A cluster randomised controlled trial to assess the effectiveness and costs of implementing asthma risk registers to identify and improve management of high risk asthma patients in primary care

Asthma UK (UK)0 个研究点目标入组 524 人开始时间: 2007年5月30日最近更新: 2015年1月13日

适应症

试验速览

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•1. Participation is open to all practices with adequate computer systems which are used to support routine consultations
•2. Practices covering urban and rural populations, deprived and affluent areas and various practice sizes and set-ups
•High risk patients aged 5+ years at participating practices will, according to British asthma guideline recommendations, be identified on the basis of having:
•1. Severe asthma, recognised by one or more of:
•1.1. Previous near-fatal asthma
•1.2. Hospital admission for asthma in the last five years
•1.3. Two or more attendances at Accident and Emergency (A&E) or out-of-hours services for asthma in the last year
•1.4. Requiring step four or five treatment
•1.5. Brittle asthma
•2. A record in the notes (of patients or their primary carers for children) of adverse behavioural or psychosocial characteristics including one or more of:
•2.1. Poor adherence to recommended management
•2.2. Failure to attend primary care or hospital appointments
•2.3. Self-discharge from hospital
•2.4. Psychosis, depression, other psychiatric illness or deliberate self-harm
•2.5. Current or recent major tranquiliser use
•2.6. Alcohol or drug abuse
•2.7. Denial
•2.8. Obesity
•2.9. Learning difficulties
•2.10. Employment problems
•2.11. Income problems
•2.12. Social isolation
•2.13. Childhood abuse
•2.14. Severe domestic, marital or legal stress

•Those with pre-existing at-risk asthma registers or similar strategies to study intervention.
•Patients who meet the inclusion criteria but are felt not appropriate to be included on an at-risk register for some other factor will be individually negotiated.

发起方

Asthma UK (UK)