Controller Drugs Cut ED Visits by Intermittent Asthma Patients

2007 ◽  
Vol 38 (5) ◽  
pp. 58
Author(s):  
DOUG BRUNK
Keyword(s):  
Asthma Patients ◽  
Ed Visits ◽  
Intermittent Asthma

scholarly journals Preferred Medication Changes in High Risk Asthma Patients Leads to Increased ED Visits and Hospitalizations

2019 ◽  
Vol 143 (2) ◽  
pp. AB77
Author(s):  
Christina M. Thomas ◽  
Nadia L. Krupp ◽  
Cindy D. Fiscus ◽  
Grace Godfrey ◽  
James Slaven ◽  
...  
Keyword(s):  
High Risk ◽  
Asthma Patients ◽  
Ed Visits ◽  
Medication Changes

scholarly journals Typical Antipsychotics Increase Risk of Severe Exacerbation in Asthma Patients– A Nationwide Population-Based Cohort Study

2021 ◽  
Author(s):  
Chin-Wei Kuo ◽  
Szu-Chun Yang ◽  
Yu-Fen Shih ◽  
Xin-Min Liao ◽  
Sheng-Hsiang Lin
Keyword(s):  
Severe Asthma ◽  
Asthma Exacerbation ◽  
High Dose ◽  
Severe Exacerbation ◽  
Severe Asthma Exacerbation ◽  
Increased Risk ◽  
Asthma Patients ◽  
Ed Visits ◽  
Dose Dependent ◽  
Typical Antipsychotics

Abstract Background:Severe asthma exacerbation reduces patients’ life quality, results in visits to the emergency department (ED) and hospitalization, and incurs additional medical costs. Antipsychotics block receptors with bronchodilation function; however, the effects of antipsychotics use on severe asthma exacerbation are unknown. This study aimed to investigate the effects of antipsychotics on asthma-related ED visits and hospitalizations.Methods:This study used a case-crossover design. Using the 2003-2017 Taiwan National Health Insurance Reimbursement Database, we established a cohort of 18,657 adults with severe asthma exacerbation leading to ED visits or hospitalization. Univariate and multivariate conditional logistic regressions were conducted to explore the association of antipsychotics use with severe asthma exacerbation. Subgroup analyses of different classes, doses, receptor functions of antipsychotics and schizophrenia were also performed.Results:Antipsychotics use was associated with a higher risk of severe asthma exacerbation (adjusted odds ratio (OR): 1.27; 95% confidence interval (CI): 1.05-1.54; P = 0.013) compared with no use of antipsychotics. Use of typical antipsychotics increased the risk of severe asthma exacerbation (adjusted OR: 1.40, 95% CI: 1.10-1.79, P = 0.007), whereas use of atypical antipsychotics did not. There was a dose-dependent effect of antipsychotics (test for trend: P =0.025). Antipsychotics that block the M2 muscarinic or D2 dopaminergic receptor were associated with an increased risk of severe asthma exacerbation (adjusted OR: 1.39, 95% CI: 1.10-1.76, P = 0.007 and adjusted OR: 1.33, 95% CI: 1.08-1.63, P = 0.008, respectively).Conclusions: Use of typical antipsychotics is associated with a dose-dependent increased risk of severe asthma exacerbation. Physicians should thus weight the risk and benefit of prescribing high-dose typical antipsychotics for asthma patients.

scholarly journals A Prospective Evaluation of Asthma Management: Emergency and Continuing Care for Asthma

2020 ◽  
Vol 11 (SPL4) ◽  
pp. 282-286
Author(s):  
Sai Sravanthi T ◽  
Donthu Raj Kiran ◽  
Sundaravadivel V P ◽  
Kayalvizhi E
Keyword(s):  
Emergency Department ◽  
Asthma Management ◽  
Continuing Care ◽  
Hospital Emergency Department ◽  
Prospective Evaluation ◽  
Hospital Emergency ◽  
Major Aspect ◽  
Asthma Patients ◽  
Ed Visits

Previous assessments of asthma management have demonstrated huge consideration holes in the administration of intense asthma. As a major aspect of potential “Global Survey of Asthma Practice (GASP)” we tentatively assessed an associate of asthma patients who went to a University subsidiary hospital “emergency department (ED)”. Patients going to ED with intense asthma were tentatively assessed with normalized evaluation apparatus. Pattern attributes, pre affirmation asthma the executives, examinations done in the ED just as release drugs were completely recorded. In this investigation, we have indicated that patients going to the ED have an unnecessary utilization of salvage medicine with a background marked by continuous earlier ED visits and hospitalizations with intense asthma. This information recommends there keeps on being a huge consideration hole both in-network and Emergency Department regarding ideal administration of intense asthma. Asthma is a long term inflammatory sickness of lungs airways. It is portrayed by feature and repeating suggestions, reversible wind stream impediment, and simply triggered bronchospasms. The appearances include scenes of hacking, wheezing, windedness, & chest snugness. These might occur rare times every day or every week. Rely on an individual, asthma indications might turn out to be more terrible around evening time or with practice.

scholarly journals Does an mHealth system reduce health service use for asthma?

