Clarke K E, Irwin W G
Ulster Med J. 1985 Oct;54(2):160-4.
One hundred and twenty-two asthmatic patients were identified with the help of a microcomputer in a Belfast practice of 3140. Thirteen different diagnostic labels were found to be used with up to five different labels used for a single patient. Inadequate treatment was found in a small number of patients, which was attributable to both doctor and patient. Regular monitoring using peak expiratory flow occurred in just 14 per cent. More frequent use of peak expiratory flow monitoring both in the surgery and at home and better patient education may go some way to reducing asthma morbidity and mortality.
在贝尔法斯特一家有3140名患者的诊所中,借助微机识别出了122名哮喘患者。发现使用了13种不同的诊断标签,单个患者使用的标签多达5种。少数患者存在治疗不足的情况,这归因于医生和患者双方。仅14%的患者进行了使用呼气峰值流速的定期监测。在诊所和家中更频繁地使用呼气峰值流速监测以及更好地开展患者教育,可能在一定程度上降低哮喘的发病率和死亡率。