Figures
- FIGURE 1
Summary of the specialist nurse coordinated multidisciplinary team (MDT) pathway at University Hospital Southampton Foundation Trust, Southampton, UK. ICU: intensive care unit; HDU: high-dependency unit; ACQ: asthma control questionnaire; ENT: ear, nose and throat.
- FIGURE 2
Number of individual patients admitted with asthma on two or more occasions from 2010 to 2012.
- FIGURE 3
Reduction in a) admissions and b) bed days after implementation of a multidisciplinary team case management strategy. Data are presented as mean±sd.
Tables
- TABLE 1
Characteristics of patients frequently admitted with asthma to University Hospital Southampton Foundation Trust from 2010 to 2012
2010 2011 2012 Total cohort# Patients n 36 36 31 84 Female 72 83 81 80 Age years 44.6±15.6 41.3±18.5 44.2±17.8 42.7±16.9 FEV1 L 2.06 (0.64–4.4) 1.8 (0.87–3.53) 2.21 (0.99–3.46) 2.04 (0.64–4.4) FEV1 % 68.74 (26–111) 62.13 (47–111) 83.65 (46–109) 68.16 (26–111) FEV1/FVC 71.25 (34–96) 69.21 (32–96) 72.15 (27–91) 70.9 (27–96) Exhaled nitric oxide¶ ppb mean (range) 18.7 (3–76) (n=17) 21.06 (1–76) (n=15) 13.4 (2.33–34.33) (n=20) 17.1 (1–76) (n=41) Psychological comorbidity 69.4 55.6 58.1 55 GORD 50 44.4 54.8 46.4 Dysfunctional breathing 33.3 38.9 54.8 41.7 Allergic rhinitis 44.4 50 41.9 40 Salicylate sensitivity 30.6 33.3 25.8 25 Vocal cord dysfunction 13.9 27.8 29 17.9 Asthma–COPD overlap 13.9 19.4 9.7% 14.3 Bronchiectasis 8.3 11.1 3.2 6 ABPA 2.8 2.8 3.2 2.4 BMI¶ kg·m−2 mean 31.6 (n=34) 31.2 (n=32) 32.2 (n=30) 31 (n=77) Data are presented as %, mean±sd or mean (range), unless otherwise stated. FEV1: forced expiratory volume in 1 s; FVC: forced vital capacity; GORD: gastro-oesophageal reflux disease; COPD: chronic obstructive pulmonary disease; ABPA: allergic bronchopulmonary aspergillosis; BMI: body mass index. #: excludes patients who were admitted in multiple years; ¶: data not available for some patients.
