Trial reportArchives of disease in childhood1999
Structured discharge procedure for children admitted to hospital with acute asthma: a randomised controlled trial of nursing practice.
Trial report in Archives of disease in childhood, 1999. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03530813 (Role of Technology in Improving Asthma Management In School Staff), which is not on this map. Cited by 29 papers, 6 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Role of Technology in Improving Asthma Management In School Staff
Who cites it
29 citing papers in PubMed, 6 syntheses or guidelines pooled it, 130 citations in OpenAlex.
- Caseworker-assigned discharge plans to prevent hospital readmission for acute exacerbations in children with chronic respiratory illness.The Cochrane database of systematic reviews · 2018Pooled it
- Pooled it
- Pooled it
- Interventions for educating children who are at risk of asthma-related emergency department attendance.The Cochrane database of systematic reviews · 2009Pooled it
- Education and follow-up.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2005Guideline
- Written and verbal information versus verbal information only for patients being discharged from acute hospital settings to home.The Cochrane database of systematic reviews · 2003Pooled it
- Effects of a peer-led asthma self-management program for adolescents.Archives of pediatrics & adolescent medicine · 2011Trial
- Clinical pharmacy-led disease and medicine management programme for patients with COPD.British journal of clinical pharmacology · 2009Trial
- Small-group, interactive education and the effect on asthma control by children and their families.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2009Trial
- Specialist nurse intervention to reduce unscheduled asthma care in a deprived multiethnic area: the east London randomised controlled trial for high risk asthma (ELECTRA).BMJ (Clinical research ed.) · 2004Trial
- Trial
- A randomised trial of self-management planning for adult patients admitted to hospital with acute asthma.Thorax · 2002Trial
- Trial
- The High Burden of Asthma Readmission Among Australian Children: A Population-Based Cohort Study.Respirology (Carlton, Vic.) · 2025Article
- An Asthma Population Health Improvement Initiative for Children With Frequent Hospitalizations.Pediatrics · 2020Article
- Predictors of severe asthma attack re-attendance in Ecuadorian children: a cohort study.The European respiratory journal · 2019Article
- Completeness of Written Discharge Guidance for English- and Spanish-Speaking Patient Families.Hospital pediatrics · 2019Article
- Barriers and Facilitators to Asthma Care After Hospitalization as Reported by Caregivers, Health Providers, and School Nurses.Hospital pediatrics · 2018Article
- Impact of Discharge Components on Readmission Rates for Children Hospitalized with Asthma.The Journal of pediatrics · 2018Article
- A framework of pediatric hospital discharge care informed by legislation, research, and practice.JAMA pediatrics · 2014Review
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundDischarge planning is becoming an important part of the management of childhood asthma in hospital. Readmission to hospital, although often inevitable, might represent a failure of the opportunity for intervention presented by a brief period of supervised care in hospital.
aimTo examine the impact of a structured, nurse-led discharge package for children admitted to hospital with acute asthma on readmission to hospital, reattendance at the accident and emergency (A&E) department, and general practitioner consultations for asthma.
methodsA structured nurse-led discharge package, consisting of a 20 minute patient education programme and self management plan for children with asthma was developed on the wards of a busy children's hospital. A randomised controlled trial was conducted involving 160 children aged 2-16 years admitted for asthma over a 12 month period. Readmission and A&E reattendance's over the six months after discharge from hospital were obtained from the hospital computerised information system and general practitioner consultations from practice records.
resultsChildren in the intervention group were significantly less likely to be readmitted to hospital in the next six months than those in the control group (12 of 80 v 30 of 80 patients), and significantly less likely to attend the A&E department (6 of 80 v 31 of 80). Significantly fewer children in the intervention group had visits to their general practitioner for problematic asthma (31 of 78 v 72 of 77 for whom data were available).
conclusionBy delivering the simplest form of education and support during a child's stay in hospital, readmissions over a six month period were reduced. The programme was designed to be suitable for administration by nursing staff on the children's wards after a brief period of training.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.