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Children admitted to hospital with severe asthma attacks generally receive “very effective and efficient” treatment and care, but more attention must be given to asthma education and review at discharge to help prevent future attacks and readmission, says a national audit by the British Thoracic Society.
The society’s National Paediatric Asthma Audit, published on 29 November, reviewed data on more than 5500 children over the age of 1 admitted with severe asthma attacks to 153 UK hospitals in November 2015 and found that most aspects of discharge from hospital were less than optimal.
This month in Eyes on Evidence
E-cigarette awareness and use to quit smoking
A survey suggests that awareness and use of e-cigarettes has increased over the past few years, but a randomised controlled trial indicates that the products are only modestly effective at helping people to quit smoking.
Beta-2 agonists and exercise-induced asthma
A Cochrane review has assessed the effects of short and long-acting beta-2 agonists for the prevention of exercise-induced asthma in adults and children; the majority of included studies assessed the effect of a single dose of a beta-2 agonist. The Medicines and Healthcare Products Regulatory Agency has previously issued advice recommending that long-acting beta-2 agonists should not be prescribed for the relief of exercise-induced asthma symptoms in the absence of regular inhaled corticosteroids.
Blood pressure control with home telemonitoring and pharmacist management
A US-based cluster randomised trial indicates that home telemonitoring with pharmacist medication management provides better blood pressure control than usual primary care, even once telemonitoring has finished.
Risk factors for congenital abnormalities
A prospective study of a UK multi-ethnic birth cohort suggests that consanguinity is a major risk factor for congenital abnormalities, in particular in children of parents of Pakistani origin.
Antidepressant use late in pregnancy and risk of postpartum haemorrhage
A cohort study of women with low income in the USA suggests that use of antidepressants near delivery is associated with an increased risk of postpartum haemorrhage.
CT scans in childhood or adolescence and risk of cancer
A population-based cohort study in Australia suggests that people who undergo CT scans in childhood or adolescence are at increased risk of developing solid, lymphoid and haematopoietic cancers.
NICE has recently published an Evidence Update on:
Alcohol-use disorders: preventing harmful drinking
Issue: 80 of the AQuA Bulletin is exclusively available on the AQuA Portal (click here to log on and download).
AQuA aims to bring a mixture of tools and publications aimed at improving healthcare services, providing links to more information and resources, highlighting areas for action and participation.
In the current issue:
- Reducing harm to patients
- Updated Asthma IOP launched
- BMJ Quality & Safety: a collection of key articles
- Horizon Scanning A new settlement for health and social care
- Safer Care – New drive to end deliberate face-down restraint
- Patient Experience – Right to ‘ask’ for personal health budgets begins
- Innovation – Mental health teams in police stations and courts scheme goes live
- Patient Experience -Hospital stays improving, finds CQC
- Innovation -Guidance for unplanned admissions enhanced services
- Horizon Scanning – Clinical commissioning groups one year on.
- Safer Care – Professionals divided over hip fracture care
- Public Health – CMO annual report published on state of the public’s
- Prevention – NICE recommends tests to help diagnose and manage asthma
- Horizon Scanning – Update on rising scarlet fever numbers across England
- Data & Intelligence – Data round up…
This week’s case study from BMJ Learning involves a 57 year old man who presents with a one year history of persistent halitosis. He is a heavy smoker and eats spiced foods only occasionally. He drinks one pint of beer per night. How would you advise him? And what would you do? To find out the answers, then click on the link to complete this module today.
Halitosis: a guide to diagnosis and management
And here are our most popular modules in respiratory medicine for you to complete.
Chronic cough: a guide to assessment and management
Anaphylaxis: an update on management
Occupational asthma: evidence based diagnosis and management
Chronic severe asthma: a guide to diagnosis and management
Childhood asthma: diagnosis and treatment
Intermittent pneumatic compression reduces risk of deep vein thrombosis in stroke patients
Intermittent pneumatic compression is effective in reducing the risk of deep vein thrombosis in stroke patients, according to the findings of an HTA Programme study. [more…] Intermittent pneumatic compression is effective in reducing the risk of deep vein thrombosis in stroke patients, according to the findings of an HTA Programme study. [more…]
Use of magnesium sulphate for managing severe asthma
HTA funded research published in The Lancet has found that magnesium sulphate is not effective at treating patients with severe acute asthma needing hospital admission. [more…]
Surgery provides better relief from chronic reflux than drugs
After five years, surgery continues to provide better relief from the symptoms of gastro-oesophageal reflux disease than medication and is likely to be cost-effective, concludes research funded by the HTA Programme. [more…]
Extract from BMJ Learning
BMJ Learning modules – have you done this one yet on Prostate Cancer?
One of your patients is an 85 year old man who has recently been diagnosed with intermediate risk, localised prostate cancer. The hospital has suggested a watchful waiting strategy for his management. He understands that the main advantage of watchful waiting is that there will be no physical side effects of treatment. However he wonders if there are any disadvantages of this strategy. What would you say to him? What if he didn’t want to follow the advice given? If you would like to learn more about this topic, then click on the link to complete this module today.
Prostate cancer: understanding the patient pathway and treatment options – in association with Prostate Cancer UK
And here are their most popular modules in respiratory medicine for you to complete.
AQuA have been making some changes to their Improving Outcomes Packs (IOPS) for asthma, COPD, Chronic Kidney and Liver disease and Stroke. The new format IOPs will be launched on the 11th March.
The King’s Fund
This quality standard on the diagnosis and treatment of asthma in adults, young people and children aged 12 months and older argues that an integrated approach to services is vital. The new quality standard on asthma consists of a prioritised set of specific, concise and measurable statements that, when delivered collectively, should contribute to improving the effectiveness, quality, safety and experience of care for people with the condition.
11 Jan 2013
WebEx – Improving Outcomes in Asthma (part of Events and WebExs)
Our Improving outcomes pack for asthma was launched 30th November 2012. Would you like to know more about the pack? A WebEx has been organised for Friday 11 January 2013 from 1 – 2pm.
Latest Edition of AQuA News | Issue 24 December 2012
In this edition you will find: North West health improvement programme reduces mortality View AQuA’s newly enhanced external website Shared Decision Making ‘Train the Trainer’ resource launched Mersey Care bespoke work update Launch event ‘Don’t…
Action plan for respiratory disease treatment published | Department of Health.
A new action plan for treatment of respiratory problems is set out in guidance published today for the NHS.
Some 45 best practice actions are outlined for the treatment of Chronic Obstructive Pulmonary Disease (COPD) and asthma. The two can be confused due to similar symptoms and understanding the similarities and differences will help doctors provide better treatment. A key part of the new strategy is reducing the variation in COPD diagnosis and care around the country. Extract from DH.gov
The NHS could have saved a total of £625 million if it had prescribed NICE-recommended drugs for the treatment of type 2 diabetes as opposed to other treatment options, according to a new study.