A study of acute asthma in the accident and emergency department
We have conducted a survey of all asthmatic patients seen at the Leicester Royal Infirmary Accident and Emergency Department during a 1-year period. A significantly greater number of patients were seen on Sundays and bank holidays. Wheeze was recorded in only 43% of the patients and there was no rec...
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| Veröffentlicht in: | British journal of diseases of the chest 1988-04, Vol.82 (2), p.162-167 |
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| container_end_page | 167 |
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| container_issue | 2 |
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| container_title | British journal of diseases of the chest |
| container_volume | 82 |
| creator | Ebden, P Cary, O.J. Quinton, D. Cookson, J.B. |
| description | We have conducted a survey of all asthmatic patients seen at the Leicester Royal Infirmary Accident and Emergency Department during a 1-year period. A significantly greater number of patients were seen on Sundays and bank holidays. Wheeze was recorded in only 43% of the patients and there was no record of any nocturnal asthmatic symptoms. Peak expiratory flow rate was only recorded in 26% of patients before treatment with nebulized salbutamol (the commonest treatment). Pulse rate, respiratory rate, time of day or month did not determine whether or not a patient was admitted. We conclude that the education of junior doctors in the management of asthma is still deficient. |
| doi_str_mv | 10.1016/0007-0971(88)90037-X |
| format | Article |
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A significantly greater number of patients were seen on Sundays and bank holidays. Wheeze was recorded in only 43% of the patients and there was no record of any nocturnal asthmatic symptoms. Peak expiratory flow rate was only recorded in 26% of patients before treatment with nebulized salbutamol (the commonest treatment). Pulse rate, respiratory rate, time of day or month did not determine whether or not a patient was admitted. 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A significantly greater number of patients were seen on Sundays and bank holidays. Wheeze was recorded in only 43% of the patients and there was no record of any nocturnal asthmatic symptoms. Peak expiratory flow rate was only recorded in 26% of patients before treatment with nebulized salbutamol (the commonest treatment). Pulse rate, respiratory rate, time of day or month did not determine whether or not a patient was admitted. We conclude that the education of junior doctors in the management of asthma is still deficient.</description><subject>Acute Disease</subject><subject>Adolescent</subject><subject>Adrenal Cortex Hormones - administration & dosage</subject><subject>Adrenal Cortex Hormones - therapeutic use</subject><subject>Adult</subject><subject>Aerosols</subject><subject>Aged</subject><subject>Albuterol - administration & dosage</subject><subject>Albuterol - therapeutic use</subject><subject>Allergic diseases</subject><subject>Asthma - drug therapy</subject><subject>Asthma - physiopathology</subject><subject>Biological and medical sciences</subject><subject>Bronchodilator Agents - administration & dosage</subject><subject>Bronchodilator Agents - therapeutic use</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Drug Therapy, Combination</subject><subject>Emergency Service, Hospital - utilization</subject><subject>Female</subject><subject>Hospitalization</subject><subject>Humans</subject><subject>Immunopathology</subject><subject>Infant</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Respiratory and ent allergic diseases</subject><subject>Retrospective Studies</subject><issn>0007-0971</issn><issn>1878-2426</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1988</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kE1LAzEQhoMoWj_-gUIOInpYTTbbZHIRpfgFghcFbyFNZjXS3a1JVui_d2tLj56GmfeZYXgIOebskjMurxhjqmBa8XOAC82YUMX7FhlxUFCUVSm3yWiD7JH9lL4YK7WU412yK7iUutQjcnNLU-79gnY1ta7PSG3Kn42loaX5c-icCx7bTG3rKTYYP7B1C-pxbmNuhuCQ7NR2lvBoXQ_I2_3d6-SxeH55eJrcPhdOgMyFBTZVSgkhtKolygqEqz2oqRrrSjqOFsYoKs_Bg1SVZcup9qWV2sGYSXFAzlZ357H77jFl04TkcDazLXZ9MgqqUinQA1itQBe7lCLWZh5DY-PCcGaW4szSillaMQDmT5x5H9ZO1vf7aYN-s7Q2NeSn69wmZ2d1tK0LaYMpVQIT1YBdrzAcXPwEjCa5MChDHyK6bHwX_v_jF598h_I</recordid><startdate>19880401</startdate><enddate>19880401</enddate><creator>Ebden, P</creator><creator>Cary, O.J.