Summary

Referral recommendations for adult emergency department patients with exacerbated asthma

Piñera-Salmerón P, Álvarez-Gutiérrez FJ, Domínguez-Ortega J, Álvarez C, Blanco-Aparicio M, Dávila I, López-Viña A, Miguens I, Soto-Retes L

Affiliation of the authors

Hospital General Universitario Reina Sofia, Murcia, Spain. Coordinador Grupo de Patología Respiratoria en Urgencias de SEMES. Unidad de Asma, UMQER, Hospital Universitario Virgen del Rocio, Sevilla, Spain. Comité de Asma SEAIC, Servicio de Alergia, Instituto de Investigación IdiPAZ, Hospital Universitario La Paz, Madrid, Spain. 4CIBER de enfermedades respiratorias. CIBERES, Madrid, España. 5Servicio de Urgencias, Hospital de Verín, Ourense, Spain. Servicio de Neumología, Hospital Universitario A Coruña, A Coruña, Spain. Comité de Asma SEAIC, Servicio de Alergia, Hospital Universitario de Salamanca, Spain. Departamento de Ciencias Biomédicas y del Diagnóstico, Facultad de Medicina, Universidad de Salamanca, Spain. Instituto Biosanitario de Salamanca, IBSAL, Salamanca. RETIC ARADyal. Servicio de Neumología, Hospital Universitario Puerta de Hierro Majadahonda, Madrid, Spain. Servicio de Urgencias, Hospital General Universitario Gregorio Marañón, Madrid, Spain. Comité de Asma SEAIC, Servicio de Neumología y Alergia, Hospital de la Santa Creu i Sant Pau, Barcelona, Spain. Institut d’Investigació Biomédica Sant Pau (IIB Sant Pau), Universitat Autònoma de Barcelona, Department de Medicina, Barcelona, CIBER de enfermedades respiratorias. CIBERES, Madrid, Spain. Servicio de Urgencias, Hospital de Verín, Ourense, Spain. Servicio de Neumología, Hospital Universitario A Coruña, A Coruña, Spain. Comité de Asma SEAIC, Servicio de Alergia, Hospital Universitario de Salamanca, Spain. Departamento de Ciencias Biomédicas y del Diagnóstico, Facultad de Medicina, Universidad de Salamanca, Spain. Instituto Biosanitario de Salamanca, IBSAL, Salamanca. RETIC ARADyal. Servicio de Neumología, Hospital Universitario Puerta de Hierro Majadahonda, Madrid, Spain. Servicio de Urgencias, Hospital General Universitario Gregorio Marañón, Madrid, Spain. Comité de Asma SEAIC, Servicio de Neumología y Alergia, Hospital de la Santa Creu i Sant Pau, Barcelona, Spain. Institut d’Investigació Biomédica Sant Pau (IIB Sant Pau), Universitat Autònoma de Barcelona, Department de Medicina, Barcelona, Spain...

DOI

Quote

Piñera-Salmerón P, Álvarez-Gutiérrez FJ, Domínguez-Ortega J, Álvarez C, Blanco-Aparicio M, Dávila I, et al. Referral recommendations for adult emergency department patients with exacerbated asthma. Emergencias. 2020;32:258-68

Summary

This consensus paper’s purpose is to provide a tool for managing emergency asthma exacerbations that require a decision to admit or discharge the patient. The paper also addresses where to refer the discharged patient for followup. A multidisciplinary team of 3 emergency physicians, 3 specialists in respiratory medicine, and 3 allergy specialists

were charged with drafting a list of clinical questions to answer by consulting practice guidelines and other resources in the literature. The specialists held a face-to-face meeting to distribute tasks and topics to working groups. The groups shared their reports, which provided the basis for drafting the final paper. The recommendations and flow

charts included in the paper provide guidance for identifying and correctly diagnosing asthma exacerbations in the emergency department. Criteria for admission or discharge are incorporated. Treatment protocols and recommendations for referring discharged patients to specialists are addressed, along with criteria for priority referrals. The final consensus paper has been endorsed by the Spanish Society of Pulmonology and Thoracic Surgery (SEPAR), the Spanish Society of Allergology and Clinical Immunology (SEAIC), and the Spanish Society of Emergency Medicine (SEMES).

 

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