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The Strathprints institutional repository is a digital archive of University of Strathclyde's Open Access research outputs. Strathprints provides access to thousands of Open Access research papers by University of Strathclyde researchers, including by researchers from the Department of Computer & Information Sciences involved in mathematically structured programming, similarity and metric search, computer security, software systems, combinatronics and digital health.

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Hospital asthma management - a comparison between general medical units with and without a respiratory input

Bucknall, C.E. and Robertson, C. and Stevenson, R.D. and Moran, F. (1987) Hospital asthma management - a comparison between general medical units with and without a respiratory input. Thorax, 42 (9). p. 720. ISSN 0040-6376

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Abstract

Full details including admitting ward were available for 77% (150) of all asthma admissions in a prospective audit of hospital asthma management. Cases could be subdivided into 64 admitted to general wards with a respiratory input (A) and 86 to similar wards without such specialist interest (B). Cases in A and B were similar in terms of age, previous severity of asthma, previous treatment and initial pulse rate. Fewer cases in B were treated with oral corticosteroids (A 83 %, B 67%; p = 0.04), had regular peak flow recordings made (A 73%, B 42%; p<0.005) or review planned (A 92%, B 56%; p<0.005) and fewer had their regular inhaled therapy increased after discharge (A 55%, B 28%; p<0.005). These differences in management were associated with more cases from B reporting sleep disturbances (A 23 %, B 41 %; p = 0.03), morning chest tightness (A 37%, B 55%; p=0.03) or wheeze on one flight of stairs (A 34%, B 58%; p<0.005) at interview 13 days later. In addition 20% of cases first admitted to B were readmitted within the year compared with 2% for A. The better outcome in cases admitted to A shows that the more intensive management practised in these wards is worthwhile.