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

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


Embedded ImageDesign:

randomised controlled trial.

Embedded ImageAllocation:


Embedded ImageBlinding:


Embedded ImageFollow up period:

1 year.

Embedded ImageSetting:

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

Embedded ImagePatients:

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.

Embedded ImageIntervention:

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 …

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  • * Information provided by author.

  • For correspondence: Dr M Castro, Washington University School of Medicine, St Louis, MO, USA.

  • Source of funding: Barnes-Jewish Hospital Foundation.