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Titolo:
A NATIONAL CENSUS OF THOSE ATTENDING UK ACCIDENT AND EMERGENCY DEPARTMENTS WITH ASTHMA
Autore:
PARTRIDGE MR; LATOUCHE D; TRAKO E; THURSTON JGB;
Indirizzi:
WHIPPS CROSS HOSP & CHEST CLIN LONDON E11 1NR ENGLAND
Titolo Testata:
Journal of accident & emergency medicine
fascicolo: 1, volume: 14, anno: 1997,
pagine: 16 - 20
SICI:
1351-0622(1997)14:1<16:ANCOTA>2.0.ZU;2-I
Fonte:
ISI
Lingua:
ENG
Soggetto:
SELF-MANAGEMENT EDUCATION; HOSPITAL ADMISSIONS; CONTROLLED TRIAL; ROOM VISITS; ADULTS; AUDIT; CHILDREN; INCREASE; PROGRAM; FLOW;
Keywords:
ASTHMA; A-AND-E ATTENDANCE; HOSPITAL ADMISSION; QUALITY OF CARE;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Science Citation Index Expanded
Citazioni:
32
Recensione:
Indirizzi per estratti:
Citazione:
M.R. Partridge et al., "A NATIONAL CENSUS OF THOSE ATTENDING UK ACCIDENT AND EMERGENCY DEPARTMENTS WITH ASTHMA", Journal of accident & emergency medicine, 14(1), 1997, pp. 16-20

Abstract

Objective-To obtain a representative national picture of the type of people with asthma attending accident and emergency (A&E) departments in the UK, the reasons why they attend, and to determine the proportion admitted to hospital. Design-A national census involving questionnaires. Setting-100 A&E departments throughout the UK. Subjects-All thosewith asthma attending because of asthma during a one week period in September 1994. Results-Details were obtained about 1292 attendances. About half of all attendances were by adults and half by children, and 87.8% were previously diagnosed asthmatics; 18.8% of adult attenders were unemployed. Perceived severity of asthma was the reason for attendance in 65.5%, but 11.5% reported non-availability, or perceived non-availability, of the general practitioner (GP) as the reason for attending. One fifth of adults had been kept awake by their asthma for over three nights before attendance. 425 of the 1292 attenders (32.9%) had been admitted to hospital in the previous 12 months and 316 (24.5%) had attended the A&E department in the previous three months. Only 24.6%of attenders had had contact with their general practitioner in the previous 24 h. 61.6% of under-5 attenders (n=341) were admitted to hospital; the figures for those aged 5-15 and 15+ years and above were 265(41.4%) and 665 (38.7%). Conclusions-Many people with asthma attend A&E departments without first having seen their GP. In many adult casesthe asthma, while severe, is not acute, but a high proportion of bothadults and children are admitted to hospital. Many of these attendances and admissions are repeat attendances. To enhance the quality of care provided to those with asthma may require easier access to primary care, enhanced patient education, or enhanced health professional education. Further study is needed of a variety of potential interventions.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 22/10/20 alle ore 02:48:10