Observational studyPediatrics2020
Pathways for Improving Inpatient Pediatric Asthma Care (PIPA): A Multicenter, National Study.
Observational study in Pediatrics, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis 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
19 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Clinical pathways for secondary care and the effects on professional practice, patient outcomes, length of stay and hospital costs.The Cochrane database of systematic reviews · 2025Pooled it
- Barriers, Facilitators, and Time Costs of Implementing a Pediatric Clinical Pathway Intervention.Hospital pediatrics · 2025Trial
- Evaluation of an Educational Outreach and Audit and Feedback Program to Reduce Continuous Pulse Oximetry Use in Hospitalized Infants With Stable Bronchiolitis: A Nonrandomized Clinical Trial.JAMA network open · 2021Trial
- Validation of the Appendicitis Inflammatory Response (AIR) Score.World journal of surgery · 2021Trial
- Improving patient outcomes through quality improvement and safety culture interventions in pediatric emergency care: a systematic review of best practices.International journal of emergency medicine · 2025Review
- 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
- Racial differences in length of stay and readmission for asthma in the all of us research program.Journal of translational medicine · 2024Article
- Barriers and Facilitators of High-Efficiency Clinical Pathway Implementation in Community Hospitals.Hospital pediatrics · 2023Article
- Nationwide trends in hospitalization, medical costs, and mortality for asthma after introduction of biologics: A cross-sectional study in the United States.Journal of managed care & specialty pharmacy · 2023Article
- Structural Racism and the Social Determinants of Health in Asthma.Advances in experimental medicine and biology · 2023Article
- Sustainable deimplementation of continuous pulse oximetry monitoring in children hospitalized with bronchiolitis: study protocol for the Eliminating Monitor Overuse (EMO) type III effectiveness-deimplementation cluster-randomized trial.Implementation science : IS · 2022Article
- How Does Pediatric Quality Measure Development Reflect the Real World Needs of Hospitalized Children?Academic pediatrics · 2022Article
- Strategies for sustaining high-quality pediatric asthma care in community hospitals.Health services research · 2022Article
- Article
- Aligning Patient Safety and Stewardship: A Harm Reduction Strategy for Children.Current treatment options in pediatrics · 2021Review
- Predictors of Quality Improvement in Pediatric Asthma Care.Hospital pediatrics · 2020Article
- Using Quality Improvement Methods to Reduce Length of Stay with a Respiratory Therapist-driven Pathway for Asthma.Pediatric quality & safetyArticle
- Improving Single Maintenance and Reliever Therapy for Patients Admitted for Asthma Exacerbation.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
objectivesPathways guide clinicians through evidence-based care of specific conditions. Pathways have been demonstrated to improve inpatient asthma care but mainly in studies at large, tertiary children's hospitals. It remains unclear if these effects are generalizable across diverse hospital settings. Our objective was to improve inpatient asthma care by implementing pathways in a diverse, national sample of hospitals.
methodsWe used a learning collaborative model. Pathway implementation strategies included local champions, external facilitators and/or mentors, educational seminars, quality improvement methods, and audit and feedback. Outcomes included length of stay (LOS) (primary), early administration of metered-dose inhalers, screening for secondhand tobacco exposure and referral to cessation resources, and 7-day hospital readmissions or emergency revisits (balancing). Hospitals reviewed a sample of up to 20 charts per month of children ages 2 to 17 years who were admitted with a primary diagnosis of asthma (12 months before and 15 months after implementation). Analyses were done by using multilevel regression models with an interrupted time series approach, adjusting for patient characteristics.
resultsEighty-five hospitals enrolled (40 children's and 45 community); 68 (80%) completed the study (
conclusionsPathways did not significantly impact LOS but did improve quality of asthma care for children in a diverse, national group of hospitals.
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Registered trials
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