Trial reportThorax2002
A randomised trial of self-management planning for adult patients admitted to hospital with acute asthma.
Trial report in Thorax, 2002. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 5 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.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
19 citing papers in PubMed, 5 syntheses or guidelines pooled it, 93 citations in OpenAlex.
- Interventions to Improve Communication at Hospital Discharge and Rates of Readmission: A Systematic Review and Meta-analysis.JAMA network open · 2021Pooled it
- Patient-mediated interventions to improve professional practice.The Cochrane database of systematic reviews · 2018Pooled it
- Personalised asthma action plans for adults with asthma.The Cochrane database of systematic reviews · 2017Pooled it
- Education interventions for adults who attend the emergency room for acute asthma.The Cochrane database of systematic reviews · 2007Pooled it
- Summary of recommendations from the Canadian Asthma Consensus guidelines, 2003.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2005Guideline
- Teaching the use of respiratory inhalers to hospitalized patients with asthma or COPD: a randomized trial.Journal of general internal medicine · 2012Trial
- 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
- How nurses support self-management of hospitalized patients through verbal communication: a qualitative study.BMC nursing · 2022Article
- Health Service Utilization and Poor Health Reporting in Asthma Patients.International journal of environmental research and public health · 2016Article
- Supported self-management for asthma.Breathe (Sheffield, England) · 2015Review
- Article
- A matched-cohort evaluation of a bedside asthma intervention for patients hospitalized at a large urban children's hospital.Journal of urban health : bulletin of the New York Academy of Medicine · 2011Article
- Management of acute asthma in adults in the emergency department: nonventilatory management.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2010Review
- Impact of patient characteristics, education and knowledge on emergency room visits in patients with asthma and COPD: a descriptive and correlative study.BMC pulmonary medicine · 2009Article
- Asthma exacerbations . 4: Prevention.Thorax · 2006Review
- 2003 canadian asthma consensus guidelines executive summary.Allergy, asthma, and clinical immunology : official journal of the Canadian Society of Allergy and Clinical Immunology · 2006Article
- Clinical review: respiratory mechanics in spontaneous and assisted ventilation.Critical care (London, England) · 2005Review
- The paradox of adult asthma control: "who's in control anyway?".Canadian respiratory journalReview
- GEMA 5.3. Spanish Guideline on the Management of Asthma.Open respiratory archivesArticle
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
7 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThere is still debate over the benefit of self-management programmes for adults with asthma. A brief self-management programme given during a hospital admission for acute asthma was tested to determine whether it would reduce readmission.
methodA randomised controlled trial was performed in 280 adult patients with acute asthma admitted over 29 months. Patients on the self-management programme (SMP) received 40-60 minutes of education supporting a written self-management plan. Control patients received standard care (SC).
resultsOne month after discharge SMP patients were more likely than SC patients to report no daytime wheeze (OR 2.6, 95% CI 1.5 to 5.3), no night disturbance (OR 2.0, 95% CI 1.2 to 3.5), and no activity limitation (OR 1.5, 95% CI 0.9 to 2.7). Over 12 months 17% of SMP patients were re-admitted compared with 27% of SC patients (OR 0.5, 95% CI 0.3 to 1.0). Among first admission patients, OR readmission (SMP v SC) was 0.2 (95% CI 0.1 to 0.7), p<0.01. For patients with a previous admission, OR readmission was 0.8 (95% CI 0.4 to 1.6), p=0.6. SMP patients were more likely than SC patients to be prescribed inhaled steroids at discharge (99% v 92%, p=0.03), oral steroids (98% v 90%, p=0.06), and to have hospital follow up (98% v 84%, p<0.01) but adjustment for these differences did not diminish the effect of the self-management programme.
conclusionsA brief self-management programme during hospital admission reduced post discharge morbidity and readmission for adult asthma patients. The benefit of the programme may have been greater for patients admitted for the first time. The programme also had a small but significant effect on medical management at discharge.
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What OpenQuestion holds
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.