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Audit strategies to reduce hospital admissions for acute asthma

Audit strategies to reduce hospital admissions for acute asthma
Audit strategies to reduce hospital admissions for acute asthma

An eightfold rise in hospital admissions for acute asthma from 1971-85 prompted two studies to audit the admissions policy at the Royal Alexandra Hospital. In the first study the on call senior house officer (SHO) was replaced by an experienced registrar and over a four month period 53 children out of 158 were sent home from the receiving room compared with six out of 39 seen by the SHOs. In the second study an SHO training programme was established together with a home treatment package. Over a 12 month period the on call SHOs assessed 687 children with acute asthma; 229 (43.5%) were deemed fit to be sent home. Only seven of these were readmitted within one week. Diary symptom score cards filled in by parents indicated that children sent home without admission fared no worsed at home than those admitted and then discharged for the two weeks after leaving hospital. The development of strategies to improve assessment and immediate management in the hospital receiving room can reduce hospital admissions for acute asthma, allowing more children to be safely managed in the community.

0003-9888
202-205
Connett, G.J.
55d5676c-90d8-46bf-a508-62eded276516
Warde, C.
ca227c06-7d14-4f10-9a37-a542d01ff05c
Wooler, E.
405eddbb-0468-4089-ba3d-82ca4a4c1c18
Lenney, W.
16ca6fdd-ab7a-4462-8215-1c6ef991cf1c
Connett, G.J.
55d5676c-90d8-46bf-a508-62eded276516
Warde, C.
ca227c06-7d14-4f10-9a37-a542d01ff05c
Wooler, E.
405eddbb-0468-4089-ba3d-82ca4a4c1c18
Lenney, W.
16ca6fdd-ab7a-4462-8215-1c6ef991cf1c

Connett, G.J., Warde, C., Wooler, E. and Lenney, W. (1993) Audit strategies to reduce hospital admissions for acute asthma. Archives of Disease in Childhood, 69 (2), 202-205. (doi:10.1136/adc.69.2.202).

Record type: Article

Abstract

An eightfold rise in hospital admissions for acute asthma from 1971-85 prompted two studies to audit the admissions policy at the Royal Alexandra Hospital. In the first study the on call senior house officer (SHO) was replaced by an experienced registrar and over a four month period 53 children out of 158 were sent home from the receiving room compared with six out of 39 seen by the SHOs. In the second study an SHO training programme was established together with a home treatment package. Over a 12 month period the on call SHOs assessed 687 children with acute asthma; 229 (43.5%) were deemed fit to be sent home. Only seven of these were readmitted within one week. Diary symptom score cards filled in by parents indicated that children sent home without admission fared no worsed at home than those admitted and then discharged for the two weeks after leaving hospital. The development of strategies to improve assessment and immediate management in the hospital receiving room can reduce hospital admissions for acute asthma, allowing more children to be safely managed in the community.

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Published date: 1993

Identifiers

Local EPrints ID: 420676
URI: http://eprints.soton.ac.uk/id/eprint/420676
ISSN: 0003-9888
PURE UUID: f3425f15-04f8-42d5-885e-18157a53deb3
ORCID for G.J. Connett: ORCID iD orcid.org/0000-0003-1310-3239

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Date deposited: 11 May 2018 16:30
Last modified: 16 Mar 2024 04:35

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Contributors

Author: G.J. Connett ORCID iD
Author: C. Warde
Author: E. Wooler
Author: W. Lenney

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