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Highlights
More patients with neuromuscular conditions were under specialised care:
• 35.5% of admissions were related to patients known to a specialised neuromuscular service prior to hospital admittance as opposed to 16.2% in 2012
• The majority of admissions were under the care of Neurosciences (77%) as compared
to 2012 when only 14.9% of admiss...
Context in source publication
Context 1
... length of stay for paediatric admissions ranged from zero to 114 hospital days (median: 8). Figure 3 illustrates length of stay according to number of hospital bed days in both re-audit patients (all sample) and paediatric sample (the 46 paediatric admissions were also represented in "All Sample" results). Figure 4 shows length of stay in ITU. ...
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Electromyography is a diagnostic practice that examines the condition of the muscles and the nerves that regulate them. It allows neuromuscular disorders and lesions to be diagnosed, categorized based on their severity, and the most appropriate related treatment to be carried out based on the type of ailment detected. A neurologist or physical ther...
Citations
... 1st January 2009 until 30th June 2011 [17]. A2 assessed case-notes for emergency admissions from 1st January 2014-until 30th June 2016 [18]. Where there were: incomplete medical notes, elective admissions, incorrect coding i.e. absence of a diagnosis of NMD and obstetric admissions data were not included in the audit. ...
... Preventability of admissions is summarised in table 3. Admissions scored as 'preventable' accounted for 216/576 (37%) of all admissions in A1 and 79/361 (22%) in A2. The proportion of preventable admissions for patients with a previous known diagnosis of NMD was shown to have reduced by almost 50% from 143/127 (63%) in A1 to 63/192 (33%) in A2 [18]. In A1 there were 63 admissions to intensive care, 32% of these admissions were considered preventable and only 28% of patients were known to a neuromuscular service. ...
... These two retrospective case note review audits (A1 and A2) conducted over a five-year interval aimed to identify the number and reasons for preventable emergency admissions in people with NMD, the full reports of these audits can be accessed on line [17,18]. It was anticipated that by reducing emergency admissions for this population, significant cost savings could be made and the quality of life for NMD patients improved. ...
Two retrospective audits were undertaken across several hospitals to understand the frequency and preventability of emergency admissions in people with neuromuscular disease (NMD). Following audit 1 (A1), a number of preventable themes emerged on the basis of which recommendations were made to improve quality and co-ordination of care and a network approach was developed to improve awareness and education amongst patients and non-expert professionals. Audit 2 (A2) was undertaken to determine the effect of these measures. The central NHS IT database identified emergency NMD admissions. Case notes were reviewed and audited against pre-agreed criteria. A1 included 576 admissions (395 patients) A2 included 361 admissions (314 patients). Preventable admissions (where an NMD was known) accounted for 63% in A1 and 33% in A2, with more patients followed up at a specialised neuromuscular centre in A2. There were fewer re-admissions in A2 (12%) compared with A1 (25%) and lower mortality (A1: 4.5%, A2: 0.3%). A2 showed a significant rise in patients admitted under the care of neuroscience during the acute admission and fewer preventable ITU admissions. These audits demonstrate a significant impact for both patient care and potential for financial savings following the implementation of recommendations made after A1.
