Navigation Links
ICU stays for worst asthma drop 74 percent, review finds
Date:5/11/2012

SAN ANTONIO (May 10, 2012) A review of 30 years of life-threatening asthma cases in a San Antonio intensive care unit found that annual ICU admissions for the condition have dropped 74 percent. The study, by UT Medicine San Antonio physicians who reviewed cases at University Hospital between 1980 and 2010, also showed intubation in the emergency department to help patients breathe did not result in longer hospital stays.

UT Medicine is the clinical practice of the School of Medicine at The University of Texas Health Science Center San Antonio.

Faculty studied inpatient care of status asthmaticus at University Hospital. Patients with this condition experience respiratory failure because their asthma is not responding to standard therapies.

To review status asthmaticus cases, the team extracted all notes and orders from an electronic medical record. This showed 227 patients were admitted to the medical intensive care unit with 280 episodes of status asthmaticus over the three decades. Encouragingly, the hospital analysis showed only one death and it was of a different cause after the asthma improved.

Patients making wise choices

"The main reason for the decline in cases is that more of our patients are taking their controller medications such as inhaled corticosteroids, which reduce the amount of inflammation in the airways," said lead author Jay I. Peters, M.D., professor and chief of pulmonary diseases in the School of Medicine.

In a separate study of 1,000 children and adults, 70 percent of asthma patients reported routinely taking their corticosteroids. Dr. Peters credited this high rate of compliance to asthma education programs provided in neighborhood clinics, including patient care facilities in the University Health System.

"Studies show if you use your corticosteroid at least 11 months out of the year your risk of dying from asthma comes down exponentially," Dr. Peters said. "Many times asthmatics don't comply because they feel fairly good on a daily basis, but the steroids reduce the risk of exacerbations and death."

Pulmonary physicians thought too many asthmatics were intubated in emergency departments, leading to longer hospital stays. Intubation is insertion of a tube to increase airflow. Previous studies in the medical literature concluded asthmatics should not be intubated because of increased risk of complications such as pneumonia.

Don't be afraid to intubate

In the San Antonio study, patients were intubated either because they quit breathing or their carbon dioxide levels had risen dangerously. High carbon dioxide causes blood to be acidic, and irregular heartbeat can result when acid is elevated. This raises the risk of cardiac arrest.

According to the data, few patients suffered complications after being intubated. "I think our methods of treating patients in the emergency department have improved so much that previous studies of issues with intubation don't hold up anymore," Dr. Peters said.

"On the front end, this study reinforces the importance of staying on controller medications," he said. "On the back end, it shows low mortality for patients in the medical ICU and that we don't need to be afraid to intubate patients and place them on mechanical ventilation if necessary."


'/>"/>
Contact: Will Sansom
sansom@uthscsa.edu
210-567-2579
University of Texas Health Science Center at San Antonio
Source:Eurekalert

Related medicine news :

1. Biopsy referral after PSA screening stays consistent over time
2. Common Hospital Infection Lengthens Patient Stays
3. Depressed, pregnant women receive inconsistent treatment, have longer hospital stays
4. Hypnosis/local anesthesia combination during surgery helps patients, reduces hospital stays
5. Shorter Hospital Stays, More Readmissions After Hip Replacements
6. Tone of Voice Stays Constant Through Menstrual Cycle: Study
7. Study: Medicare policy may account for growing length of hospice stays in nursing homes
8. Shorter Hospital Stays May Hinder Heart Failure Patients
9. Hands-on osteopathic treatment cuts hospital stays for pneumonia patients
10. Decreased food intake during hospital stays is an independent risk factor for hospital mortality
11. CT and MRI scans associated with shorter hospital stays and decreased costs
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:12/2/2016)... ... December 02, 2016 , ... More than half of American teens ... of parents report speaking with their child about sex related topics, less than 60 ... Mediaplanet is proud to announce the launch of its second edition of the “Sexual ...
(Date:12/2/2016)... ... December 02, 2016 , ... Sourced from the Isbre Springs beneath ... including its unmatched natural purity of just 6 ppm TDS (Total Dissolved Solids) in ... Water has been available in several ShopRite and FoodTown stores in NJ and received ...
(Date:12/2/2016)... FL (PRWEB) , ... December 02, 2016 , ... ... 5,100 hot meals to needy individuals and families from eight different sites throughout ... on Thanksgiving Day. Over 1,000 volunteers worked very hard on Thanksgiving morning by ...
(Date:11/30/2016)... ... November 30, 2016 , ... Northridge ... in-house dental plan for all patients. Understanding that budget can play a part ... a number of perks, including discounts on many valuable dental treatments. Options for ...
(Date:11/30/2016)... , ... November 30, 2016 , ... ... injured workers have been a focus of public policymakers and system stakeholders in ... Institute (WCRI) released its Medical Price Index for Workers’ Compensation, Eighth Edition ...
Breaking Medicine News(10 mins):
(Date:12/2/2016)... GARDENS, N.Y. , Dec. 2, 2016  LifeVac, ... will be included in the Emergency Response Training and ... are very excited to have LifeVac become part of ... Lih , Founder and CEO of LifeVac. "Having an ... LifeVac safely and effectively will help leverage our efforts ...
(Date:12/2/2016)... -- Quantum Radiology,s Mobile Breast Center (QR MBC) brings ... women at the workplace, thereby maximizing convenience and compliance.  ... Lines and SunTrust Bank, and community health groups to ... initiatives. "I think it,s a great service ... have a mammogram without taking a large amount of ...
(Date:12/2/2016)... Va. , Dec. 2, 2016  The ... by the Academy of Managed Care Pharmacy (AMCP), ... organizations can better address the opioid addiction crisis, ... Assisted Therapies (MAT). ATAG,s newly released ... Improving Access to Naloxone," addresses many issues around ...
Breaking Medicine Technology: