Emergency Department Observation Unit Versus Hospital Inpatient Care for a Chronic Asthmatic Population a Randomized Trial of Health Status Outcome and Cost

Medical Care

Volumn 36, Issue 4, 1998, Pages 599-609

  Rydman, Robert J ^a   Isola, Miriam L ^b   Roberts, Rebecca R ^a   Zalenski, Robert J ^a,c   Mcdermott, Michael F ^a   Murphy, Daniel G ^a,d   Mccarren, Madeline M ^e   Kampe, Linda M ^a  

^a Jr Hospital of Cook County   (United States)

^b Illinois Foundation for Quality Health Care   (United States)

^c WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE   (United States)

^d MAIMONIDES MEDICAL CENTER   (United States)

^e NONE

Author keywords

Asthma; Emergency medicine; Observation medicine; Quality of life

Indexed keywords

CORTICOSTEROID;

ADOLESCENT; ADULT; ARTICLE; ASTHMA; CHRONIC DISEASE; CLINICAL TRIAL; COMPARATIVE STUDY; ECONOMICS; EMERGENCY HEALTH SERVICE; FEMALE; HEALTH STATUS; HOSPITAL COST; HOSPITALIZATION; HUMAN; MALE; MIDDLE AGED; MORTALITY; PATIENT CARE; PUBLIC HOSPITAL; QUALITY OF LIFE; RANDOMIZED CONTROLLED TRIAL; STATISTICS; SURVIVAL; TREATMENT OUTCOME; UNITED STATES; UTILIZATION REVIEW;

ADOLESCENT; ADRENAL CORTEX HORMONES; ADULT; ASTHMA; CHICAGO; CHRONIC DISEASE; EMERGENCY SERVICE, HOSPITAL; EPISODE OF CARE; FEMALE; HEALTH STATUS; HOSPITAL COSTS; HOSPITALIZATION; HOSPITALS, COUNTY; HUMANS; MALE; MIDDLE AGED; QUALITY OF LIFE; SURVIVAL ANALYSIS; TREATMENT OUTCOME;

EID: 0032037581     PISSN: 00257079     EISSN: None     Source Type: Journal    
DOI: 10.1097/00005650-199804000-00015     Document Type: Article

References (15)

1. Evans R, Mullally D, Wilson R. National trends in the morbidity and mortality of asthma in the United States. Prevalence, hospitalization, and mortality of asthma over two decades: 1965-1984. Chest 1987;91(suppl):65S.
2. Sears M. Increasing asthma mortality - fact or artifact? J Allergy Clin Immunol 1988;82:957.
3. Centers for Disease Control. Asthma - United States, 1980-1987. MMWR 1990;30:493.
4. Lemrow N, Adams D, Coffey R, Farley D. The 50 most frequent diagnosis-related groups (DRGs), diagnoses, and procedures: Statistics by hospital size and location. Rockville, MD: Hospital Studies Program Research Note 13, Agency for Health Care Policy and Research 1990;(PHS) 90-3465:1.
5. McDermott MF, Silva J, Rydman RJ. Practice variations in treating urban minority asthmatics in Chicago. J Med Systems 1996;20:263.
6. Graff LG. History, principles, and epidemiology of observation medicine. In: Observation medicine. Boston, MA: Andover Medical Publishers, Inc., 1993:3.
7. Rydman RJ, Zalenski RJ, Roberts RR, et al. Patient satisfaction with an emergency department chest pain observation unit. Ann Emerg Med 1997;29:109.
8. Zalenski RJ, Rydman RJ, Roberts RR, et al. Feasibility of a rapid diagnostic protocol in an emergency department chest pain unit. Ann Emerg Med 1997;29:99.
9. Murphy D, Zalenski R, Raucci J, et al. The utility of extended emergency department treatment of asthma: An analysis of improvement in peak expiratory flow rate as a function of time. (abst) Ann Emerg Med 1989;18:467.
10. Department of Health and Human Services. National Asthma Education Program. Guidelines for the diagnosis and management of asthma, DHHS Publication (PHS) 91-3042, August 1991:71.
11. McHorney C, Ware J, Lu R, Sherbourne C. The MOS 36-Item Short-Form Health Survey (SF-36): III. Tests of data quality, scaling assumptions, and reliability across diverse patient groups. Med Care 1994;12:40.
12. Johnson P, Goldman L, Orav J, Garcia T, Pearson S, Lee T. Comparison of the Medical Outcomes Study Short-Form 36-Item Health Survey in black patients and white patients with acute chest pain. Med Care 1995;33:145.
13. Ware J. SF-36 Health Survey manual and interpretation guide. Boston, MA: Nimrod Press, 1993.
14. Ware J, Kosinski M, Keller S. A 12-Item Short-Form Health Survey: Construction of scales and preliminary tests of reliability and validity. Med Care 1996;34:220.
15. Rydman RJ. More hospital or more community? Admin and Policy in Mental Health 1990;17:215.