The University of Southampton
University of Southampton Institutional Repository

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.
ebf67342-0b31-4fcc-aabc-9111cb4971c8
Wooler, E.
5c8693e5-4f25-49b5-8907-c85b9747fc2e
Lenney, W.
6f3a5624-186a-4181-825e-41cc0adbc55f
Connett, G.J.
55d5676c-90d8-46bf-a508-62eded276516
Warde, C.
ebf67342-0b31-4fcc-aabc-9111cb4971c8
Wooler, E.
5c8693e5-4f25-49b5-8907-c85b9747fc2e
Lenney, W.
6f3a5624-186a-4181-825e-41cc0adbc55f

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.

Full text not available from this repository.

More information

Published date: 1993

Identifiers

Local EPrints ID: 420676
URI: https://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

Catalogue record

Date deposited: 11 May 2018 16:30
Last modified: 14 Mar 2019 01:22

Export record

Altmetrics

Contributors

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

University divisions

Download statistics

Downloads from ePrints over the past year. Other digital versions may also be available to download e.g. from the publisher's website.

View more statistics

Atom RSS 1.0 RSS 2.0

Contact ePrints Soton: eprints@soton.ac.uk

ePrints Soton supports OAI 2.0 with a base URL of https://eprints.soton.ac.uk/cgi/oai2

This repository has been built using EPrints software, developed at the University of Southampton, but available to everyone to use.

We use cookies to ensure that we give you the best experience on our website. If you continue without changing your settings, we will assume that you are happy to receive cookies on the University of Southampton website.

×