Bucknall C E, Moran F, Stevenson R D
Department of Respiratory Medicine, Glasgow Royal Infirmary.
Scott Med J. 1988 Oct;33(5):328-30. doi: 10.1177/003693308803300505.
A retrospective survey of asthma admissions to general medical units during 1983 is described. 127 cases occurred, of whom 52 were males (44%). The average age was 45.2 years. Forty-eight per cent were receiving inhaled steroids or cromoglycate before admission and 16% regular oral steroids. Initial assessment seldom included peak flow measurement although these were made subsequently in 57%. No steroids were used in 32% of cases. No oxygen was given in 48% of cases and when used was usually at low flow rates. Apart from a reducing course of steroids, 46% of cases were discharged with no increase in pre-admission maintenance treatment and although follow-up was planned for 76% it was for an average 4.9 weeks later. This survey suggests a tendency to under-treatment and undersupervision of asthma patients admitted to acute general medical wards which may well be a cause of unnecessary morbidity.
本文描述了一项对1983年综合内科病房哮喘住院病例的回顾性调查。共发生127例，其中男性52例（44%）。平均年龄为45.2岁。48%的患者在入院前接受吸入性类固醇或色甘酸治疗，16%接受常规口服类固醇治疗。初始评估很少包括峰值流量测量，尽管随后57%的患者进行了此项测量。32%的病例未使用类固醇。48%的病例未吸氧，吸氧时通常流量较低。除了逐渐减少类固醇疗程外，46%的病例出院时未增加入院前的维持治疗，尽管76%的患者计划进行随访，但平均在4.9周后才进行。这项调查表明，入住急性综合内科病房的哮喘患者存在治疗不足和监管不足的倾向，这很可能是不必要发病的原因。
