ArticlePediatrics2012
The Joint Commission Children's Asthma Care quality measures and asthma readmissions.
Article in Pediatrics, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 3 of them syntheses that pooled it.
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18 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- Pooled it
- Predictors of repeated acute hospital attendance for asthma in children: A systematic review and meta-analysis.Pediatric pulmonology · 2018Pooled it
- Pooled it
- Trial
- Medication Adherence in Children with Asthma.Patient preference and adherence · 2024Review
- Age- and Diagnosis-Based Trends for Unplanned Pediatric Rehospitalizations in the United States.Cureus · 2021Article
- Combined Effect of Race/Ethnicity and Type of Insurance on Reuse of Urgent Hospital-Based Services in Children Discharged with Asthma.Children (Basel, Switzerland) · 2020Article
- Association between Ambient Air Pollution and Hospital Length of Stay among Children with Asthma in South Texas.International journal of environmental research and public health · 2020Article
- A systematic review and meta-synthesis of policy intervention characteristics that influence the implementation of government-directed policy in the hospital setting: implications for infection prevention and control.Journal of infection prevention · 2020Review
- Length of paediatric inpatient stay, socio-economic status and hospital configuration: a retrospective cohort study.BMC health services research · 2017Article
- A framework for measuring self-management effectiveness and health care use among pediatric asthma patients and families.Journal of asthma and allergy · 2017Review
- Enhanced allergic responsiveness after early childhood infection with respiratory viruses: Are long-lived alternatively activated macrophages the missing link?Pathogens and disease · 2016Article
- Improving Quality of Acute Asthma Care in US Hospitals: Changes Between 1999-2000 and 2012-2013.Chest · 2016Article
- Vanin-1 expression and methylation discriminate pediatric asthma corticosteroid treatment response.The Journal of allergy and clinical immunology · 2015Article
- [Epidemiological profile and management of asthma exacerbations in children at the Rabat Children Hospital in Morocco].The Pan African medical journal · 2015Article
- Readmissions among children previously hospitalized with pneumonia.Pediatrics · 2014Article
- Methodological quality of national guidelines for pediatric inpatient conditions.Journal of hospital medicine · 2014Article
- Article
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10 authors.
Funding
Abstract
BACKGROUND AND
objectivesThe Joint Commission introduced 3 Children's Asthma Care (CAC 1-3) measures to improve the quality of pediatric inpatient asthma care. Validity of the commission's measures has not yet been demonstrated. The objectives of this quality improvement study were to examine changes in provider compliance with CAC 1-3 and associated asthma hospitalization outcomes after full implementation of an asthma care process model (CPM).
methodsThe study included children aged 2 to 17 years who were admitted to a tertiary care children's hospital for acute asthma between January 1, 2005, and December 31, 2010. The study was divided into 3 periods: preimplementation (January 1, 2005-December 31, 2007), implementation (January 1, 2008-March 31, 2009), and postimplementation (April 1, 2009-December 31, 2010) periods. Changes in provider compliance with CAC 1-3 and associated changes in hospitalization outcomes (length of stay, costs, PICU transfer, deaths, and asthma readmissions within 6 months) were measured. Logistic regression was used to control for age, gender, race, insurance type, and time.
resultsA total of 1865 children were included. Compliance with quality measures before and after the CPM implementation was as follows: 99% versus 100%, CAC-1; 100% versus 100%, CAC-2; and 0% versus 87%, CAC-3 (P < .01). Increased compliance with CAC-3 was associated with a sustained decrease in readmissions from an average of 17% to 12% (P = .01) postimplementation. No change in other outcomes was observed.
conclusionsImplementation of the asthma CPM was associated with improved compliance with CAC-3 and with a delayed, yet significant and sustained decrease in hospital asthma readmission rates, validating CAC-3 as a quality measure. Due to high baseline compliance, CAC-1 and CAC-2 are of questionable value as quality measures.
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