© 2000 Evidence-Based Nursing
A comprehensive educational programme was effective for inner city patients with asthma
George MR, O'Dowd LC, Martin I, et al.A comprehensive educational program improves clinical outcome measures in inner-city patients with asthma.Arch Intern Med 1999 Aug 9/23;159:1710–6
QUESTION: Does a comprehensive educational programme improve outpatient follow up and decrease subsequent hospital admissions in inner city patients with acute asthma?
Randomised (allocation concealed), unblinded, controlled trial with 6 months of follow up.
A university hospital in Philadelphia, Pennsylvania, USA.
77 patients between 18 and 45 years of age (mean age 29 y, 79% women) who were admitted from the emergency department (ED) with acute asthma and who lived in the inner city. Exclusion criteria were comorbid disease, inability to speak English, lack of telephone access, or pregnancy. Follow up was 100%.
44 patients were allocated to an educational programme including inpatient asthma education by an asthma nurse specialist, bedside spirometry, discharge planning assistance, a telephone call 24 hours after discharge, and scheduled outpatient follow up within 1 week of discharge (intervention group). 33 patients were allocated to conventional asthma care and routine follow up (routine care group).
Length of hospital stay, success of discharge (defined as not requiring emergency care in the 1 wk after discharge), attendance at follow up
Assistant Professor, University of Toronto Acute Care Nurse Practitioner, Respirology University Health Network Toronto, Ontario, Canada
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