The University of Southampton
University of Southampton Institutional Repository

A multidisciplinary team case management approach reduces the burden of frequent asthma admissions

A multidisciplinary team case management approach reduces the burden of frequent asthma admissions
A multidisciplinary team case management approach reduces the burden of frequent asthma admissions

Up to 10% of asthmatics have "difficult asthma"; however, they account for 80% of asthma-related expenditure and run the highest risk of acute severe exacerbations. An estimated 75% of admissions for asthma are avoidable. Guidelines advise that these patients be managed by an experienced specialist multidisciplinary team (MDT). We aimed to assess the impact of a case management strategy delivered via specialist MDTs on acute healthcare utilisation of patients with frequent asthma admissions. An MDT (consultant, specialist nurse, physiotherapist and psychologist) case management strategy was introduced in 2010 at University Hospital Southampton Foundation Trust (Southampton, UK) to support patients with frequent asthma admissions during admission and then in clinic. To assess efficacy, we systematically searched the hospital database for patients acutely admitted for asthma on two or more occasions in 2010, 2011 and 2012. Data were collected retrospectively covering patient demographics, admission details, asthma severity and comorbidity. From 2010 to 2012, 84 patients were admitted on two or more occasions per year (80% female, mean body mass index 31 kg·m-2 and 55% psychological comorbidity). After introducing an MDT approach repeat asthma admissions fell by 33% from 127 in 2010 to 84 in 2012 (p=0.0004). In addition, bed days fell by 52% from 895 in 2010 to 430 in 2010 (p=0.015). An MDT case management approach significantly reduces hospitalisation in difficult asthma patients with prior frequent admission.

2312-0541
Burke, Hannah
a9bb9391-4704-4584-aeb7-e69fe0acbdb8
Davis, Jenny
97d3ca7c-6d76-4f5c-b414-b88b264c9a43
Evans, Sian
353325b9-d7b1-4507-93b1-c570f266c6b1
Flower, Laura
3167a7dd-511b-4c74-91e8-a77d7d4708ca
Tan, Andrew
cdccd8d8-1c66-4b25-bac5-8963a8fbe05f
Kurukulaaratchy, Ramesh J.
9c7b8105-2892-49f2-8775-54d4961e3e74
Burke, Hannah
a9bb9391-4704-4584-aeb7-e69fe0acbdb8
Davis, Jenny
97d3ca7c-6d76-4f5c-b414-b88b264c9a43
Evans, Sian
353325b9-d7b1-4507-93b1-c570f266c6b1
Flower, Laura
3167a7dd-511b-4c74-91e8-a77d7d4708ca
Tan, Andrew
cdccd8d8-1c66-4b25-bac5-8963a8fbe05f
Kurukulaaratchy, Ramesh J.
9c7b8105-2892-49f2-8775-54d4961e3e74

Burke, Hannah, Davis, Jenny, Evans, Sian, Flower, Laura, Tan, Andrew and Kurukulaaratchy, Ramesh J. (2016) A multidisciplinary team case management approach reduces the burden of frequent asthma admissions. ERJ Open Research, 2 (3). (doi:10.1183/23120541.00039-2016).

Record type: Article

Abstract

Up to 10% of asthmatics have "difficult asthma"; however, they account for 80% of asthma-related expenditure and run the highest risk of acute severe exacerbations. An estimated 75% of admissions for asthma are avoidable. Guidelines advise that these patients be managed by an experienced specialist multidisciplinary team (MDT). We aimed to assess the impact of a case management strategy delivered via specialist MDTs on acute healthcare utilisation of patients with frequent asthma admissions. An MDT (consultant, specialist nurse, physiotherapist and psychologist) case management strategy was introduced in 2010 at University Hospital Southampton Foundation Trust (Southampton, UK) to support patients with frequent asthma admissions during admission and then in clinic. To assess efficacy, we systematically searched the hospital database for patients acutely admitted for asthma on two or more occasions in 2010, 2011 and 2012. Data were collected retrospectively covering patient demographics, admission details, asthma severity and comorbidity. From 2010 to 2012, 84 patients were admitted on two or more occasions per year (80% female, mean body mass index 31 kg·m-2 and 55% psychological comorbidity). After introducing an MDT approach repeat asthma admissions fell by 33% from 127 in 2010 to 84 in 2012 (p=0.0004). In addition, bed days fell by 52% from 895 in 2010 to 430 in 2010 (p=0.015). An MDT case management approach significantly reduces hospitalisation in difficult asthma patients with prior frequent admission.

Text
00039-2016.full - Version of Record
Download (403kB)

More information

Accepted/In Press date: 1 June 2016
e-pub ahead of print date: 29 July 2016

Identifiers

Local EPrints ID: 431191
URI: https://eprints.soton.ac.uk/id/eprint/431191
ISSN: 2312-0541
PURE UUID: c23ec7d6-2472-4fe5-95ef-44f57aa5f044

Catalogue record

Date deposited: 24 May 2019 16:30
Last modified: 02 Dec 2019 17:36

Export record

Altmetrics

Contributors

Author: Hannah Burke
Author: Jenny Davis
Author: Sian Evans
Author: Laura Flower
Author: Andrew Tan
Author: Ramesh J. Kurukulaaratchy

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.

×