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{
    "pk": 16025,
    "title": "The Frequency of Reevaluation or Peak Flow Meter Documentation in Acute Asthma Exacerbations in the Emergency Department: Are We Treating in Accordance with NIH/NAEPP Guidelines?",
    "subtitle": null,
    "abstract": "Objectives: To evaluate the frequency of peak expiratory flow rate (PEFR) measurement and clinical re-evaluation in the management of ED asthmatic patients. Methods: This was a retrospective chart review examining consecutive asthma patients who presented to the University of California Irvine ED between September 1, 2003 and December 31, 2003. Patients were excluded if they had a diagnosis of COPD, lung cancer, pneumonia, congestive heart failure, alpha 1 anti-trypsin deficiency or were under 5 years of age. Data collected included patient demographics, pulse oximetry reading(s), ED treatments rendered, and frequencies of PEFR measurement (pre and post therapy), of clinical re-evaluations in the ED, and of ED return visits. Results: Of the 122 ED visits from 111 patients, 11 (10%) patients returned during the 4 month study period, with 5 patients (4.5%) returning in less than 72 hours. Seven (6.0%) patients had PEFR done both pre and post treatment and 24 (20%) had one or more PEFR performed either before or after treatment. Only 61 (50%) of the visits had a documented clinical re-evaluation prior to disposition. Conclusions: Despite their documented role in asthma treatment algorithms, PEFR was performed infrequently and clinical re-evaluation was documented in only half of cases. Recommended algorithms for asthma management were not commonly followed in this academic ED.",
    "language": "en",
    "license": {
        "name": "none",
        "short_name": "none",
        "text": "",
        "url": "http://google.com"
    },
    "keywords": [],
    "section": "Article",
    "is_remote": true,
    "remote_url": "https://escholarship.org/uc/item/3kw2v3q5",
    "frozenauthors": [
        {
            "first_name": "Danner",
            "middle_name": "",
            "last_name": "Hodgson",
            "name_suffix": "",
            "institution": "Department of Emergency Medicine, University of California, Irvine Medical Center",
            "department": "None"
        },
        {
            "first_name": "Scott",
            "middle_name": "E",
            "last_name": "Rudkin",
            "name_suffix": "",
            "institution": "Department of Emergency Medicine, University of California, Irvine Medical Center",
            "department": "None"
        },
        {
            "first_name": "Jennifer",
            "middle_name": "A",
            "last_name": "Oman",
            "name_suffix": "",
            "institution": "Department of Emergency Medicine, University of California, Irvine Medical Center",
            "department": "None"
        },
        {
            "first_name": "Jason",
            "middle_name": "",
            "last_name": "Fisher",
            "name_suffix": "",
            "institution": "Department of Emergency Medicine, University of California, Irvine Medical Center",
            "department": "None"
        }
    ],
    "date_submitted": "2007-10-27T07:00:00Z",
    "date_accepted": "2007-10-27T07:00:00Z",
    "date_published": "2005-07-01T07:00:00Z",
    "render_galley": null,
    "galleys": [
        {
            "label": "",
            "type": "pdf",
            "path": "https://journalpub.escholarship.org/westjem/article/16025/galley/8033/download/"
        }
    ]
}