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| Ranking |
Evidence-Based Practice |
| Description |
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). |
| Categories |
Health / Respiratory Diseases
Health / Environmental & Occupational Health
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| Organization(s) |
Washington University School of Medicine |
| Source |
Centers for Disease Control and Prevention |
| Date of Publication |
Jun 2003 |
| Date of Implementation |
1996 |
| Location |
City: St. Louis, MO |
| Primary Contact |
Mario Castro, M.D., M.P.H.
Washington University School of Medicine
Box 8052
660 S. Euclid Ave
St. Louis, MO 63110
(314) 362-6904
castrom@msnotes.wustl.edu
http://medschool.wustl.edu/
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| For more details |
http://www.cdc.gov/asthma/interventions/adults_...
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| Target Audience |
Adults |
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