Abstract
Pediatric asthma is a highly prevalent disease, affecting over 7 million U.S. children and accounting for 750,000 annual emergency department (ED) visits. Guidelines from the National Asthma Education and Prevention Program recommend limited use of chest radiography (CXR), complete blood counts (CBCs), and antibiotics when managing acute exacerbations of asthma. However, studies suggest frequent overutilization of these resources. The objective was to evaluate differences between pediatric and general EDs in rates of CXRs, CBCs, and use of antibiotics for pediatric asthma exacerbations. This was a repeated cross-sectional analysis of data from the National Hospital Ambulatory Medical Care Survey from 2000 through 2010 of CXR, CBCs, and antibiotics during ED visits for pediatric acute asthma exacerbations. Multivariable logistic regression was performed to identify differences in asthma management by ED type (pediatric vs. general) after adjusting for demographic covariates. There were 3,313 observations, representing an estimated 10.9 million (95% confidence interval [CI] = 9.7 to 12.1 million) ED visits for acute asthma without bacterial coinfection. Of these, 17.4% occurred in pediatric EDs. Multivariable logistic regression ...Continue Reading
References
Aug 11, 1983·The New England Journal of Medicine·J C GershelM Ziprkowski
Jul 9, 1998·Pediatric Emergency Care·M G Roback, D A Dreitlein
Jul 14, 2000·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·L C HampersS E Krug
Apr 3, 2004·Pediatric Allergy and Immunology : Official Publication of the European Society of Pediatric Allergy and Immunology·Carl-Axel HederosGunilla Hedlin
Apr 21, 2007·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Rachel M StanleyUNKNOWN Pediatric Emergency Care Applied Research Network
Dec 18, 2008·Source Code for Biology and Medicine·Zoran BursacDavid W Hosmer
Jul 1, 2009·Pediatrics·Bonnie MathewsMark I Neuman
Mar 15, 2013·Pediatrics·Lara W JohnsonAmy Thompson
Jul 24, 2013·Pediatrics·Jane F KnappVidya Sharma
Sep 17, 2013·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Monika GoyalTheoklis Zaoutis
Nov 26, 2013·Annals of Allergy, Asthma & Immunology : Official Publication of the American College of Allergy, Asthma, & Immunology·Junho JangSean D Sullivan
Oct 9, 2014·The Journal of Pediatrics·Rachel M StanleyUNKNOWN Pediatric Emergency Care Applied Research Network (PECARN)
Citations
Mar 18, 2017·Current Opinion in Pediatrics·Erin K StensonDerek S Wheeler
Jun 19, 2017·The Lancet. Respiratory Medicine·John G LaffeyUNKNOWN ESICM Trials Group
May 17, 2018·Hospital Pediatrics·Sunitha V Kaiser, Matthew D Garber
Jun 3, 2018·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Kenneth A MichelsonRichard G Bachur
Oct 27, 2018·Emergency Nurse : the Journal of the RCN Accident and Emergency Nursing Association·Gemma SheldonSiba Prosad Paul
Jan 19, 2019·The Journal of Asthma : Official Journal of the Association for the Care of Asthma·Sanika RegeRajender R Aparasu
Jun 20, 2019·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Kabir YadavLarissa May
Jan 27, 2019·BMJ Open·Uy HoangSimon de Lusignan
Jul 13, 2019·NPJ Primary Care Respiratory Medicine·Esther KuipersMartina Teichert
Apr 26, 2020·BMC Pediatrics·Gaston ArnoldaUNKNOWN CareTrack Kids investigative team
Dec 18, 2020·Revista paulista de pediatria : orgão oficial da Sociedade de Pediatria de São Paulo·Isabela Dombeck FlorianiElaine Rossi Ribeiro
Jan 21, 2021·BMJ Quality & Safety·Sarah SchechterSunitha Vemula Kaiser
Sep 8, 2021·Frontiers in Pediatrics·Ela BeyyumiAbdul-Kader Souid
Jan 10, 2019·Pediatric Emergency Care·Joel D HudginsKyle A Nelson
Dec 13, 2016·Pediatrics·Theresa A WallsKathleen Brown
Jul 13, 2018·Pediatrics·Caroline S WatnickDavid P Johnson