Impact of prehospital pediatric asthma management protocol adherence on clinical outcomes.

ABSTRACT:

Objective

To evaluate the frequency of EMS protocol non-adherence during pediatric asthma encounters and its association with emergency department (ED) length of stay (LOS) and hospital admission.

Methods

This is a retrospective review of asthma encounters aged 2-17 years transported by EMS to a pediatric ED from 2012 to 2017. Our primary outcome was hospital admission based on prehospital protocol adherence defined as: (1) bronchodilator administration, (2) treatment of hypoxia with oxygen, or (3) administration of intramuscular (IM) epinephrine in encounters with high severity of distress. Multivariable logistic regression estimated the association between protocol non-adherence and hospital admission.

Results

During the study period, 290 EMS encounters met inclusio

SUBMITTER: Cheetham AL 

PROVIDER: S-EPMC8362823 | biostudies-literature | 2022 May

REPOSITORIES: biostudies-literature