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Titolo:
Asthma education in the emergency department
Autore:
Emond, SD; Reed, CR; Graff, LG; Clark, S; Camargo, CA;
Indirizzi:
Massachusetts Gen Hosp, Dept Emergency Med, Boston, MA 02114 USA Massachusetts Gen Hosp Boston MA USA 02114 ency Med, Boston, MA 02114 USA Cornell Univ, New York Presbyterian Hosp, Dept Emergency Med, New York, NYUSA Cornell Univ New York NY USA n Hosp, Dept Emergency Med, New York, NYUSA Cornell Univ, Weill Med Coll, New York, NY USA Cornell Univ New York NY USA nell Univ, Weill Med Coll, New York, NY USA Harvard Univ, Brigham & Womens Hosp, Sch Med, Dept Med,Channing Lab, Boston, MA 02115 USA Harvard Univ Boston MA USA 02115 t Med,Channing Lab, Boston, MA 02115 USA New Britain Gen Hosp, Dept Emergency Med, New Britain, CT USA New Britain Gen Hosp New Britain CT USA ergency Med, New Britain, CT USA Univ Connecticut, Sch Med, Farmington, CT USA Univ Connecticut FarmingtonCT USA necticut, Sch Med, Farmington, CT USA
Titolo Testata:
ANNALS OF EMERGENCY MEDICINE
fascicolo: 3, volume: 36, anno: 2000,
pagine: 204 - 211
SICI:
0196-0644(200009)36:3<204:AEITED>2.0.ZU;2-9
Fonte:
ISI
Lingua:
ENG
Soggetto:
SELF-MANAGEMENT EDUCATION; PEAK EXPIRATORY FLOW; PATIENT EDUCATION; TRADITIONAL TREATMENT; COST-EFFECTIVENESS; HEALTH-EDUCATION; CARE; PROGRAM; ADULTS; HOSPITALIZATION;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
44
Recensione:
Indirizzi per estratti:
Indirizzo: Camargo, CA Massachusetts Gen Hosp, Dept Emergency Med, Clin Bldg 116, Boston, MA 02114 USA Massachusetts Gen Hosp Clin Bldg 116 Boston MA USA 02114 4 USA
Citazione:
S.D. Emond et al., "Asthma education in the emergency department", ANN EMERG M, 36(3), 2000, pp. 204-211

Abstract

Study objective: We surveyed emergency department-based asthma researchersto study the presence of formal asthma education programs (AEPs), and examined data from prospective cohort studies to compare sites with and withoutAEPs. Methods: We contacted site investigators in the Multicenter Airway Research Collaboration (MARC) in July 1998 by mail, fax, or telephone. Main outcomes were the percentage of sites using AEPs and the percentage of AEPs usingeach of 7 "key" teaching items in national guidelines. MARC data provided site and patient characteristics. Results: All 77 site investigators (100%) responded to the survey. Using ascale from 1 to 5 (mean+/-SD), respondents identified instruction in proper inhaler technique (4.8+/-0.5), "spacer use (4.3+/-0.7), recognition of asthma triggers (4.3+/-0.8), and rationale for medications (4.6+/-0.6) as priorities for teaching. Twelve sites (16%; 95% confidence interval [CI] 8% to26%) had AEPs; most (8) were at pediatric sites. Patients presenting to sites with AEPs were younger (22+/-16 years versus 25+/-15 years, P<.001), more likely to be uninsured (26% versus 23%, P<.001), and less likely to be taking inhaled corticosteroids (30% versus 37%, P<.001). AEP sites uniformlystressed "key" items, except for "written action plan" (50% of sites) and "peak flow diary" (33% of sites). Conclusion: Although asthma researchers agree that patient education is very important, few EDs involved in asthma research use AEPs. Sites with AEPsappear to serve patients at higher risk of poor asthma outcomes. Further study is needed to address the effectiveness of AEPs in the ED.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 18/09/20 alle ore 09:25:24