Impact of clinical pathways and practice guidelines on the management of acute exacerbations of bronchial asthma

Chest
R BaileyZ Mohsenifar

Abstract

In 1990, it was estimated that approximately 1% of all US health-care costs (approximately $6.2 billion) were spent on asthma-related health expenses. Of this, hospitalization charges alone exceeded $2.6 billion. Practice guidelines and clinical pathways are being developed to standardize the management of acute asthma with the aim of improving care and safely reducing health-care costs. In this report, we evaluate the impact of an asthma pathway developed and instituted at a large community-based teaching hospital. This pathway was evidence based and was developed by a multidisciplinary group. The study was conducted during a 6-month period in 1995, while a similar period in 1994 was used as a historical control period. Data collected included patient demographics, hospital admission and discharge peak expiratory flow rates, pulse oximetry measurements, length of stay, conversion from hand-held nebulizer to metered-dose inhaler, use of corticosteroids within 24 h of hospitalization, and conversion of i.v. steroids to oral steroids. A total of 42 patients were enrolled during the study period. Of these, 19 were placed on the pathway, while 23 were not treated according to the pathway. There were 38 patients in the 1994 historic...Continue Reading

References

Aug 20, 1992·The New England Journal of Medicine·A B Bergman
Dec 1, 1995·The American Journal of Medicine·E R McFaddenT Hammons
Oct 21, 1993·The New England Journal of Medicine·P J Greco, J M Eisenberg
May 1, 1993·The American Review of Respiratory Disease·E R McFadden
Apr 1, 1996·The American Journal of Medicine·T V HartertA Togias
Mar 1, 1996·American Journal of Respiratory and Critical Care Medicine·S R WeingartenA G Ellrodt
Sep 1, 1996·American Journal of Respiratory and Critical Care Medicine·S L JohnstonS T Holgate

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Citations

Apr 25, 2003·Nursing Outlook·Patricia C Dykes
Dec 10, 1999·Journal of the American College of Surgeons·H L FrankelC W Schwab
Jun 1, 2000·Annals of Allergy, Asthma & Immunology : Official Publication of the American College of Allergy, Asthma, & Immunology·C S KellyE F Luckstead
Mar 23, 2012·The Australian Journal of Rural Health·Leigh D KinsmanJohn S Humphreys
Oct 3, 2003·American Journal of Respiratory and Critical Care Medicine·E R McFadden
Jun 26, 2012·BMC Pulmonary Medicine·Andrea BanAljunid Syed Mohamed
Sep 11, 2014·BMC Medical Informatics and Decision Making·Judith W DexheimerDominik Aronsky
Jan 16, 2004·Journal of Occupational and Environmental Medicine·Lode GodderisHendrik Veulemans
Feb 2, 2010·Advanced Emergency Nursing Journal·Jennifer Olajos-ClowM Diane Lougheed
Jun 5, 2002·Current Opinion in Allergy and Clinical Immunology·Carolyn M Kercsmar, Timothy R Myers
May 1, 2010·Current Opinion in Allergy and Clinical Immunology·M Diane Lougheed, Jennifer G Olajos-Clow
Feb 22, 2012·Asia Pacific Allergy·Sae-Hoon Kim, Sang-Heon Cho
Feb 26, 2014·The Journal of Allergy and Clinical Immunology. in Practice·Kohei HasegawaUNKNOWN Japanese Emergency Medicine Network Investigators
Oct 26, 1999·Chest·D HacknerZ Mohsenifar
Jan 30, 2007·Journal of Clinical Neuroscience : Official Journal of the Neurosurgical Society of Australasia·Joseph Kwan
Sep 2, 2006·Pharmacotherapy·Timothy Myers
Nov 9, 2004·Paediatric Respiratory Reviews·David EvansTara-Lydia Vazquez
Feb 24, 2001·Respiratory Medicine·T K LimA M Stebbings
Feb 15, 2001·The Journal of Allergy and Clinical Immunology·S D Sullivan, K B Weiss
May 29, 2007·The Journal of Asthma : Official Journal of the Association for the Care of Asthma·Paulo de Tarso Roth DalcinSérgio Saldanha Menna Barreto
Apr 27, 2005·American Journal of Medical Quality : the Official Journal of the American College of Medical Quality·Daniel A LembergMichael Brydon
Dec 12, 2007·Journal of Evaluation in Clinical Practice·Noha El BazSijmen A Reijneveld
Mar 20, 2010·The Cochrane Database of Systematic Reviews·Thomas RotterJoachim Kugler
Nov 19, 2019·The Journal of Asthma : Official Journal of the Association for the Care of Asthma·Chanel KwokM Diane Lougheed
Feb 28, 2015·Journal of Public Health Management and Practice : JPHMP·Alexandra C H NowakowskiAbbey N Folsom
Sep 22, 2006·Occupational Therapy International·Suyi YangHua Beng Lim
Jun 12, 2004·Lippincott's Case Management : Managing the Process of Patient Care·Mary Jane McKendry, Judy Van Horn
Jun 16, 2009·CJEM·M Diane LougheedUNKNOWN Ontario Respiratory Outcomes Research Network
Aug 5, 2000·Journal of Pediatric Surgery·R E KellyJ P Pestian

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