BMJ  2004;328 (17 January), doi:10.1136/bmj.328.7432.0-c

Asthma specialist nurses reduce unscheduled care

Specialist nurses liaising with patients and carers may improve use of health services and outcome in deprived multiethnic health districts. Griffiths and colleagues (p 144) randomised 324 people aged 4-60 years from east London to the intervention (review by a specialist nurse who also provided advice on standard asthma guidelines to the general practitioner and district nurse) or to standard care. They found that the intervention group had a delayed time to first visit and subsequent attendance with acute asthma. The benefit was greater among white patients, and other ethnic groups may not benefit equally from the intervention.

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Relevant Article

Specialist nurse intervention to reduce unscheduled asthma care in a deprived multiethnic area: the east London randomised controlled trial for high risk asthma (ELECTRA)

Chris Griffiths, Gill Foster, Neil Barnes, Sandra Eldridge, Helen Tate, Shamoly Begum, Mo Wiggins, Carolyn Dawson, Anna Eleri Livingstone, Mike Chambers, Tim Coats, Roger Harris, and Gene S Feder
BMJ 2004 328: 144. [Abstract] [Full Text] [PDF]