Affordable Access

Publisher Website

Asthma Education in the Emergency Department

Authors
Journal
Annals of Emergency Medicine
0196-0644
Publisher
Elsevier
Volume
36
Issue
3
Identifiers
DOI: 10.1067/mem.2000.109168
Disciplines
  • Education
  • Medicine

Abstract

Abstract Study Objective: We surveyed emergency department–based asthma researchers to study the presence of formal asthma education programs (AEPs), and examined data from prospective cohort studies to compare sites with and without AEPs. 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 using each 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 a scale 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% to 26%) 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 uniformly stressed “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 AEPs appear to serve patients at higher risk of poor asthma outcomes. Further study is needed to address the effectiveness of AEPs in the ED. [Emond SD, Reed CR, Graff LG IV, Clark S, Camargo CA Jr, on behalf of the MARC Investigators. Asthma education in the emergency department. Ann Emerg Med. September 2000;36:204-211.]

There are no comments yet on this publication. Be the first to share your thoughts.

Statistics

Seen <100 times
0 Comments

More articles like this

Patient-centred asthma education in the emergency...

on European Respiratory Journal May 2008

Asthma education in the Emergency Department. On b...

on Annals of Emergency Medicine September 2000

Prospective tracking of a pediatric emergency depa...

on Health informatics journal December 2009

Asthma patients in the accident and emergency depa...

on Accident and Emergency Nursing Jan 01, 1993
More articles like this..