Edinburgh Emergency Asthma Admission Service: report on 15 years' experience.

G K Crompton, I W Grant, B J Chapman, A Thomson, C F McDonald
{"title":"Edinburgh Emergency Asthma Admission Service: report on 15 years' experience.","authors":"G K Crompton,&nbsp;I W Grant,&nbsp;B J Chapman,&nbsp;A Thomson,&nbsp;C F McDonald","doi":"","DOIUrl":null,"url":null,"abstract":"<p><p>A hospital self-admission service for asthmatic patients was started in December 1968. During a 15-year period, 195 asthmatic patients were responsible for 873 hospital self-admissions. During the last 3 years there were significantly more night admissions and shorter durations of asthma attacks prior to admission than during the first 3 years. Assisted ventilation was necessary on 36 occasions (4%), but one patient was responsible for 28 of these episodes. There were three hospital deaths. One patient died from a tension pneumothorax as mechanical ventilation was being started, and two patients were not actively resuscitated because of irreversible airways obstruction and ischaemic heart disease. There were six deaths outside hospital, one from myocardial infarction, four from asthma; one young female died on a holiday trip. The hospital death rate for patients admitted via this service is 0.34% (0.1% if the two patients who were electively not resuscitated are excluded). This low mortality rate suggests that this self-admission service saves lives. There are no costs and this service gives confidence to patients and general practitioners.</p>","PeriodicalId":12053,"journal":{"name":"European journal of respiratory diseases","volume":"70 5","pages":"266-71"},"PeriodicalIF":0.0000,"publicationDate":"1987-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"European journal of respiratory diseases","FirstCategoryId":"1085","ListUrlMain":"","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 0

Abstract

A hospital self-admission service for asthmatic patients was started in December 1968. During a 15-year period, 195 asthmatic patients were responsible for 873 hospital self-admissions. During the last 3 years there were significantly more night admissions and shorter durations of asthma attacks prior to admission than during the first 3 years. Assisted ventilation was necessary on 36 occasions (4%), but one patient was responsible for 28 of these episodes. There were three hospital deaths. One patient died from a tension pneumothorax as mechanical ventilation was being started, and two patients were not actively resuscitated because of irreversible airways obstruction and ischaemic heart disease. There were six deaths outside hospital, one from myocardial infarction, four from asthma; one young female died on a holiday trip. The hospital death rate for patients admitted via this service is 0.34% (0.1% if the two patients who were electively not resuscitated are excluded). This low mortality rate suggests that this self-admission service saves lives. There are no costs and this service gives confidence to patients and general practitioners.

分享 分享
微信好友 朋友圈 QQ好友 复制链接
本刊更多论文
爱丁堡急诊哮喘病住院服务:15年经验报告。
医院于1968年12月开始为哮喘病患者提供自行入院服务。在15年的时间里,195名哮喘患者自行入院873次。与入院前3年相比,最近3年夜间入院人数明显增多,入院前哮喘发作持续时间明显缩短。辅助通气有36次(4%)是必要的,但其中28次是由一名患者引起的。有3人在医院死亡1例患者在开始机械通气时死于紧张性气胸,2例患者因不可逆气道阻塞和缺血性心脏病而未积极复苏。有六人在院外死亡,一人死于心肌梗塞,四人死于哮喘;一只年轻雌性在一次度假旅行中死亡。通过这项服务入院的病人的医院死亡率为0.34%(如果排除两名选择性未复苏的病人,则为0.1%)。如此低的死亡率表明,这种自我入院服务可以挽救生命。这项服务没有任何费用,给病人和全科医生带来了信心。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
求助全文
约1分钟内获得全文 去求助
来源期刊
自引率
0.00%
发文量
0
期刊最新文献
Microalbuminuria and the Presence of Hypoxemia in Patients with Chronic Obstructive Pulmonary Disease Two-Phase Lung Damage Mechanisms For COVID-19 Disease, and Driving Force and Selectivity in Leukecyte Recruitment and Migration Lung Cancer and Isolated Adrenal Metastases: Different Disease? Diaphragmatic Pacing as an Alternative to Mechanical Ventilation: Early Experience from a Developing Country Acute Pneumonia: Biological Rules and Laws require Attention and Respect
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
现在去查看 取消
×
提示
确定
0
微信
客服QQ
Book学术公众号 扫码关注我们
反馈
×
意见反馈
请填写您的意见或建议
请填写您的手机或邮箱
已复制链接
已复制链接
快去分享给好友吧!
我知道了
×
扫码分享
扫码分享
Book学术官方微信
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术
文献互助 智能选刊 最新文献 互助须知 联系我们:info@booksci.cn
Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。
Copyright © 2023 Book学术 All rights reserved.
ghs 京公网安备 11010802042870号 京ICP备2023020795号-1