Evidence map›Paper›PMID 33106253›Full record

ArticleHospital pediatrics2020

Associations Between Quality Measures and Outcomes for Children Hospitalized With Bronchiolitis.

Mersine A Bryan, Amy Tyler, Chuan Zhou, Derek J Williams, David P Johnson, Chén C Kenyon, Heather Haq, Tamara D Simon, Rita Mangione-Smith

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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. Cited by 1 paper, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed, 1 pooled it
–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

1 citing paper in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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

9 authors.

Mersine A BryanDepartment of Pediatrics, University of Washington, Seattle, Washington; mersine@uw.edu.
Amy TylerSection of Hospital Medicine, Department of Pediatrics, School of Medicine, University of Colorado, Aurora, Colorado.
Chuan ZhouDepartment of Pediatrics, University of Washington, Seattle, Washington.
Derek J WilliamsDivision of Hospital Medicine, Monroe Carell Jr. Children's Hospital at Vanderbilt and Department of Pediatrics, School of Medicine, Vanderbilt University, Nashville, Tennessee.
David P JohnsonDivision of Hospital Medicine, Monroe Carell Jr. Children's Hospital at Vanderbilt and Department of Pediatrics, School of Medicine, Vanderbilt University, Nashville, Tennessee.
Chén C KenyonCenter for Pediatric Clinical Effectiveness, Children's Hospital of Philadelphia and Department of Pediatrics, School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania.
Heather HaqDepartment of Pediatrics, Baylor College of Medicine, Houston, Texas.
Tamara D SimonDivision of Hospital Medicine, Children's Hospital of Los Angeles, Los Angeles, California; and.
Rita Mangione-SmithKaiser Permanente Washington Health Research Institute, 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
Incentive-based Mobile Health Adherence Intervention for High Risk Children with AsthmaK23HL136842 · NHLBI · CHILDREN'S HOSP OF PHILADELPHIA · PI KENYON, CHEN COLLIN · 2019 to 2023
$908k
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 K23 HL136842NHLBI NIH HHS R01 HL121067
6 · The paper itself

Abstract

objectivesTo use adherence to the Pediatric Respiratory Illness Measurement System (PRIMES) indicators to evaluate the strength of associations for individual indicators with length of stay (LOS) and cost for bronchiolitis.

methodsWe prospectively enrolled children with bronchiolitis at 5 children's hospitals between July 1, 2014, and June 30, 2016. We examined associations between adherence to each individual PRIMES indicator for bronchiolitis and LOS and cost. Sixteen indicators were included, 9 "overuse" indicators for care that should not occur and 7 "underuse" indicators for care that should occur. We performed mixed effects linear regression to examine the association between adherence to each individual indicator and LOS (hours) and cost (dollars). All models controlled for patient demographics, patient complexity, and hospital.

resultsWe enrolled 699 participants. The mean age was 8 months; 56% were male, 38% were white, and 63% had public insurance. Three indicators were significantly associated with shorter LOS and lower cost. All 3 indicators were overuse indicators and related to laboratory testing: no blood cultures (adjusted mean difference in LOS: -24.3 hours; adjusted mean cost difference: -$731,

conclusionsA subset of PRIMES quality indicators for bronchiolitis are strongly associated with improved outcomes and can serve as important measures for future quality improvement efforts.

Indexed as

BronchiolitisQuality Indicators, Health CareChildHospitals, PediatricHumansInfantLength of StayMaleQuality Improvement

Identifiers

PMID33106253
PMCPMC7596729

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.