Articles: hospital-emergency-service.
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Randomized Controlled Trial Comparative Study
Asthma coaching in the pediatric emergency department.
Coaching and monetary incentives have been used to modify medical behavior of individuals with several chronic diseases, including asthma. The authors performed a randomized, controlled trial of an intervention combining asthma coaching during an emergency department (ED) visit for asthma, and monetary incentive to improve follow-up with primary care providers (PCP). ⋯ An intervention combining asthma coaching during acute ED visits and a monetary incentive to return for a PCP visit does not appear to increase follow-up with the PCP.
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Ann. Allergy Asthma Immunol. · Jul 2006
Randomized Controlled Trial Comparative StudyRandomized trial of a comprehensive asthma education program after an emergency department visit.
Patients with asthma who visit the emergency department (ED) may benefit from education that optimizes self-management and treatment. ⋯ Delivery of a comprehensive AE program after an ED visit was ineffective in adult patients; however, it may be effective in children. Further research on alternative AE delivery strategies appears warranted to reduce the burden of asthma visits to the ED.
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Surg J R Coll Surg E · Jun 2006
Randomized Controlled TrialLessons learned from a randomised controlled study of perioperative beta blockade in high risk patients undergoing emergency surgery.
Perioperative beta blockade has been shown to reduce mortality after major elective surgery. The aim of this study was to determine whether it could reduce the rate of death and morbidity from cardiac complications in high risk patients undergoing emergency surgery. ⋯ This study of emergency surgery proved more difficult than similar trials in elective surgery. The final study groups were small and there were no significant differences in outcomes. A much larger study is required for a definitive answer.
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Randomized Controlled Trial
A randomized, controlled trial of sucrose analgesia in infants younger than 90 days of age who require bladder catheterization in the pediatric emergency department.
To determine whether an oral sucrose solution improves pain response for infants undergoing bladder catheterization in an emergency department (ED) population. ⋯ There was no overall treatment effect when using an oral sucrose solution before bladder catheterization in infants younger than 90 days of age. However, infants younger than or equal to 30 days of age who received sucrose had smaller increases in pain scores, less crying, and returned to baseline more rapidly than infants receiving placebo. Older infants did not show an improved pain response with oral sucrose.
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Randomized Controlled Trial
Lowering the threshold for discussions of domestic violence: a randomized controlled trial of computer screening.
Women experiencing domestic violence (DV) frequent health care settings, but DV is rarely identified. ⋯ Computer screening for DV increased but did not guarantee that DV would be addressed during ED encounters. Nonetheless, it is likely that low-cost interventions that allow patients the opportunity to self-disclose can be used to improve detection of DV.