A clinical pathway for bronchiolitis is effective in reducing readmission rates

Cheney, Joyce, Barber, Scott, Altamirano,Luis, Cheney, Marise, Williams, Chris, Jackson, Mary, Yates, Patsy, O'Rourke, Peter and Wainwright, Claire (2005) A clinical pathway for bronchiolitis is effective in reducing readmission rates. The Journal of Pediatrics, 147 5: 622-626.


Author Cheney, Joyce
Barber, Scott
Altamirano,Luis
Cheney, Marise
Williams, Chris
Jackson, Mary
Yates, Patsy
O'Rourke, Peter
Wainwright, Claire
Title A clinical pathway for bronchiolitis is effective in reducing readmission rates
Journal name The Journal of Pediatrics  (ERA 2012 Listed)    (ERA 2010 Rank A)   Check publisher's open access policy
Publication date 2005-11
Sub-type Article
DOI 10.1016/j.jpeds.2005.06.040
Volume number 147
Issue number 5
ISSN 0022-3476;1097-6833
Start page 622
End page 626
Total pages 5
Editor D. Balistreri
Place of publication Philadelphia, PA, United States
Publisher Mosby
Collection year 2005
Language eng
Subject 321027 Respiratory Diseases
730110 Respiratory system and diseases (incl. asthma)
Formatted abstract Objective
To examine the use of a clinical pathway in the management of infants hospitalized with acute viral bronchiolitis.

Study design
A clinical pathway with specific management and discharge criteria for the care of infants with bronchiolitis was developed from pathways used in tertiary care pediatric institutions in Australia. Two hundred and twenty-nine infants admitted to hospital with acute viral bronchiolitis and prospectively managed using a pathway protocol were compared with a retrospective analysis of 207 infants managed without a pathway in 3 regional and 1 tertiary care hospital.

Results
Readmission to hospital was significantly lower in the pathway group (P = .001), as was administration of supplemental fluids (P = .001) and use of steroids (P = .005). There were no differences between groups in demographic factors or clinical severity. The pathway had no overall effect on length of stay or time in oxygen.

Conclusions
A clinical pathway specifying local practice guidelines and discharge criteria can reduce the risk of readmission to hospital, the use of inappropriate therapies, and help with discharge planning.
Keyword Pediatrics
Management
Overuse
Care
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status UQ

 
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