The need for implementing a standardized, evidence-based emergency department discharge plan for optimizing adult asthma patient outcomes in the UAE, expert meeting report.

IF 2 Q2 EMERGENCY MEDICINE International Journal of Emergency Medicine Pub Date : 2024-11-06 DOI:10.1186/s12245-024-00757-4
Rasha Buhumaid, Ashraf Alzaabi, Bassam Mahboub, Mohamed Nizam Iqbal, Hamad Alhay Alhameli, Mohamed Ghazi Al-Mafrachi, Kenneth Charles Dittrich, Thiagarajan Jaiganesh
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Abstract

Background: Asthma is a common chronic respiratory inflammatory disease that adversely affects patients' quality of life (QoL) and overall well-being. When asthma is not adequately controlled, there is a higher risk of exacerbations and hospitalizations, thereby increasing the direct and indirect costs associated with the treatment and productivity loss. Overreliance on SABA and underutilization of ICS in the management of asthma can result in suboptimal treatment and poor asthma control. Patients who visit the emergency department are more likely to have poorly controlled asthma. Ensuring that these patients are provided with an evidence-based treatment plan during discharge can help reduce the risk of future exacerbations and consequently reduce the burden on the UAE healthcare system.

Methods: A joint task force comprising experts from the Emirates Society of Emergency Medicine (ESEM) and Emirates Thoracic Society (ETS) reviewed published evidence and updated guidelines in asthma management to optimize the post-discharge recommendations.

Results: The ESEM-ETS experts' joint task force has developed a step-by-step plan for emergency department/hospital discharge, which is based on the GINA 2023 guideline recommendations and the medications available in the UAE. By adhering to this structured plan, emergency department physicians can play a crucial role in improving asthma care, long-term patient outcomes, and the utilization of healthcare resources.

Conclusions: Prioritizing patient education and ensuring patients are equipped with the best-suited asthma treatment plans prior to discharge can help ED physicians improve patient outcomes and reduce healthcare resource utilization in UAE hospitals.

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在阿联酋实施标准化循证急诊科出院计划以优化成人哮喘患者治疗效果的必要性,专家会议报告。
背景:哮喘是一种常见的慢性呼吸道炎症疾病,对患者的生活质量(QoL)和整体健康造成不利影响。当哮喘未得到充分控制时,病情加重和住院的风险较高,从而增加了与治疗和生产力损失相关的直接和间接成本。在哮喘治疗过程中,过度依赖 SABA 和不充分利用 ICS 会导致治疗效果不理想和哮喘控制不佳。到急诊科就诊的患者更有可能哮喘控制不佳。确保这些患者在出院时得到循证治疗计划,有助于降低未来病情恶化的风险,从而减轻阿联酋医疗系统的负担:由阿联酋急诊医学会(ESEM)和阿联酋胸科学会(ETS)专家组成的联合工作组审查了已发表的证据和更新的哮喘管理指南,以优化出院后的建议:结果:ESEM-ETS 专家联合工作组根据 GINA 2023 指南的建议和阿联酋现有的药物,制定了急诊科/医院出院分步计划。通过遵守这一结构化计划,急诊科医生可以在改善哮喘护理、患者长期疗效和医疗资源利用方面发挥关键作用:结论:优先考虑患者教育并确保患者在出院前获得最合适的哮喘治疗方案,有助于急诊科医生改善患者预后并降低阿联酋医院的医疗资源利用率。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
4.60
自引率
0.00%
发文量
63
审稿时长
13 weeks
期刊介绍: The aim of the journal is to bring to light the various clinical advancements and research developments attained over the world and thus help the specialty forge ahead. It is directed towards physicians and medical personnel undergoing training or working within the field of Emergency Medicine. Medical students who are interested in pursuing a career in Emergency Medicine will also benefit from the journal. This is particularly useful for trainees in countries where the specialty is still in its infancy. Disciplines covered will include interesting clinical cases, the latest evidence-based practice and research developments in Emergency medicine including emergency pediatrics.
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