Suryateja Chekuri
University of Buckingham, UK
Title: Asthma Management according to BTS (British Thoracic Society) guidelines at Ealing hospital
Biography
Biography: Suryateja Chekuri
Abstract
Aim:
To assess whether patients with acute asthma are been managed according to BTS guidelines at Ealing Hospital, UK.
To reduce the number of patients who are readmitted following discharge.
Standards:
All patients should have their inhaler technique assesses prior to discharge.
All patients have their medications assessed. The importance of medications adherence to good asthma control should be reinforced to patients prior to discharge. A written asthma action plan for how to manage care should be provided to patients and families/carers. Triggering and exacerbating factors in the patients overall environment should be considered.
Subsequent care: follow-up in the community to be arranged within 2 working days plus specialist care according to criteria within 2 weeks.
Methodology:
A retrospective study has been administered and patient data collected for duration of one month i.e. JAN 2017 from medical records department.
The results compared with the previous audit conducted in Sep-Oct, 2016 and National audit.
Conclusion:
There has been a significant increase in female asthmatic patients from 51% in Sept, 2016 to 68% in Jan, 2017 which is keeping up with the national statistics.
The Median stay duration in the hospital has increased from 2 days to 4 days in the same duration compared to the national statistics of 2 days.
There has been increased detection of new cases of Asthma as 12% new cases were detected in the last 3 months, which conforms with the national statistics compared to 2% in the previous audit conforming to the national statistics of 11%.
There has been significant decrease in the Asthma care bundle used, which has dropped to 52% from 80% in the previous audit but still is significantly better than the national statistics of 28%.