Evidence map›Paper›PMID 37193600›Full record

ArticleRespiratory care2023

Implementation of a Respiratory Therapist-Driven Protocol for Spirometry and Asthma Education in a Pediatric Out-Patient Primary Care Setting.

Haley M Long, Kim A Cobb, Pam A Leisenring, Sandy E King, L Denise Willis, Robert D Pesek, Ariel Berlinski

Open access · bronzeAbstract readEditorial
In one paragraph

Article in Respiratory care, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
2.3field-weighted citation impact, top 12% of its field
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

5 citing papers in PubMed, 13 citations in OpenAlex.

  1. Canadian journal of respiratory therapy : CJRT = Revue canadienne de la therapie respiratoire : RCTR · 2025
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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

7 authors at 2 institutions in 1 country.

Haley M LongRespiratory Care Services, Arkansas Children's Hospital, Little Rock, Arkansas.
Kim A CobbRespiratory Care Services, Arkansas Children's Hospital, Little Rock, Arkansas.
Pam A LeisenringRespiratory Care Services, Arkansas Children's Hospital, Little Rock, Arkansas.
Sandy E KingRespiratory Care Services, Arkansas Children's Hospital, Little Rock, Arkansas.
L Denise WillisRespiratory Care Services, Arkansas Children's Hospital, Little Rock, Arkansas.
Robert D PesekDepartment of Pediatrics, Allergy and Immunology, University of Arkansas for Medical Sciences Little Rock, Arkansas.
Ariel BerlinskiRespiratory Care Services, Arkansas Children's Hospital, Little Rock, Arkansas; Department of Pediatrics, Pulmonary and Sleep Medicine, University of Arkansas for Medical Sciences, Little Rock, Arkansas; and Pediatric Aerosol Research Laboratory, Arkansas Children's Research Institute, Little Rock, Arkansas. BerlinskiAriel@uams.edu.
Arkansas Children's Hospital · USUniversity of Arkansas for Medical Sciences · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundBest practice guidelines for asthma management recommend education and spirometry at specific intervals. A written asthma action plan with education and spirometry is ordered at the discretion of physicians at our institution. An initial chart review revealed that asthma education and spirometry were not consistently ordered in the pediatric primary care clinics. This quality improvement study aimed to increase frequency of spirometry and asthma education in children with asthma seen in pediatric primary care through use of a respiratory therapist (RT)-driven protocol.

methodsThe protocol established that spirometry and education would be done annually for children ≥ 6 y of age with intermittent asthma and every 6 months for persistent asthma. RTs identified eligible subjects and placed the electronic medical record orders before the clinic visit. Physicians were invited to complete a questionnaire before and after protocol implementation to assess barriers and protocol satisfaction.

resultsNine hundred and thirty-two children were included. Prior to protocol implementation, spirometry and education were completed in 64.9% and 62.6% of eligible children, respectively. Following protocol implementation, spirometry and education were significantly increased to 92.7% (

conclusionsImplementation of an RT-driven protocol in an out-patient pediatric primary care setting significantly increased utilization of spirometry and education for children with asthma. RTs working in the pediatric out-patient primary care setting played a vital role in achieving best practices for asthma management. The implementation of the protocol enhanced interdisciplinary communication.

Indexed as

AsthmaOutpatientsChildElectronic Health RecordsHumansInfantPrimary Health CareSpirometryasthmaasthma action planchildrenout-patientprimary careprotocolquality improvementrespiratory therapistspirometry

Identifiers

PMID37193600
PMCPMC10468161
OpenAlexW4376637348

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.