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913 Ending the practice of giving salbutamol ‘weaning plans’ does not increase reattendance or readmission to hospital for children with asthma
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913 Ending the practice of giving salbutamol ‘weaning plans’ does not increase reattendance or readmission to hospital for children with asthma
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Journal Article
913 Ending the practice of giving salbutamol ‘weaning plans’ does not increase reattendance or readmission to hospital for children with asthma
2023
Overview
ObjectivesWe changed our clinical practice in to stop giving patients and families ‘weaning plans’ of reducing salbutamol dosage following an asthma exacerbation. We wished to establish if this change in practice was associated with an increase in reattendance or readmission.MethodsWe reviewed all attendances (1554) and admissions (297) for asthma over a 3 year period (18 months prior to the change in practice and 18 months following) We identified reattendance and readmissions, within 48 hours, 7 days and 30 days.ResultsThere was no significant difference between readmissions before or after the change in practice – 1.9 vs 2.7% at 48 hours2.3 vs 1.5% at 7 days7.4 vs 4.7% at 30 days or reattendances0.9 vs 2.2% at 48 hours1.1 vs 1.9 at 7 days3.5 vs 3.5% at 30 days.When looking at patterns of reattendance it was noted 17 individuals with 5 or more reattendances each made up 25% of all reattendance episodes, before and after the change in practice.ConclusionsIn the population and time period studied we did not demonstrate a significant difference in reattendance or readmission following our change in practice.This reduced our usage of salbutamol, and supported our focus on preventer therapies for asthma for professionals and families.There were multiple potential confounders, including coronavirus pandemic and changes to our local asthma pathways and services, however concerns that the removal of weaning plans would significantly increase reattendance were not realised.We will continue to monitor reattendance and readmission rates and intend to focus additional work on identifying those children with particularly high rates for hospital attendance and admission.
Publisher
BMJ Publishing Group LTD
Subject
