PMID: 9544599Apr 17, 1998Paper

Emergency Department Observation Unit versus hospital inpatient care for a chronic asthmatic population: a randomized trial of health status outcome and cost

Medical Care
R J RydmanL Kampe

Abstract

This study was designed to determine if an accelerated treatment protocol administered to acute asthmatics presenting to a Hospital Emergency Department Observation Unit (EDOU) can offset the need for inpatient admissions and reduce total cost per episode of care without sacrificing patient quality of life. The authors used a prospective randomized controlled trial comparing postintervention patient quality of life for EDOU care versus standard inpatient care as measured by the standardized Medical Outcomes Study (MOS) SF-36 instrument. Other measures reported include: clinical status as measured by peak flow rates, total cost per treatment arm using microcosting techniques, and relapse-free survival 8 weeks after treatment. Eligible patients (n = 113) were assigned randomly to an EDOU or inpatient care from a consecutive sample of 250 acute asthmatic patients presenting to an urban hospital emergency department who could not resolve their acute asthma exacerbation after 3 hours of emergency department therapy. Patients assigned to the EDOU had lower mean costs of treatment (EDOU = $1,202 versus Hospital Inpatient = $2,247) and higher quality of life outcomes after intervention in five of eight domains measured by the MOS SF-36...Continue Reading

Citations

Sep 11, 2009·Health Care Management Science·Kyung Hye KimJames F Burgess
Jul 17, 2012·Journal of General Internal Medicine·Valerie G PressVineet M Arora
Oct 14, 2008·Neurocritical Care·Latha G SteadWyatt W Decker
Mar 10, 2001·The American Journal of Medicine·E MartinezR R Roberts
Mar 10, 2001·The American Journal of Medicine·M A Ross, R J Zalenski
Sep 4, 2003·Annals of Allergy, Asthma & Immunology : Official Publication of the American College of Allergy, Asthma, & Immunology·Kathleen W WyrwichFredric D Wolinsky
Jun 1, 2000·Australian and New Zealand Journal of Medicine·P HiderR Kirk
Apr 7, 1999·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·R J RydmanM McDermott
Oct 28, 2009·CMAJ : Canadian Medical Association Journal = Journal De L'Association Medicale Canadienne·Rick HodderR Andrew McIvor
Feb 24, 2001·Emergency Medicine Clinics of North America·S E Mace
Jul 24, 2015·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·James GalipeauDavid Moher
Feb 15, 2001·The Journal of Allergy and Clinical Immunology·S D Sullivan, K B Weiss
Mar 23, 2010·Annals of Emergency Medicine·Michael A RossCarol Clark
Jan 30, 2015·Journal of Oncology Practice·Thomas Marsland
Nov 14, 2016·The American Journal of Emergency Medicine·Peter PruittPierre Borczuk
Jun 10, 2003·Emergency Medicine Clinics of North America·Brian K Adams, Rita K Cydulka
Aug 14, 2018·The Cochrane Database of Systematic Reviews·Camilla StrømJanus C Jakobsen
Apr 29, 2008·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Christopher W Baugh, J Stephen Bohan
Mar 18, 2010·Journal of Hospital Medicine : an Official Publication of the Society of Hospital Medicine·Michelle L MacyMatthew M Davis
Mar 20, 2010·The Cochrane Database of Systematic Reviews·Thomas RotterJoachim Kugler
Jul 25, 2012·Critical Pathways in Cardiology·Michael A RossCarol Clark
Oct 26, 2018·International Journal of Health Care Quality Assurance·Windi WinastiHubert Berden
Sep 3, 2011·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Jennifer L WilerAdit A Ginde
Jan 26, 2016·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Matthew WheatleyMichael Ross
Jun 17, 2011·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Jeremiah D SchuurBrent R Asplin
Mar 22, 2014·Journal of Hospital Medicine : an Official Publication of the Society of Hospital Medicine·Kara S AplinJean-Sebastien Rachoin
Nov 3, 2020·Pediatric Allergy and Immunology : Official Publication of the European Society of Pediatric Allergy and Immunology·Narmeen MallahBahi Takkouche
Nov 23, 2000·The Medical Journal of Australia·D A CampbellP Cameron
Jun 2, 2020·American Journal of Kidney Diseases : the Official Journal of the National Kidney Foundation·Meghan J ElliottPaul E Ronksley
Nov 23, 2000·The Medical Journal of Australia·A G WilliamsI G Jacobs
May 27, 2003·The Medical Journal of Australia·Sue DalyPeter A Cameron
May 16, 2021·The American Journal of Emergency Medicine·Michael PerryMichael A Ross
Feb 24, 2001·Emergency Medicine Clinics of North America·S E Mace
Nov 24, 2021·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Adam D KlotzChristopher W Baugh
Oct 12, 2011·International Journal of Cardiology·Alberto ContiGian Franco Gensini
Aug 28, 2021·Pediatric Allergy and Immunology : Official Publication of the European Society of Pediatric Allergy and Immunology·Narmeen MallahBahi Takkouche

❮ Previous
Next ❯

Related Concepts

Related Feeds

Asthma

This feed focuses in Asthma in which your airways narrow and swell. This can make breathing difficult and trigger coughing, wheezing and shortness of breath.

Allergy and Asthma

Allergy and asthma are inflammatory disorders that are triggered by the activation of an allergen-specific regulatory t cell. These t cells become activated when allergens are recognized by allergen-presenting cells. Here is the latest research on allergy and asthma.

© 2022 Meta ULC. All rights reserved