Observations on the management of childhood acute asthma in a large hospital.
retrospective_cohort · Level III
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Abstract
OBJECTIVE: To study the documentation of assessment, the treatment and the follow-up arrangements for children admitted to hospital with acute asthma. DESIGN: A retrospective audit of case notes. SETTING: Tertiary level teaching hospital. MAIN OUTCOME MEASURES: A comparison with the asthma management plan issued by the Thoracic Society of Australia and New Zealand. RESULTS: We found poor documentation of assessment of asthma severity, low referral rates for asthma education, and inappropriate use of chest radiography. Bronchodilator therapy did not follow published guidelines. Good follow-up arrangements were achieved. CONCLUSIONS: The proportion of children with documentation of the assessment of acute asthma was unacceptably low.