospital with 65,000 annual ED visits.

    In mid-1994, a multidisciplinary group identified deficiencies in acute asthma care, developed and implemented a local version of the National Asthma Education Program's practice guidelines (including a standard asthma order sheet), and provided new peak flow (PF) meters.

    The « before » group comprised all adults with acute asthma seen during January 1994 (n=51) ; « after » groups comprised all adults with acute asthma seen during October 1994, February 1995, and June 1995 (n=145).

    Data were compared across months using a nonparametric test for trend.

    Results 

    Although patient demographic characteristics and asthma severity were similar across months, ED process of care significantly changed.

    Initial PF measurements were obtained in 20% of patients before intervention, compared with 82%, 84%, and 83% during the postintervention months (Pfor trend<. 001).

    Follow-up PF readings were obtained in 22%, 70%, 78%, and 62% (P<. 001).

    Median delays to bêta-agonist and steroid therapy decreased by approximately 16 minutes (P<. 001) and 34 minutes (P=04), respectively. (...)

    Mots-clés Pascal : Asthme, Aigu, Traitement, Urgence, Service hospitalier, Programme sanitaire, Organisation santé, Homme, Appareil respiratoire pathologie, Bronchopneumopathie obstructive

    Mots-clés Pascal anglais : Asthma, Acute, Treatment, Emergency, Hospital ward, Sanitary program, Public health organization, Human, Respiratory disease, Obstructive pulmonary disease

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 99-0458992

    Code Inist : 002B11B. Création : 22/03/2000.