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Asthma self-management programmes can reduce unscheduled care

NIHR Signal Asthma self-management programmes can reduce unscheduled care

People with asthma who receive supported self-management are less likely to attend A&E or be admitted to hospital. The interventions are unlikely to increase overall costs for healthcare services. Those who self-manage are also likely to have more controlled asthma and a better quality of life.

This extensive overview of systematic reviews... Read More

  • 20 June 2017
  • Signal

Induction of labour may be considered in pregnant women with a large baby

NIHR Signal Induction of labour may be considered in pregnant women with a large baby

Induction of labour does not increase the risk of caesarean delivery in pregnant women with a larger than average baby.

This is based on a review of four trials of 1190 women with a suspected large baby who were allocated either to have labour induced from 38 weeks or to watchful waiting.

Induction did not increase the risk of most negative... Read More

  • 20 June 2017
  • Signal

Acupuncture shown to have benefits for treatment of some chronic pain

NIHR Signal Acupuncture shown to have benefits for treatment of some chronic pain

Acupuncture is not a placebo for treatment of chronic pain. This NIHR-funded systematic review shows that acupuncture is better than usual care and sham acupuncture for pain from musculoskeletal conditions, knee osteoarthritis and chronic headache.

This NIHR review was large with over 140 trials overall, and the direct comparison with sham... Read More

  • 20 June 2017
  • Signal

An end of life strategy probably improved choice of where to die for people with severe respiratory disease

NIHR Signal An end of life strategy probably improved choice of where to die for people with severe respiratory disease

Most people prefer not to die in hospital, but the majority of patients with long-term diseases other than cancer end up dying there. In England, an NIHR study based on routine collected national data showed that roll-out of the End of Life Care strategy in 2004 was linked to a reduction in deaths in hospital. The number of deaths here fell by 6%... Read More

  • 20 June 2017
  • Signal

Benchmarking study helps hospitals improve measurement of adverse events

NIHR Signal Benchmarking study helps hospitals improve measurement of adverse events

One in ten inpatients in Welsh hospitals experienced an adverse event of some sort, about half of which were potentially preventable. This is very similar to the rate in other countries. The figures come from a review of 4,388 patient records between October 2010 and March 2013.

Welsh hospitals were using a screening tool at the time called the ... Read More

  • 20 June 2017
  • Signal

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