Use of a standardized asthma severity score to determine emergency department disposition for paediatric asthma: A cohort study.

ABSTRACT:

Background

We recently introduced a clinical practice pathway for the management of asthma that uses the Pediatric Respiratory Assessment Measure (PRAM) to guide emergency department (ED) treatment and disposition. The pathway recommends discharge for patients who achieve improvement to PRAM <4 at 1 hour after the last bronchodilator. We evaluated practice variation and patient outcomes associated with PRAM-directed disposition recommendations.

Methods

We conducted a retrospective cohort study of children aged 2 to 17 years treated for moderate asthma (PRAM score 4-7) using our asthma clinical pathway. We measured 1) the proportion of children discharged per pathway criteria who returned to our ED within 24 hours and 2) the proportion of children observed beyond the pathway

SUBMITTER: Judge P 

PROVIDER: S-EPMC6587418 | biostudies-literature | 2019 Jul

REPOSITORIES: biostudies-literature