Self Timothy H, Usery Justin B, Howard-Thompson Amanda M, Sands Chris
University of Tennessee Health Science Center, Memphis, TN, USA.
J Asthma. 2007 May;44(4):243-8. doi: 10.1080/02770900701246691.
Management of asthma in emergency departments (ED) has been well documented to be deficient over many years, despite national and international guidelines. This review summarizes the effect of ED protocols aimed at improving the assessment and treatment of asthma in the ED. We performed a PubMed search of the English literature for ED asthma protocols published from 1986 to 2006 and identified 11 studies. Protocols were effective in improving at least some areas of management, including use of appropriate patient assessment, drug therapy per national guidelines, and patient education. A small number of protocols with the specific aims of reducing the length of stay in the ED as well as rates of hospital admission and return visits were effective. Persistent education of ED staff regarding protocols based on current management guidelines and adoption of easy-to-use forms can facilitate improved care of patients with asthma in the ED.
尽管有国家和国际指南，但多年来急诊科（ED）对哮喘的管理一直存在缺陷，这一点已有充分记录。本综述总结了旨在改善急诊科哮喘评估和治疗的急诊协议的效果。我们在PubMed上搜索了1986年至2006年发表的关于急诊科哮喘协议的英文文献，共识别出11项研究。这些协议在改善至少某些管理领域方面是有效的，包括采用适当的患者评估、按照国家指南进行药物治疗以及患者教育。少数旨在缩短急诊科住院时间以及降低住院率和复诊率的协议是有效的。持续对急诊科工作人员进行基于当前管理指南的协议教育，并采用易于使用的表格，有助于改善急诊科哮喘患者的护理。
