ArticleRespiratory care2019
A Respiratory Therapist-Driven Asthma Pathway Reduced Hospital Length of Stay in the Pediatric Intensive Care Unit.
Article in Respiratory care, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.
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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.
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Who cites it
15 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Clinical Effectiveness of High-Flow Nasal Cannula and Bilevel Positive Airway Pressure in Children with Critical Asthma - A Systematic Review and Meta-Analysis.Indian journal of pediatrics · 2026Pooled it
- Trial
- A matched analysis of the use of high flow nasal cannula for pediatric severe acute asthma.Pediatric pulmonology · 2024Article
- Flow of Change: Unmasking Variability in Respiratory Support for Pediatric Critical Asthma.Annals of the American Thoracic Society · 2024Article
- Institutional Variability in Respiratory Support Use for Pediatric Critical Asthma: A Multicenter Retrospective Study.Annals of the American Thoracic Society · 2024Article
- High flow nasal cannula use is associated with increased hospital length of stay for pediatric asthma.Pediatric pulmonology · 2023Article
- Characteristics, Identification, Training, and Perception of Leaders in Respiratory Care.Respiratory care · 2023Article
- Implementation of a Respiratory Therapist-Driven Protocol for Spirometry and Asthma Education in a Pediatric Out-Patient Primary Care Setting.Respiratory care · 2023Article
- Enhancing Respiratory Therapists' Well-Being: Battling Burnout in Respiratory Care.Respiratory care · 2023Review
- Validation of a structured questionnaire to assess the perception and satisfaction of respiratory therapy students toward career prospects and learning resources.Canadian journal of respiratory therapy : CJRT = Revue canadienne de la therapie respiratoire : RCTR · 2022Article
- Implementation of a Critical Asthma Protocol in a Pediatric ICU.Respiratory care · 2021Article
- Implementation of a Critical Care Asthma Pathway in the PICU.Critical care explorations · 2021Article
- Using Quality Improvement Methods to Reduce Length of Stay with a Respiratory Therapist-driven Pathway for Asthma.Pediatric quality & safetyArticle
- Reducing Avoidable Transfer Delays in the Pediatric Intensive Care Unit for Status Asthmaticus Patients.Pediatric quality & safetyArticle
- Decreasing ICU and Hospital Length of Stay through a Standardized Respiratory Therapist-driven Electronic Clinical Care Pathway for Status Asthmaticus.Pediatric quality & safetyArticle
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8 authors.
Funding
Abstract
backgroundAsthma is a common reason for admissions to the pediatric intensive care unit (PICU). Since June 2014, our institution has used a pediatric asthma clinical pathway for all patients, including those in PICU. The pathway promotes respiratory therapist-driven bronchodilator weaning based on the Modified Pulmonary Index Score (MPIS). This pathway was associated with decreased hospital length of stay (LOS) for all pediatric asthma patients; however, the effect on PICU patients was unclear. We hypothesized that the implementation of a pediatric asthma pathway would reduce hospital LOS for asthmatic patients admitted to the PICU.
methodsWe retrospectively reviewed the medical records of all pediatric asthma subjects 2-17 y old admitted to our PICU before and after pathway initiation. Primary outcome was hospital LOS. Secondary outcomes were PICU LOS and time on continuous albuterol. Data were analyzed using the chi-square test for categorical data, the
resultsA total of 203 eligible subjects (49 in the pre-pathway group, 154 in the post group) were enrolled. There were no differences between groups for age, weight, gender, home medications, cause of exacerbation, medical history, or route of admission. There were significant decreases in median (interquartile range) hospital LOS (4.4 [2.9-6.6] d vs 2.7 [1.6-4.0] d,
conclusionThe implementation of an asthma pathway was associated with decreased hospital LOS, PICU LOS, and time on continuous albuterol. There was also an increase in the use of high-flow nasal cannula and noninvasive ventilation after the implementation of this clinical pathway.
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