ArticlePediatrics2019
Pediatric Respiratory Illness Measurement System (PRIMES) Scores and Outcomes.
Article in Pediatrics, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 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
11 citing papers in PubMed, 1 synthesis or guideline 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
- Comparison of As-Needed and Scheduled Posthospitalization Follow-up for Children Hospitalized for Bronchiolitis: The Bronchiolitis Follow-up Intervention Trial (BeneFIT) Randomized Clinical Trial.JAMA pediatrics · 2020Trial
- 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
- Variation in Dexamethasone Dosing and Use Outcomes for Inpatient Croup.Hospital pediatrics · 2022Article
- Development and Use of a Calculator to Measure Pediatric Low-Value Care Delivered in US Children's Hospitals.JAMA network open · 2021Article
- EHR-Integrated Monitor Data to Measure Pulse Oximetry Use in Bronchiolitis.Hospital pediatrics · 2021Article
- Obesity and Health-Related Quality of Life in Children Hospitalized for Acute Respiratory Illness.Hospital pediatrics · 2021Article
- Performance of Pediatric Readmission Measures.Journal of hospital medicine · 2020Article
- Associations Between Quality Measures and Outcomes for Children Hospitalized With Bronchiolitis.Hospital pediatrics · 2020Article
- Social Disadvantage, Access to Care, and Disparities in Physical Functioning Among Children Hospitalized with Respiratory Illness.Journal of hospital medicine · 2020Article
- Vaccination Status and Adherence to Quality Measures for Acute Respiratory Tract Illnesses.Hospital pediatrics · 2020Article
Corrections and comments
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Authors and funding
13 authors.
Funding
Abstract
BACKGROUND AND
objectivesThe Pediatric Respiratory Illness Measurement System (PRIMES) generates condition-specific composite quality scores for asthma, bronchiolitis, croup, and pneumonia in hospital-based settings. We sought to determine if higher PRIMES composite scores are associated with improved health-related quality of life, decreased length of stay (LOS), and decreased reuse.
methodsWe conducted a prospective cohort study of 2334 children in 5 children's hospitals between July 2014 and June 2016. Surveys administered on admission and 2 to 6 weeks postdischarge assessed the Pediatric Quality of Life Inventory (PedsQL). Using medical records data, 3 PRIMES scores were calculated (0-100 scale; higher scores = improved adherence) for each condition: an overall composite (including all quality indicators for the condition), an overuse composite (including only indicators for care that should not be provided [eg, chest radiographs for bronchiolitis]), and an underuse composite (including only indicators for care that should be provided [eg, dexamethasone for croup]). Multivariable models assessed relationships between PRIMES composite scores and (1) PedsQL improvement, (2) LOS, and (3) 30-day reuse.
resultsFor every 10-point increase in PRIMES overuse composite scores, LOS decreased by 8.8 hours (95% confidence interval [CI] -11.6 to -6.1) for bronchiolitis, 3.1 hours (95% CI -5.5 to -1.0) for asthma, and 2.0 hours (95% CI -3.9 to -0.1) for croup. Bronchiolitis overall composite scores were also associated with shorter LOS. PRIMES composites were not associated with PedsQL improvement or reuse.
conclusionsBetter performance on some PRIMES condition-specific composite measures is associated with decreased LOS, with scores on overuse quality indicators being a primary driver of this relationship.
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