Nurse-Directed Inpatient Asthma Intervention
An Evidence-Based Practice
The Nurse-Directed Inpatient Asthma Intervention is a hospital-based program for adults who have been hospitalized due to asthma. The program uses asthma nurse specialists to help high-risk patients reduce hospital readmission rates and improve health quality. As a part of the intervention, individual treatment plans are revised to be consistent with the National Asthma Education Prevention Program Guidelines, and during hospitalization, a daily Asthma Care flow sheet enhances communication between the nurse specialist and the physician. Nurses educate patient participants about asthma and help them develop an individualized asthma self-management plan. Asthma education includes medication dosing, inhaler technique, and peak flow monitoring. Outpatient care is facilitated through telephone follow-ups.
Goal / Mission
The goal of the Nurse-Directed Inpatient Asthma Intervention is to improve health quality and reduce hospitalization readmissions due to asthma.
Results / Accomplishments
Participants in the intervention had a 60% reduction in total hospitalizations following the program when compared to a regular-care control group (31 vs. 71 readmissions, p = 0.04). Readmissions due to asthma decreased by 54% (21 vs. 42 readmissions, p = 0.04). Intervention participants had markedly fewer lost work or school days (246 vs. 1,040 days) and substantially reduced direct and indirect health-care costs ($5,726 vs. $12,188).
About this Promising Practice
- Primary Contact
- Mario Castro, M.D., M.P.H.
Washington University School of Medicine
660 S. Euclid Ave
St. Louis, MO 63110
Health / Respiratory Diseases
Health / Environmental & Occupational Health
- Washington University School of Medicine
- Centers for Disease Control and Prevention
- Date of publication
- Jun 2003
- Date of implementation
- St. Louis, MO
- For more details
- Target Audience