</creator><creator>Quinton, D.</creator><creator>Cookson, J.B.</creator><general>Elsevier Ltd</general><general>Baillière Tindall</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>19880401</creationdate><title>A study of acute asthma in the accident and emergency department</title><author>Ebden, P ; Cary, O.J. ; Quinton, D. ; Cookson, J.B.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c386t-a80b77733397f6e6483cfd87b75946c1ea85e34d18d8674a0946c9d2a69c85063</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1988</creationdate><topic>Acute Disease</topic><topic>Adolescent</topic><topic>Adrenal Cortex Hormones - administration & dosage</topic><topic>Adrenal Cortex Hormones - therapeutic use</topic><topic>Adult</topic><topic>Aerosols</topic><topic>Aged</topic><topic>Albuterol - administration & dosage</topic><topic>Albuterol - therapeutic use</topic><topic>Allergic diseases</topic><topic>Asthma - drug therapy</topic><topic>Asthma - physiopathology</topic><topic>Biological and medical sciences</topic><topic>Bronchodilator Agents - administration & dosage</topic><topic>Bronchodilator Agents - therapeutic use</topic><topic>Child</topic><topic>Child, Preschool</topic><topic>Drug Therapy, Combination</topic><topic>Emergency Service, Hospital - utilization</topic><topic>Female</topic><topic>Hospitalization</topic><topic>Humans</topic><topic>Immunopathology</topic><topic>Infant</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Respiratory and ent allergic diseases</topic><topic>Retrospective Studies</topic><toplevel>online_resources</toplevel><creatorcontrib>Ebden, P</creatorcontrib><creatorcontrib>Cary, O.J.</creatorcontrib><creatorcontrib>Quinton, D.</creatorcontrib><creatorcontrib>Cookson, J.B.</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>British journal of diseases of the chest</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Ebden, P</au><au>Cary, O.J.</au><au>Quinton, D.</au><au>Cookson, J.B.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>A study of acute asthma in the accident and emergency department</atitle><jtitle>British journal of diseases of the chest</jtitle><addtitle>Br J Dis Chest</addtitle><date>1988-04-01</date><risdate>1988</risdate><volume>82</volume><issue>2</issue><spage>162</spage><epage>167</epage><pages>162-167</pages><issn>0007-0971</issn><eissn>1878-2426</eissn><coden>BJDCAT</coden><abstract>We have conducted a survey of all asthmatic patients seen at the Leicester Royal Infirmary Accident and Emergency Department during a 1-year period. A significantly greater number of patients were seen on Sundays and bank holidays. Wheeze was recorded in only 43% of the patients and there was no record of any nocturnal asthmatic symptoms. Peak expiratory flow rate was only recorded in 26% of patients before treatment with nebulized salbutamol (the commonest treatment). Pulse rate, respiratory rate, time of day or month did not determine whether or not a patient was admitted. We conclude that the education of junior doctors in the management of asthma is still deficient.</abstract><cop>London</cop><pub>Elsevier Ltd</pub><pmid>3166929</pmid><doi>10.1016/0007-0971(88)90037-X</doi><tpages>6</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0007-0971 |
| ispartof | British journal of diseases of the chest, 1988-04, Vol.82 (2), p.162-167 |
| issn | 0007-0971 1878-2426 |
| language | eng |
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| source | MEDLINE; Alma/SFX Local Collection |
| subjects | Acute Disease Adolescent Adrenal Cortex Hormones - administration & dosage Adrenal Cortex Hormones - therapeutic use Adult Aerosols Aged Albuterol - administration & dosage Albuterol - therapeutic use Allergic diseases Asthma - drug therapy Asthma - physiopathology Biological and medical sciences Bronchodilator Agents - administration & dosage Bronchodilator Agents - therapeutic use Child Child, Preschool Drug Therapy, Combination Emergency Service, Hospital - utilization Female Hospitalization Humans Immunopathology Infant Male Medical sciences Middle Aged Respiratory and ent allergic diseases Retrospective Studies |
| title | A study of acute asthma in the accident and emergency department |
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