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Review
. 2024 Nov 6;17(1):172.
doi: 10.1186/s12245-024-00757-4.

The need for implementing a standardized, evidence-based emergency department discharge plan for optimizing adult asthma patient outcomes in the UAE, expert meeting report

Rasha Buhumaid  1 , Ashraf Alzaabi  2 , Bassam Mahboub  3 , Mohamed Nizam Iqbal  3 , Hamad Alhay Alhameli  4 , Mohamed Ghazi Al-Mafrachi  5 , Kenneth Charles Dittrich  6 , Thiagarajan Jaiganesh  7
Affiliations
Review

The need for implementing a standardized, evidence-based emergency department discharge plan for optimizing adult asthma patient outcomes in the UAE, expert meeting report

Rasha Buhumaid et al. Int J Emerg Med. .

Abstract

Background: Asthma is a common chronic respiratory inflammatory disease that adversely affects patients' quality of life (QoL) and overall well-being. When asthma is not adequately controlled, there is a higher risk of exacerbations and hospitalizations, thereby increasing the direct and indirect costs associated with the treatment and productivity loss. Overreliance on SABA and underutilization of ICS in the management of asthma can result in suboptimal treatment and poor asthma control. Patients who visit the emergency department are more likely to have poorly controlled asthma. Ensuring that these patients are provided with an evidence-based treatment plan during discharge can help reduce the risk of future exacerbations and consequently reduce the burden on the UAE healthcare system.

Methods: A joint task force comprising experts from the Emirates Society of Emergency Medicine (ESEM) and Emirates Thoracic Society (ETS) reviewed published evidence and updated guidelines in asthma management to optimize the post-discharge recommendations.

Results: The ESEM-ETS experts' joint task force has developed a step-by-step plan for emergency department/hospital discharge, which is based on the GINA 2023 guideline recommendations and the medications available in the UAE. By adhering to this structured plan, emergency department physicians can play a crucial role in improving asthma care, long-term patient outcomes, and the utilization of healthcare resources.

Conclusions: Prioritizing patient education and ensuring patients are equipped with the best-suited asthma treatment plans prior to discharge can help ED physicians improve patient outcomes and reduce healthcare resource utilization in UAE hospitals.

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Conflict of interest statement

The authors declare no competing interests.

Figures

Fig. 1
Fig. 1
Goals of asthma management
Fig. 2
Fig. 2
Discharge plan integrated into the National algorithm for the management of adult asthma in the ED
See this image and copyright information in PMC

References

    1. Papi A, Brightling C, Pedersen SE, Reddel HK, Asthma. Lancet. 2018;391:783–800. 10.1016/S0140-6736(17)33311-1. - DOI - PubMed
    1. Centers for Disease Control and Prevention (CDC). Most Recent National Asthma Data n.d. https://www.cdc.gov/asthma/most_recent_national_asthma_data.htm (accessed February 10, 2024).
    1. Mahboub H, SMA Shendi B, Kh Safarini F, H AbdulAziz B, Mustafa M, Prakash GM. Cost of Asthma in Dubai, United Arab Emirates (UAE). J Pulm Respir Med. 2013;03. 10.4172/2161-105X.1000146.
    1. Al Mazrouei K, Almannaei AI, Nur FM, Bachnak N, Alzaabi A. Direct and Indirect Costs of Asthma Burden in Abu Dhabi: A Retrospective Analysis of Insurance Claims Data from 2015 to 2018. ClinicoEconomics and Outcomes Research 2021;Volume 13:969–80. 10.2147/CEOR.S331499. - PMC - PubMed
    1. 2023 Global Initiative for Asthma – GINA, Report GINA. Global Strategy for Asthma Management and Prevention 2023. https://ginasthma.org/2023-gina-main-report/ (accessed January 26, 2024).

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