Asthma mortality have increased in the last decade leading to the development of the NAEP Guidelines for asthma treatment. Asthma outcomes are reported for our Health System and compared to the counties served by the Health System before and after the Guidelines.
The North Shore-Long Island Jewish (NS-LIJ) Health System is an intergrated system of 18 hospitals serving over 4 million population in Nassau, Suffolk, Queens and Richmond counties. Data was available from 13 hospitals to compare asthma outcomes between 1997 and 2001. Asthma discharge data was obtained from the SPARCS based on International Classification of Disease, Ninth Revision (ICD-9) codes. Data from 1997 and 2001 were compared for number of hospital discharges, ICU admissions (mechanically ventilated), and length of stay (LOS).
North Shore-Long Island Jewish Health System Data19972001Hospital discharges67252471Number of patients on mechanical ventilation137 (2%)33 (1%)Average LOS5.37 (days)1.1 (days)
The asthma hospital admissions were reduced more than 60% while need for mechanical ventilation decreased by 50% and length of stay (LOS) was reduced by 80% from 1997 to 2001. We hypothesize that these findings were due to the implementation of the Guidelines in our hospital health system.
Our results suggest that adherence to the NAEP Guidelines can improve asthma outcomes.
A. Mojaverian, None.