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Evid Based Nurs 7:77 doi:10.1136/ebn.7.3.77
  • Treatment

A specialist nurse led liaison model of care reduced unscheduled care for acute asthma in a deprived multiethnic area


 
 Q Does a specialist nurse led liaison model of care reduce unscheduled care for patients with acute asthma in a deprived multiethnic area?

METHODS

GraphicDesign:

cluster randomised controlled trial.

GraphicAllocation:

concealed.

GraphicBlinding:

blinded (outcome assessors and data analysts).

GraphicFollow up period:

1 year.

GraphicSetting:

44 general practices in east London, UK.

GraphicPatients:

324 patients who were 4–60 years of age (mean age 23 y, 50% men, 51% South Asian), had physician diagnosed asthma, and were admitted to or attended hospital or general practitioner after-hours services with acute asthma.

GraphicIntervention:

general practices were stratified by partnership size, training practice status, hospital admission rate for asthma, and employment of a practice nurse and whether he or she was trained in asthma care. 22 practices (175 patients) were allocated to a liaison model of care: two 1 h asthma specialist nurse visits to each practice to discuss acute asthma management guidelines; specialist nurse review of patient asthma control and drugs (identification of high risk asthma, assessment of inhaler technique and peak expiratory flow, and self …

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