Category Archives: Asthma

A Randomized Controlled Trial of Follow-up of Patients Discharged From the Hospital Following Acute Asthma: Conclusion

Overall, 47.4% of the patients in our study group had an exacerbation in the 6 months of follow-up. This is higher than reported in other studies but may reflect the comprehensive way the details of exacerbations were obtained. The apparently … Continue reading

A Randomized Controlled Trial of Follow-up of Patients Discharged From the Hospital Following Acute Asthma: Discussion

The number of clinics was not significantly different between the groups. On subgroup analysis, patients were more likely to attend to see the doctor, and more clinics were cancelled by the nurse. However, over a 6-month period, this difference is … Continue reading

A Randomized Controlled Trial of Follow-up of Patients Discharged From the Hospital Following Acute Asthma: Change in Peak Flow

We compared the maximal peak flow measurement at first hospital follow-up with the 6-month measurement (best of actual or predicted). There was a mean drop of 2.53% (SD 11.5) in the doctor group and 3.92% (SD 12.4) in the nurse … Continue reading

A Randomized Controlled Trial of Follow-up of Patients Discharged From the Hospital Following Acute Asthma: Quality of Life

Figure 3 shows a breakdown of exacerbation types. Thirteen patients were readmitted with asthma exacerbations in the 6 months, resulting in 17 readmissions to the hospital, 12 in the doctor group and 5 in the nurse group. There was no … Continue reading

A Randomized Controlled Trial of Follow-up of Patients Discharged From the Hospital Following Acute Asthma: Results

One hundred fifty-four patients were recruited over 3 years from 373 adults admitted with asthma. The most common reason for exclusion was that patients were admitted for < 24 h or the clinical researcher was not notified of the admission. … Continue reading

A Randomized Controlled Trial of Follow-up of Patients Discharged From the Hospital Following Acute Asthma: Statistical Analysis

Sample size was calculated using methods described by Jones et al to demonstrate equivalence (to within 15%) in the primary outcome. An exacerbation rate of 10% was assumed; 168 patients were needed to give a power of 80% with significance … Continue reading

A Randomized Controlled Trial of Follow-up of Patients Discharged From the Hospital Following Acute Asthma: Data Collection

Peak flow was recorded as a percentage of predicted value or previous best recorded in the hospital, at first follow-up, and at 6 months. Patients were given a diary card for the 6-month follow-up to record twice-daily peak flow, any … Continue reading

A Randomized Controlled Trial of Follow-up of Patients Discharged From the Hospital Following Acute Asthma: Materials and Methods

All patients > 16 years of age and admitted to the hospital with acute asthma between October 2000 and October 2003 were eligible for the trial. Asthma was diagnosed by BTS criteria. Patients were excluded if they had COPD or … Continue reading

A Randomized Controlled Trial of Follow-up of Patients Discharged From the Hospital Following Acute Asthma

Acute asthma exacerbations remain a major cause of hospital admissions., British Thoracic Society (BTS) asthma guidelines recommend that all patients admitted to the hospital with an exacerbation should be followed up within 6 months. In the United Kingdom, this follow-up … Continue reading

A Randomized Controlled Trial on Office Spirometry in Asthma and COPD in Standard General Practice: Summary

In the United Kingdom, an audit study was carried out in 1999 on 95 general practices in North Staffordshire. One half of the practices declared that spirometry should be available in the practice, but only 18 practices possessed a spirometer … Continue reading