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1 From the Department of Emergency Medicine, MetroHealth Medical Center, Department of Surgery, Case Western Reserve University, Cleveland
2 From the Department of Emergency Medicine, Medical College of Pennsylvania, Philadelphia
Purpose: The National Asthma Education and Prevention Program (NAEPP) published guidelines for asthma management in 1991. The purpose of this study is to assess the concordance between emergency physicians' practice and the guidelines.
Design: Survey mailed to emergency physicians. Non-respondents were mailed a second copy of the survey.
Participants: Eight hundred randomly selected active members of the American College of Emergency Physicians.
Interventions: None.
Measurements: Participants were asked questions regardingtraining, current asthmapractices, and sources of information on asthma management.
Results: Eight hundred questionnaires were mailed, of which 416 (52%) were returned. Sixty-four percent of respondents administer β-agonists consistent with the NAEPP guidelines. Seventy-five percent of respondents administer corticosteroids in similar accord, while 75% prescribed outpatient corticosteroids in concordance with those recommendations. Forty-seven percent report measuring pretreatment pulmonary function more than half the time and only 38% report checking pulmonary function prior to disposition more than half the time.
Conclusions: Most emergency physicians surveyed use β-agonists and steroids at least as often as recommended. A minority of emergency physicians reported utilizing pulmonary function testing in the manner recommended by the NAEPP.
Key Words: asthma • emergency physicians • pulmonary function guidelines
Submitted on May 5, 1995
Accepted on October 18, 2007
This article has been cited by other articles:
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