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- W1618495607 abstract "Background: Respiratory illness is the second commonest reason for admission to hospital in the UK. Specialist input leads to better outcomes and reduced length of stay. Approximately half of respiratory patients, at New Cross Hospital, Wolverhampton, are not reviewed by a specialist during their admission. Aims: The aim of this study was to assess whether addition of specialist respiratory input into the EAU, would optimise patient management, and thus reduce length of stay and re-admission rates. Methods: During the weekday working hours, we piloted a twice daily respiratory ward round in the EAU. We audited management against current BTS guidance, altering treatment where necessary. We compared length of stay and re-admission rates during the pilot month to that of the preceding month. We collected data on whether patients would have been appropriate for referral to a respiratory “hot clinic”, to assess the need and demand for this service in the Wolverhampton City PCT. Results: 73.1% of patients had management altered, according to BTS guidance. 53.7% of patients had underlying respiratory disease on admission, and of these, only 50% were optimally treated according to guidance. Re-admission rates decreased by 13.4% and length of stay decreased by 1.38 days. 25% of patients could have been seen in a “hot clinic”, preventing a hospital admission. Conclusion: There is a role for the addition of a respiratory specialist ward round in the EAU of New Cross Hospital, to optimise management of patients with respiratory illness, and to reduce patient length of stay and re-admission rates." @default.
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- W1618495607 date "2011-09-01" @default.
- W1618495607 modified "2023-09-26" @default.
- W1618495607 title "The impact of a respiratory in-reach service into the emergency assessment unit (EAU) on treatment, length of stay, and re-admission rates" @default.
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