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A Clinical Pathway for Bronchiolitis is Effective in Reducing Readmission Rates

Cheney, Joyce L., Barber, Scott, Altamirano, Luis, Medico-Cirujano, Marise, Williams, Chris, Jackson, Mary, Yates, Patsy, O'Rourke, Peter, & Wainwright, Claire (2005) A Clinical Pathway for Bronchiolitis is Effective in Reducing Readmission Rates. Journal of Pediatrics, 147(5), pp. 622-626.

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Abstract

Objective To examine the use of a clinical pathway in the management of infants hospitalized with acute viral bronchiolitis.

Study design A clinical pathway with specific management and discharge criteria for the care of infants with bronchiolitis was developed from pathways used in tertiary care pediatric institutions in Australia. Two hundred and twenty-nine infants admitted to hospital with acute viral bronchiolitis and prospectively managed using a pathway protocol were compared with a retrospective analysis of 207 infants managed without a pathway in 3 regional and 1 tertiary care hospital.

Results Readmission to hospital was significantly lower in the pathway group (P = .001), as was administration of supplemental fluids (P = .001) and use of steroids (P = .005). There were no differences between groups in demographic factors or clinical severity. The pathway had no overall effect on length of stay or time in oxygen.

Conclusions A clinical pathway specifying local practice guidelines and discharge criteria can reduce the risk of readmission to hospital, the use of inappropriate therapies, and help with discharge planning.

Impact and interest:

32 citations in Scopus
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31 citations in Web of Science®

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ID Code: 3671
Item Type: Journal Article
Keywords: ICU, Intensive care unit, LOS, Length of stay, RSV, Respiratory syncytial virus, TIO, Time spent in oxygen
DOI: 10.1016/j.jpeds.2005.06.040
ISSN: 0022-3476
Subjects: Australian and New Zealand Standard Research Classification > MEDICAL AND HEALTH SCIENCES (110000) > NURSING (111000) > Clinical Nursing - Secondary (Acute Care) (111003)
Australian and New Zealand Standard Research Classification > MEDICAL AND HEALTH SCIENCES (110000) > NURSING (111000)
Divisions: Current > QUT Faculties and Divisions > Faculty of Health
Copyright Owner: Copyright 2005 Elsevier
Copyright Statement: Reproduced in accordance with the copyright policy of the publisher.
Deposited On: 13 Mar 2006
Last Modified: 29 Feb 2012 23:10

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