| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
Guest Access | Sign In via User Name/Password
|
|
|
|||||||
Guest Access | Sign In via User Name/Password |
|||||||||
1 From the Epidemiology Branch, South Australian Health Commission, Adelaide, South Australia
2 From the Thoracic Medicine Unit, Queen Elizabeth Hospital, Woodville, South Australia
3 From the Department of Respiratory Medicine, Austin & Repatriation Medical Centre, Heidelberg, Victoria
4 From the Department of Pulmonary Medicine, Women's and Children's Hospital, North Adelaide, South Australia
5 From the Research and Health Promotion Unit, Royal Australian College of General Practitioners (South Australia Faculty), St. Peters, South Australia
Study objectives: To develop a practical screening tool that could identify adult patients highly likely to attend a hospital emergency department (ED) in a 1-year period.
Design: Retrospective case-control study of patients who did and did not attend a hospital ED for asthma in the past year.
Setting: Adelaide, South Australia.
Participants: One hundred sixty-five adults attending an ED for asthma were compared with 260 adults with asthma from a community survey who had not attended an ED in the previous year.
Measurements and results: The following variables were independently related to ED attendance: having been woken from sleep by asthma in past month; having been admitted to hospital because of asthma in the past year; having seen more than one general practitioner for asthma in the last 12 months; a moderate or severe self-rating of asthma in the last month; and having taken oral steroid medication for asthma in past month. A risk screening questionnaire using the weighted responses to these five variables with a cutoff score of 30/100 demonstrated a sensitivity of 90% and specificity of 88%.
Conclusions: These findings agree with those of previous studies that markers of asthma severity and discontinuity of care are risk factors for adverse asthma outcomes. Validation of the risk screening questionnaire is required in a prospective study.
Key Words: adults • asthma • emergency department • screening
Submitted on December 19, 1996
Accepted on June 10, 1997
This article has been cited by other articles:
|
|
 |
|
  D. Peters, C. Chen, L. E. Markson, F. C. Allen-Ramey, and W. M. Vollmer Using an asthma control questionnaire and administrative data to predict health-care utilization. Chest, April 1, 2006; 129(4): 918 - 924. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 C. G. Macias, A. C. Caviness, M. Sockrider, E. Brooks, R. Kronfol, L. K. Bartholomew, S. Abramson, and W. Shearer The effect of acute and chronic asthma severity on pediatric emergency department utilization. Pediatrics, April 1, 2006; 117(4 Pt 2): S86 - S95. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 W. M. VOLLMER, L. E. MARKSON, E. O'CONNOR, E. ANN FRAZIER, M. BERGER, and A. S. BUIST Association of Asthma Control with Health Care Utilization . A Prospective Evaluation Am. J. Respir. Crit. Care Med., January 15, 2002; 165(2): 195 - 199. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 Can ED Visits for Asthma Be Predicted? Journal Watch Emergency Medicine, February 1, 1998; 1998(201): 12 - 12. [Full Text]
|
|
| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
