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

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


Embedded ImageDesign:

cluster randomised controlled trial.

Embedded ImageAllocation:


Embedded ImageBlinding:

blinded (outcome assessors and data analysts).

Embedded ImageFollow up period:

1 year.

Embedded ImageSetting:

44 general practices in east London, UK.

Embedded ImagePatients:

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.

Embedded ImageIntervention:

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 …

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  • For correspondence: Professor C Griffiths, University of London, London, UK.

  • Source of funding: National Asthma Campaign.