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Titolo:
Emergency pre-hospital management of patients admitted with acute asthma
Autore:
Simpson, AJ; Matusiewicz, SP; Brown, PH; McCall, IA; Innes, JA; Greening, AP; Crompton, GK;
Indirizzi:
Western Gen Hosp, Resp Med Unit, Edinburgh EH4 2XU, Midlothian, Scotland Western Gen Hosp Edinburgh Midlothian Scotland EH4 2XU dlothian, Scotland
Titolo Testata:
THORAX
fascicolo: 2, volume: 55, anno: 2000,
pagine: 97 - 101
SICI:
0040-6376(200002)55:2<97:EPMOPA>2.0.ZU;2-1
Fonte:
ISI
Lingua:
ENG
Soggetto:
ADMISSION SERVICE; AMBULANCE; ADULTS;
Keywords:
asthma; pre-hospital treatment; ambulance; beta agonist;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Life Sciences
Citazioni:
23
Recensione:
Indirizzi per estratti:
Indirizzo: Crompton, GK Western Gen Hosp, Resp Med Unit, Crewe Rd S, Edinburgh EH4 2XU, Midlothian, Scotland Western Gen Hosp Crewe Rd S Edinburgh Midlothian Scotland EH4 2XU
Citazione:
A.J. Simpson et al., "Emergency pre-hospital management of patients admitted with acute asthma", THORAX, 55(2), 2000, pp. 97-101

Abstract

Background-Little is known about the management of acute asthma prior to hospital admission. Pre-hospital treatment of patients referred to hospital with acute asthma was therefore studied in 150 patients divided into three groups: those in the Edinburgh Emergency Asthma Admission Service (EEAAS) who can contact an ambulance and present directly to respiratory services when symptoms arise (n = 38), those under continuing supervision at a hospital respiratory outpatient clinic (n = 54), and those managed solely in primary care (n = 58). Methods-Standardised admission forms detailing aspects of pre-hospital management, case records, GP referral letters, and ambulance patient transportforms were analysed. Results-In each group airflow obstruction had improved upon arrival at hospital, the effect being most marked in patients transported by ambulance (p<0.001) and in those receiving nebulised beta(2) agonists prior to admission (p<0.005). However, 25% of patients arrived without having nebulised beta(2) agonists and 37% without having glucocorticoids. EEAAS patients were least likely to receive nebulised beta(2) agonists before arrival at hospital(p<0.05). This observation was attributable to a tendency for these patients to travel to hospital by car rather than by ambulance. Conclusions-There is an important shortfall in administration of bronchodilators and glucocorticoids for acute asthma before arrival at hospital, Ambulances equipped with nebulised bronchodilators provide the optimal mode oftransport to hospital for patients with acute asthma. In Edinburgh ambulances are not being used by a significant proportion of the population with asthma, possibly because of the mistaken belief that personal transport arrangements reduce journey time to hospital.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 01/12/20 alle ore 19:07:21