Gervais Pascale, Larouche Isabelle, Blais Lucie, Fillion Anne, Beauchesne Marie-France
Hopital du Sacre-Coeur de Montreal, Montreal, Canada.
Can Respir J. 2005 May-Jun;12(4):219-22. doi: 10.1155/2005/565862.
The management of asthma remains suboptimal despite the publication of Canadian asthma guidelines in 1999.
A descriptive study was conducted to estimate the proportion of patients admitted to the emergency department (ED) for an asthma exacerbation who received a management plan at discharge that was in accordance with seven criteria stated in the Canadian asthma guidelines. The present study took place in two tertiary care hospitals in Montreal, Quebec.
A total of 37 patients were enrolled. Three (8%) patients received a management plan at discharge that was in accordance with all seven criteria. Inhaled corticosteroids and oral corticosteroids were prescribed at discharge for 29 (78%) and 35 (95%) patients, respectively. Minimal asthma education was provided for 29 (78%) patients and a medical follow-up was recommended to 22 (60%) patients. Airflow obstruction was evaluated at discharge for only 20 (54%) patients.
Overall, asthma management at discharge from the ED was generally not in accordance with the 1999 Canadian asthma guidelines. A standardized management plan should be implemented in the ED to improve the care of patients with asthma exacerbations.
尽管1999年发布了加拿大哮喘指南，但哮喘的管理仍未达到最佳状态。
开展一项描述性研究，以评估因哮喘急性加重而入住急诊科的患者中，出院时接受的管理计划符合加拿大哮喘指南中所述七项标准的患者比例。本研究在魁北克省蒙特利尔的两家三级护理医院进行。
共纳入37例患者。3例（8%）患者出院时接受的管理计划符合所有七项标准。出院时分别有29例（78%）和35例（95%）患者使用了吸入性糖皮质激素和口服糖皮质激素。仅对29例（78%）患者进行了基本的哮喘教育，建议22例（60%）患者进行医学随访。出院时仅对20例（54%）患者评估了气流阻塞情况。
总体而言，急诊科出院时的哮喘管理通常不符合1999年加拿大哮喘指南。应在急诊科实施标准化管理计划，以改善哮喘急性加重患者的护理。
