Evidence map›Paper›PMID 32041781›Full record

ArticleHospital pediatrics2020

Vaccination Status and Adherence to Quality Measures for Acute Respiratory Tract Illnesses.

Mersine A Bryan, Annika M Hofstetter, Tamara D Simon, Chuan Zhou, Derek J Williams, Amy Tyler, Chén C Kenyon, Joyee G Vachani, Douglas J Opel, Rita Mangione-Smith

Abstract readMulticenter Study
PubMed Full text at PMC Publisher
In one paragraph

Article in Hospital pediatrics, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Mersine A BryanDepartment of Pediatrics, University of Washington, Seattle, Washington; mersine@uw.edu.
Annika M HofstetterDepartment of Pediatrics, University of Washington, Seattle, Washington.
Tamara D SimonDepartment of Pediatrics, University of Washington, Seattle, Washington.
Chuan ZhouDepartment of Pediatrics, University of Washington, Seattle, Washington.
Derek J WilliamsDivision of Hospital Medicine, Department of Pediatrics, School of Medicine, Vanderbilt University and Monroe Carell Jr Children's Hospital at Vanderbilt, Nashville, Tennessee.
Amy TylerSection of Hospital Medicine, Department of Pediatrics, School of Medicine, University of Colorado and Children's Hospital Colorado, Aurora, Colorado.
Chén C KenyonDepartment of Pediatrics, School of Medicine, University of Pennsylvania and Center for Pediatric Clinical Effectiveness, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania; and.
Joyee G VachaniSection of Pediatric Hospital Medicine, Department of Pediatrics, Baylor College of Medicine, Houston, Texas.
Douglas J OpelDepartment of Pediatrics, University of Washington, Seattle, Washington.
Rita Mangione-SmithDepartment of Pediatrics, University of Washington, Seattle, Washington.

Funding

Pediatric Respiratory Illness Measurement System (PRIMES) Implementation in Community Hospital SettingsR01HL121067 · NHLBI · SEATTLE CHILDREN'S HOSPITAL · PI MANGIONE-SMITH, RITA · 2014 to 2025
$6.4M
The ROUTT-B (Reduce Over-Utilized Tests and Treatments in Bronchiolitis) Study: Developing a Roadmap for De-ImplementationK08HS026512 · AHRQ · UNIVERSITY OF COLORADO DENVER · PI TYLER, AMY · 2019 to 2023
$674k
AHRQ HHS K08 HS026512NHLBI NIH HHS R01 HL121067
6 · The paper itself

Abstract

objectivesTo assess the relationship between vaccination status and clinician adherence to quality measures for children with acute respiratory tract illnesses.

methodsWe conducted a multicenter prospective cohort study of children aged 0 to 16 years who presented with 1 of 4 acute respiratory tract illness diagnoses (community-acquired pneumonia, croup, asthma, and bronchiolitis) between July 2014 and June 2016. The predictor variable was provider-documented up-to-date (UTD) vaccination status. Our primary outcome was clinician adherence to quality measures by using the validated Pediatric Respiratory Illness Measurement System (PRIMES). Across all conditions, we examined overall PRIMES composite scores and overuse (including indicators for care that should not be provided, eg, C-reactive protein testing in community-acquired pneumonia) and underuse (including indicators for care that should be provided, eg, dexamethasone in croup) composite subscores. We examined differences in length of stay, costs, and readmissions by vaccination status using adjusted linear and logistic regression models.

resultsOf the 2302 participants included in the analysis, 92% were documented as UTD. The adjusted mean difference in overall PRIMES scores by UTD status was not significant (adjusted mean difference -0.3; 95% confidence interval: -1.9 to 1.3), whereas the adjusted mean difference was significant for both overuse (-4.6; 95% confidence interval: -7.5 to -1.6) and underuse (2.8; 95% confidence interval: 0.9 to 4.8) composite subscores. There were no significant adjusted differences in mean length of stay, cost, and readmissions by vaccination status.

conclusionsWe identified lower adherence to overuse quality indicators and higher adherence to underuse quality indicators for children not UTD, which suggests that clinicians "do more" for hospitalized children who are not UTD.

Indexed as

Vaccination CoverageAcute DiseaseAdolescentChildChild, PreschoolFemaleGuideline AdherenceHealthcare DisparitiesHealth Services MisuseHospital CostsHospitals, PediatricHumansImmunization ScheduleInfantInfant, NewbornLength of Stay

Identifiers

PMID32041781
PMCPMC7041553

What OpenQuestion holds

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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.