A Critical Asthma Standardized Clinical and Management Plan Reduces Duration of Critical Asthma Therapy

Hospital Pediatrics
Jackson WongElliot Melendez

Abstract

Reduction of critical asthma management time can reduce intensive care utilization. The goal of this study was to determine whether a Critical Asthma Standardized Clinical Assessment and Management Plan (SCAMP) can decrease length of critical asthma management time. This retrospective study compared critical asthma management times in children managed before and after implementation of a Critical Asthma SCAMP. The SCAMP used an asthma severity score management scheme to guide stepwise escalation and weaning of therapies. The SCAMP guided therapy until continuous albuterol nebulization (CAN) was weaned to intermittent albuterol every 2 hours (q2h). Because the SCAMP was part of a quality improvement initiative in which all patients received a standardized therapy, informed consent was waived. The study was conducted in Medicine ICU and Intermediate Care Units in a tertiary care freestanding children's hospital. Children ≥2 years of age who had CAN initiated in the emergency department and were admitted to the Division of Medicine Critical Care with status asthmaticus were included. The time to q2h dosing from initiation of CAN was compared between the baseline and SCAMP cohorts. Adverse events were compared. The Mann-Whitney tes...Continue Reading

References

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Citations

Dec 5, 2019·European Journal of Pediatrics·Shelley BoeschotenCorinne Buysse
Feb 6, 2020·Pediatric Quality & Safety·Amanda F MesserJoyee Vachani
Feb 23, 2020·Pediatric Critical Care Medicine : a Journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies·Elliot MelendezJackson Wong
May 3, 2020·Pediatric Critical Care Medicine : a Journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies·Christopher L Carroll
Nov 18, 2020·The Journal of Asthma : Official Journal of the Association for the Care of Asthma·Leah AbecassisMichele DeGrazia

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