Factors Associated with Emergency Department Revisits and Hospitalization Following Discharged Acute Asthma Exarcerbation
Factors Associated with Asthma Exacerbation Revisit
Abstract
The objectives were to identify factors associated with early revisit of adult patients with acute asthma exarcebation discharged from the Emergency Department (ED). It was a retrospective cohort study with patients aged 12 years or more within a period of 1 month and who were treated for acute asthma and discharged from the ED of Sarawak General Hospital. A total of 397 patients fulfilled sampling criteria and out of this number, 13.9% had revisit to the ED within 2 weeks. In all of these revisit cases, 9.1% were actually admitted. Prescription rate of oral corticosteroid was found to be low (24.9%) and abscond rate was high (25.1%). Patients who absconded from the ED and their concurrent infection were associated with early ED revisit.
Keywords :
acute asthma exacerbation,
Corticosteroid,
emergency department,
revisit,
Abstrak
Objektif kajian ini adalah untuk mengenalpasti faktor-faktor yang berkaitan dengan kehadiran semula pada peringkat awal pesakit asma yang didiscajkan daripada Jabatan Kecemasan. Ia adalah satu kajian kohort retrospektif untuk pesakit-pesakit yang berumur 12 tahun atau lebih dalam tempoh 1 bulan yang telah dirawat untuk asma akut dan didiscajkan daripada Jabatan Kecemasan, Hospital Umum Sarawak. Seramai 397 pesakit memenuhi kriteria sampel dan daripada jumlah ini, 13.9% telah hadir semula dalam tempoh 2 minggu. Daripada kes-kes kehadiran semula, 9.1% dimasukkan ke wad. Kadar perskripsi kortikosteroid oral adalahi rendah (24.9 %) dan melarikan diri daripada hospital adalah tinggi (25.1 %). Pesakit yang telah melarikan diri dari jabatan kecemasan dan jangkitan mereka berkadar terus dengan ketibaan semula ke Jabatan Kecemasan.
Kata Kunci :
Jabatan Kecemasan,
kehadiran semula,
kortikosteroid,
serangan asma akut,
Correspondance Address
Nik Azlan Nik Muhamad, Department of Emergency Medicine, Faculty of Medicine, Universiti Kebangsaan Malaysia Medical Centre, Jalan Yaacob Latif, Bandar Tun Razak, 56000 Cheras, Kuala Lumpur, Malaysia. Tel: +603-91455703 Fax: +603-91456577 Email: nikazlanmuhamad@hotmail.com
