ArticlePediatrics2012
Influence of hospital guidelines on management of children hospitalized with pneumonia.
Article in Pediatrics, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.
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Who cites it
21 citing papers in PubMed.
- Household Out-of-Pocket Burden Costs for Pediatric Pneumonia in Low- and Middle-Income Countries: Evidence Review and Econometric Framework.Journal of market access & health policy · 2026Review
- Management of Pediatric Pneumonia: A Decade After the Pediatric Infectious Diseases Society and Infectious Diseases Society of America Guideline.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2023Article
- The Impact of Institutional Clinical Care Guidelines on Treatment Outcomes in Pediatric Musculoskeletal Infection: A Systematic Review.Journal of the Pediatric Orthopaedic Society of North America · 2023Article
- Barriers and Facilitators of High-Efficiency Clinical Pathway Implementation in Community Hospitals.Hospital pediatrics · 2023Article
- The development of a novel natural language processing tool to identify pediatric chest radiograph reports with pneumonia.Frontiers in digital health · 2023Article
- Factors influencing receipt of an antibiotic prescription among insured patients in Tanzania: a cross-sectional study.BMJ open · 2022Article
- Improving antibiotic prescribing in the emergency department for uncomplicated community-acquired pneumonia.World journal of emergency medicine · 2020Article
- Monitoring adherence to guidelines of antibiotic use in pediatric pneumonia: the MAREA study.Italian journal of pediatrics · 2017Article
- Article
- Variation in Inpatient Croup Management and Outcomes.Pediatrics · 2017Article
- Aggregate and hospital-level impact of national guidelines on diagnostic resource utilization for children with pneumonia at children's hospitals.Journal of hospital medicine · 2016Review
- Prescription of antibiotics in community-acquired pneumonia in children: are we following the recommendations?Therapeutics and clinical risk management · 2016Article
- Antibiotic Choice for Children Hospitalized With Pneumonia and Adherence to National Guidelines.Pediatrics · 2015Article
- Improvement methodology increases guideline recommended blood cultures in children with pneumonia.Pediatrics · 2015Article
- Evaluating the use of blood cultures in the management of children hospitalized for community-acquired pneumonia.PloS one · 2015Article
- Article
- Advances in pediatric pharmacology, therapeutics, and toxicology.Advances in pediatrics · 2014Review
- Narrow vs broad-spectrum antimicrobial therapy for children hospitalized with pneumonia.Pediatrics · 2013Article
- Article
- Quality improvement methods increase appropriate antibiotic prescribing for childhood pneumonia.Pediatrics · 2013Article
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Authors and funding
11 authors.
Funding
Abstract
BACKGROUND AND
objectiveClinical practice guidelines (CPGs) assist clinicians in making appropriate diagnostic and treatment decisions based on available evidence. The objective of this study was to describe the availability and content of institutional community-acquired pneumonia (CAP) CPGs, and to evaluate the association between institutional CPGs and care utilization, antibiotic administration, and outcomes among children hospitalized with CAP.
methodsThis multicenter retrospective cohort study included children aged 1 to 18 years hospitalized with CAP from July 1, 2009, to June 30, 2011. CPGs from each institution were reviewed to abstract information regarding diagnostic testing and antimicrobial selection. We compared overall and specific utilization patterns, antimicrobial use, and hospital length of stay (LOS) for children with CAP between hospitals with and without CPGs.
resultsThirteen (31.7%) of 41 hospitals had an institutional CPG for nonsevere CAP. There was marked heterogeneity among CPGs. Among the 19,710 children hospitalized with CAP, cost of care, hospital LOS, and 14-day readmission rate were not associated with the presence of a CPG. CPGs did not influence ordering patterns for most diagnostic tests, including blood culture and chest radiographs. Penicillin or aminopenicillins were prescribed to 46.3% of children at institutions where a CPG recommended the use of these antibiotics as first-line agents compared with 23.9% of children at institutions without a CPG (odds ratio = 2.7; 95% confidence interval = 1.4-5.5).
conclusionsThe availability of a CAP CPG had minimal impact on resource utilization and was not associated with cost or hospital LOS. Institutional CPGs, however, did influence patterns of antimicrobial use.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.