Evidence map›Paper›PMID 40904739›Full record

ArticleFrontiers in pediatrics2025

Improving the management of acute asthma in children through an integrated care pathway: an implementation study protocol.

Marta Montejo, Natalia Paniagua, Alvaro Sanchez, Mikel Rueda-Etxebarria, Jose I Pijoan, Carlos Saiz Hernando, Vanesa Martin, Miguel Angel Vázquez Ronco, Mikel Santiago Burruchaga, Diego García Urabayen and 3 more

Registry-linked trialAbstract read
In one paragraph

Article in Frontiers in pediatrics, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06437444 (Asthma Crisis in Paediatrics), which is not on this map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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.

NCT06437444 narecruitingnot on this map

Asthma Crisis in Paediatrics: Impact of a Care Pathway in Primary and Hospital Care

TypeinterventionalSponsorBasque Health ServiceRan2023 to 2026Enrolled249ConditionsAsthma in Children, Implementation ScienceArmsThe implementation strategy to encourage the adoption of the Care Pathway
3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Review
  2. Article
  3. Article
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

13 authors.

Marta MontejoSan Vicente Health Centre, Barakaldo-Sestao Integrated Health Organization, Basque Health Service-Osakidetza, Barakaldo, Spain.
Natalia PaniaguaPaediatric Emergency Department, Ezkerraldea-Enkarterri-Cruces Integrated Health Organization, Cruces University Hospital, Basque Health Service-Osakidetza, Barakaldo, Spain.
Alvaro SanchezPrimary Care Research Unit of Bizkaia, Deputy Directorate of Healthcare Assistance, Biobizkaia Health Research Institute, Basque Health Service-Osakidetza, Barakaldo, Spain.
Mikel Rueda-EtxebarriaBiobizkaia Health Research Institute, Osakidetza-Basque Health Service, Barakaldo, Spain.
Jose I PijoanBiobizkaia Health Research Institute, Osakidetza-Basque Health Service, Barakaldo, Spain.
Carlos Saiz HernandoDepartment of Medical Documentation, Cruces University Hospital, Basque Health Service-Osakidetza, Biobizkaia Health Research Institute, Barakaldo, Spain.
Vanesa MartinQuality and Innovation Unit, Barakaldo-Sestao Integrated Health Organization, Basque Health Service-Osakidetza, Barakaldo, Bizkaia, Spain.
Miguel Angel Vázquez RoncoPaediatric Hospitalization, Ezkerraldea-Enkarterri-Cruces Integrated Health Organization, Cruces University Hospital, Basque Health Service-Osakidetza, Barakaldo, Spain.
Mikel Santiago BurruchagaPaediatric Pulmonology and Cystic Fibrosis Unit, Ezkerraldea-Enkarterri-Cruces Integrated Health Organization, Cruces University Hospital, Basque Health Service-Osakidetza, Barakaldo, Spain.
Diego García UrabayenPaediatric Intensive Care Unit, Ezkerraldea-Enkarterri-Cruces Integrated Health Organization, Cruces University Hospital, Basque Health Service-Osakidetza, Barakaldo, Spain.
Garbiñe Pérez LlarenaPaediatric Emergency Department, Ezkerraldea-Enkarterri-Cruces Integrated Health Organization, Cruces University Hospital, Basque Health Service-Osakidetza, Barakaldo, Spain.
Susana CasteloInnovation Unit, Ezkerraldea-Enkarterri-Cruces Integrated Health Organization, Basque Health Service-Osakidetza, Barakaldo, Spain.
Javier BenitoPaediatric Emergency Department, Ezkerraldea-Enkarterri-Cruces Integrated Health Organization, Cruces University Hospital, Basque Health Service-Osakidetza, Barakaldo, Spain.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: This study aims to evaluate the effectiveness and feasibility of the implementation of an Asthma Integrated Care Pathway (AICP) to improve care and reduce variability according to recommended clinical practice guidelines, for children presenting with acute asthma episodes in paediatric primary care, and hospital services including emergency departments. Methods and analysis: A cluster quasi-experimental implementation trial with a matched control group will be launched in a regional healthcare service. All the paediatric healthcare professionals providing care in two health districts (HDs) will receive interventions over two 12-month periods during which components of the implementation strategy to favour adoption of the AICP will be deployed cumulatively. A selected set of professionals from the same levels of care in the other HDs ( Discussion: This study performed in real-world settings will contribute in extending knowledge in asthma care pathways beyond emergency settings into primary care and across the healthcare continuum. In addition, its findings aim to guide health systems in reducing variability in care, increasing guideline adherence, and ultimately improving paediatric asthma outcomes across the system. Clinical trial registration: ClinicalTrials.gov, identifier [NCT06437444].

Indexed as

asthma attackasthma exacerbationeffectivenessemergency departementimplementationintegrated care pathway (ICP)pediatricsprimary care

Identifiers

PMID40904739
PMCPMC12403179

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

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.