2020 ◽  
Vol 6 (3) ◽  
pp. 00340-2019
Author(s):  
Teresa To ◽  
M. Diane Lougheed ◽  
Rachel McGihon ◽  
Jingqin Zhu ◽  
Samir Gupta ◽  
...  
Keyword(s):  
Health Services ◽  
Intervention Group ◽  
External Control ◽  
Control Group ◽  
Health Services Use ◽  
Physician Visits ◽  
Asthma Patients ◽  
Ed Visits ◽  
The Impact ◽  
Services Use

BackgroundBreathe is a mobile health (mHealth) application developed for the self-management of asthma in adults. There is evidence to suggest that mHealth interventions can be used for asthma control; however, their effects on the use of health services remain poorly understood. We sought to determine whether Breathe reduces health services use amongst asthma patients who used the app compared to controls who did not.MethodsThe impact of Breathe on health services use was estimated using a quasi-experimental approach. Two groups of subjects who had participated in a previous randomised clinical trial were included: an intervention group of asthma patients who used the app for 12 months, and a group of controls who did not use the app but received equivalent quality asthma care. A third, external control group of asthma patients were matched to the intervention participants. Generalised linear mixed models were used to determine relative changes in rates of asthma hospitalisations, emergency department (ED) visits, outpatient physician visits and completion of pulmonary function tests (PFTs) over time.ResultsA total of 677 individuals with asthma were included in the study: 132 in the intervention group, and 149 and 396 in the internal and external control groups, respectively. There were no statistically significant differences in the change of asthma hospitalisations, ED visits, physician office visits or completion of PFTs between the intervention group and either control group.ConclusionsUse of the Breathe app is not associated with changes in health services use in adults with asthma.

scholarly journals LO80: Chest radiograph ordering for acute asthma presentations to emergency departments in Alberta: regional, site, and physician level variation

CJEM ◽  
2017 ◽  
Vol 19 (S1) ◽  
pp. S55
Author(s):  
L. Krebs ◽  
C. Alexiu ◽  
C. Villa-Roel ◽  
B.R. Holroyd ◽  
M. Ospina ◽  
...  
Keyword(s):  
Reporting System ◽  
Acute Asthma ◽  
Substantial Variation ◽  
Asthma Patients ◽  
Average Proportion ◽  
Icd 10 ◽  
Imaging Appropriateness ◽  
Ed Visits ◽  
The Mean ◽  
Alberta Health

Introduction: Most acute asthma presentations to the emergency department (ED) are uncomplicated and do not require chest radiographs (CXR). Evidence suggests that the proportion of acute asthma patients receiving CXRs in the ED is high and varies substantially within and across sites and studies. This study explored CXR ordering and variation in acute asthma presentations to Alberta’s EDs. Methods: Administrative health data for Alberta was obtained from the National Ambulatory Care Reporting System (NACRS) for all adult (>17 years) acute asthma (ICD-10-CA: J45) ED visits from 2011-2015. Patients with a primary or secondary diagnosis of asthma were included, provided they had a Canadian Triage and Acuity Scale score of 2-5. NACRS data were linked with Alberta Health Services’ (AHS) diagnostic imaging database. Preliminary analysis on variation in imaging at the zone, ED site, and physician level was completed using SAS (v.9.4). Physicians who saw less than an average of 10 asthma patients per year were excluded. Results: Overall, 51,511 acute asthma ED presentations occurred (~10,000/year). The average proportion of CXRs among presentations was 39.5% (2011-2015) with an average annual increase of 6.7%. From 2011-2015, CXR ordering varied across the five AHS zones (variation [V]: 25%; range: 26.0%-51.0%). Substantial variation was observed across ED sites V: 60%; range: 5.9-66.4%) and physicians (V: 89%; range: 1.4-90.6%). The mean CXR ordering among physicians was 44%. Conclusion: From 2011-2015, CXR use among acute asthma ED presentations has increased. Substantial variation in CXR use suggests that evidence-based interventions are needed to improve imaging appropriateness.

Telepsychiatry Halved ED Visits, Helped Behavior

2012 ◽  
Vol 46 (8) ◽  
pp. 8
Author(s):  
HEIDI SPLETE
Keyword(s):  
Ed Visits

Suicidal Behavior and Non-Suicidal Self-Injury in Emergency Departments Underestimated by Administrative Claims Data

Crisis ◽  
2018 ◽  
Vol 39 (5) ◽  
pp. 318-325 ◽  
Author(s):  
Barbara Stanley ◽  
Glenn W. Currier ◽  
Megan Chesin ◽  
Sadia Chaudhury ◽  
Shari Jager-Hyman ◽  
...  
Keyword(s):  
Emergency Departments ◽  
Suicide Attempts ◽  
The United States ◽  
Administrative Claims ◽  
Suicide Attempters ◽  
Self Injury ◽  
Axis I ◽  
Ed Visits ◽  
External Causes ◽  
Severe Psychopathology

Abstract. Background: External causes of injury codes (E-codes) are used in administrative and claims databases for billing and often employed to estimate the number of self-injury visits to emergency departments (EDs). Aims: This study assessed the accuracy of E-codes using standardized, independently administered research assessments at the time of ED visits. Method: We recruited 254 patients at three psychiatric emergency departments in the United States between 2007 and 2011, who completed research assessments after presenting for suicide-related concerns and were classified as suicide attempters (50.4%, n = 128), nonsuicidal self-injurers (11.8%, n = 30), psychiatric controls (29.9%, n = 76), or interrupted suicide attempters (7.8%, n = 20). These classifications were compared with their E-code classifications. Results: Of the participants, 21.7% (55/254) received an E-code. In all, 36.7% of research-classified suicide attempters and 26.7% of research-classified nonsuicidal self-injurers received self-inflicted injury E-codes. Those who did not receive an E-code but should have based on the research assessments had more severe psychopathology, more Axis I diagnoses, more suicide attempts, and greater suicidal ideation. Limitations: The sample came from three large academic medical centers and these findings may not be generalizable to all EDs. Conclusion: The frequency of ED visits for self-inflicted injury is much greater than current figures indicate and should be increased threefold.

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