Trial reportPediatrics2015
Improving Pediatric Asthma Care and Outcomes Across Multiple Hospitals.
Trial report in Pediatrics, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 4 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
21 citing papers in PubMed, 4 syntheses or guidelines pooled it.
- Methods to derive composite indicators used for quality and safety measurement and monitoring in healthcare: a scoping review.Frontiers in health services · 2026Pooled it
- Distilling the Key Elements of Pediatric Appendicitis Clinical Practice Guidelines.The Journal of surgical research · 2021Pooled it
- Pooled it
- Pooled it
- Barriers, Facilitators, and Time Costs of Implementing a Pediatric Clinical Pathway Intervention.Hospital pediatrics · 2025Trial
- Use of Asthma APGAR Tools in Primary Care Practices: A Cluster-Randomized Controlled Trial.Annals of family medicine · 2018Trial
- Readiness of General Hospitals That Participate in Pediatric Quality Improvement Initiatives.Hospital pediatrics · 2025Article
- Simultaneously implementing pathways for improving asthma, pneumonia, and bronchiolitis care for hospitalized children: Protocol for a hybrid effectiveness-implementation, cluster-randomized trial.Journal of hospital medicine · 2024Article
- Knowledge translation strategies to support the sustainability of evidence-based interventions in healthcare: a scoping review.Implementation science : IS · 2023Article
- Barriers and Facilitators of High-Efficiency Clinical Pathway Implementation in Community Hospitals.Hospital pediatrics · 2023Article
- Team-focused implementation strategies to improve implementation of mental health screening and referral in rural Children's Advocacy Centers: study protocol for a pilot cluster randomized hybrid type 2 trial.Implementation science communications · 2023Article
- The Effect of Implementation of Guideline Order Bundles Into a General Admission Order Set on Clinical Practice Guideline Adoption: Quasi-Experimental Study.JMIR medical informatics · 2023Article
- Composite measures of quality of health care: Evidence mapping of methodology and reporting.PloS one · 2022Article
- The influence of integrating clinical practice guideline order bundles into a general admission order set on guideline adoption.JAMIA open · 2021Article
- Article
- Predictors of Quality Improvement in Pediatric Asthma Care.Hospital pediatrics · 2020Article
- Pathways for Improving Inpatient Pediatric Asthma Care (PIPA): A Multicenter, National Study.Pediatrics · 2020Observational
- Disparities in Pediatric Epilepsy Remission Are Associated With Race and Ethnicity.Journal of child neurology · 2019Article
- Quality and Safety of Pediatric Inpatient Care in Community Hospitals: A Scoping Review.Journal of hospital medicine · 2019Article
- Effectiveness of Pediatric Asthma Pathways in Community Hospitals: A Multisite Quality Improvement Study.Pediatric quality & safetyArticle
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
11 authors.
Funding
Abstract
BACKGROUND AND
objectivesGaps exist in inpatient asthma care. Our aims were to assess the impact of an evidence-based care process model (EB-CPM) 5 years after implementation at Primary Children's Hospital (PCH), a tertiary care facility, and after its dissemination to 7 community hospitals.
methodsParticipants included asthmatics 2 to 17 years admitted at 8 hospitals between 2003 and 2013. The EB-CPM was implemented at PCH between January 2008 and March 2009, then disseminated to 7 community hospitals between January and June 2011. We measured compliance using a composite score (CS) for 8 quality measures. Outcomes were compared between preimplementation and postimplementation periods. Confounding was addressed through multivariable regression analyses.
resultsAt PCH, the CS increased and remained at >90% for 5 years after implementation. We observed sustained reductions in asthma readmissions (P = .026) and length of stay (P < .001), a trend toward reduced costs (P = .094), and no change in hospital resource use, ICU transfers, or deaths. The CS also increased at the 7 community hospitals, reaching 80% to 90% and persisting >2 years after dissemination, with a slight but not significant readmission reduction (P = .119), a significant reduction in length of stay (P < .001) and cost (P = .053), a slight increase in hospital resource use (P = .032), and no change in ICU transfers or deaths.
conclusionsOur intervention resulted in sustained, long-term improvement in asthma care and outcomes at the tertiary care hospital and successful dissemination to community hospitals.
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Registered trials
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.