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Evid Based Nurs 7:76 doi:10.1136/ebn.7.3.76
  • Treatment

A time limited, nurse led intervention reduced hospital readmissions in patients with asthma and a history of frequent admissions


 
 Q Does a time limited, nurse led intervention reduce hospital readmissions in patients with asthma and a history of frequent admissions?

METHODS

GraphicDesign:

randomised controlled trial.

GraphicAllocation:

{concealed}*.

GraphicBlinding:

unblinded.

GraphicFollow up period:

1 year.

GraphicSetting:

Barnes-Jewish Hospital, St Louis, Missouri, USA.

GraphicPatients:

96 patients 18–65 years of age (mean age 36 y, 83% women, 82% African-American) who were admitted to hospital with asthma exacerbation, had physician diagnosed asthma for ⩾12 months, forced expiratory volume in 1 second to forced vital capacity ratio <80%, and ⩾1 hospital admission in the previous 12 months.

GraphicIntervention:

a 6 month, limited, nurse led intervention (suggestions to the primary physician to simplify or consolidate current regimens; completion of daily Asthma Care flow sheets; asthma education; psychosocial support and screening for counselling; follow up through telephone contact, home visits, and primary physician visits; individualised asthma self management plan; and consultation with social service professionals to facilitate discharge planning) (n = 50) or usual care by a primary care physician (n = 46).

GraphicOutcomes:

hospital readmissions for …

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