哮喘急性加重。5：成人重度哮喘的住院评估与管理
Asthma exacerbations. 5: assessment and management of severe asthma in adults in hospital.
作者信息
Aldington Sarah, Beasley Richard
机构信息
Medical Research Institute of New Zealand, P O Box 10055, Wellington, New Zealand.
出版信息
Thorax. 2007 May;62(5):447-58. doi: 10.1136/thx.2005.045203.
Abstract
It is difficult to understand why there is such a huge discrepancy between the management of severe asthma recommended by evidence-based guidelines and that observed in clinical practice. The recommendations are relatively straightforward and have been widely promoted both in guidelines and reviews. Specialist physicians need to be more proactive in their implementation of such guidelines through the use of locally derived protocols and assessment sheets, reinforced by audit. The common occurrence of severe asthma and its considerable burden to the community would support such an approach.
摘要
很难理解为何循证指南推荐的重度哮喘管理方法与临床实践中观察到的情况存在如此巨大的差异。这些推荐相对简单明了，并且在指南和综述中都得到了广泛推广。专科医生需要通过使用本地制定的方案和评估表，并借助审核加以强化，从而更积极主动地实施此类指南。重度哮喘的常见性及其给社区带来的巨大负担支持这种做法。
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