Spacer compliance after discharge following a mild to moderate XXXX .

@entity1 @entity565
AIM: To assess MDIS usage in @entity1 discharged from a @entity1 's hospital emergency department following a mild to moderate @entity565 . METHODS: Prospective observational study of 73 consecutive @entity1 presenting to a @entity1 's hospital emergency department with a mild to moderate @entity565 . Demographic data, whether @entity565 literature/written MDIS instructions were provided, and who provided MDIS instructions (either a discharge coordinator or other emergency department staff) were noted. Parents of @entity1 were telephoned after the first week following discharge and questioned about @entity1 improvement, MDIS use/reasons for not using MDIS, and unscheduled presentations to their local doctor or hospital. RESULTS: Following discharge, 50/73 (68.5%) @entity1 used MDIS exclusively (compliers), while 23/73 used nebulisers some or all of the time (non-compliers). There was no difference in @entity1 improvement or unscheduled presentations between compliers and non-compliers. Most non-compliers 14/23 (60.9%) changed because of parental preference; ease of nocturnal nebuliser use was a possible factor. Compliance was associated with the age of the @entity1 , spacer usage at hospital, the size of device used at hospital, and whether an information fact sheet was given. CONCLUSIONS: Most @entity1 discharged from the emergency department following a mild to moderate @entity565 continue MDIS use exclusively in the first week. MDIS compliance may be associated with knowledge, experience, and ease of spacer usage. The study shows that education for parents is crucial for MDIS compliance.
