Quality of care for common pediatric respiratory illnesses in United States emergency departments: analysis of 2005 National Hospital Ambulatory Medical Care Survey Data
- PMID: 19047229
- DOI: 10.1542/peds.2007-3237
Quality of care for common pediatric respiratory illnesses in United States emergency departments: analysis of 2005 National Hospital Ambulatory Medical Care Survey Data
Abstract
Objective: The goal was to measure US emergency department performance in the pediatric care of asthma, bronchiolitis, and croup, by using systematically developed quality indicators.
Methods: Data on visits to emergency departments by children 1 to 19 years of age with moderate/severe asthma, 3 months to 2 years of age with bronchiolitis, and 3 months to 3 years of age with croup from the 2005 National Hospital Ambulatory Medical Care Survey, with a nationally representative sample of US patients, were analyzed. We used national rates of use of corticosteroids, antibiotics, and radiographs as our main outcome measures.
Results: Physicians prescribed corticosteroids in 69% of the estimated 405,000 annual visits for moderate/severe asthma and in 31% of the estimated 317,000 annual croup visits. Children with bronchiolitis received antibiotics in 53% of the estimated 228,000 annual visits. Physicians obtained radiographs in 72% of bronchiolitis visits and 32% of croup visits.
Conclusions: Physicians treating children with asthma, bronchiolitis, and croup in US emergency departments are underusing known effective treatments and overusing ineffective or unproven therapies and diagnostic tests.
Similar articles
-
Benchmarks for the emergency department care of children with asthma, bronchiolitis, and croup.Pediatr Emerg Care. 2010 May;26(5):364-9. doi: 10.1097/PEC.0b013e3181db2262. Pediatr Emerg Care. 2010. PMID: 20404778
-
Acute obstructive respiratory tract diseases in a pediatric emergency unit: evidence-based evaluation.Pediatr Emerg Care. 2012 Dec;28(12):1321-7. doi: 10.1097/PEC.0b013e3182768d17. Pediatr Emerg Care. 2012. PMID: 23187991
-
Ambulatory care visits for asthma: United States, 1993-94.Adv Data. 1996 Sep 27;(277):1. Adv Data. 1996. PMID: 10166755
-
Ambulatory care visits to physician offices, hospital outpatient departments, and emergency departments: United States, 1997.Vital Health Stat 13. 1999 Nov;(143):i-iv, 1-39. Vital Health Stat 13. 1999. PMID: 10633576 Review.
-
Update on epinephrine (adrenaline) for pediatric emergencies.Curr Opin Pediatr. 2009 Jun;21(3):313-9. doi: 10.1097/MOP.0b013e32832b1067. Curr Opin Pediatr. 2009. PMID: 19444115 Review.
Cited by
-
Dissemination of evidence in paediatric emergency medicine: a quantitative descriptive evaluation of a 16-week social media promotion.BMJ Open. 2018 Jun 6;8(6):e022298. doi: 10.1136/bmjopen-2018-022298. BMJ Open. 2018. PMID: 29880576 Free PMC article.
-
Paramedic assessment and treatment of upper airway obstruction in pediatric patients: an exploratory analysis by the Children's Safety Initiative-Emergency Medical Services.Am J Emerg Med. 2016 Mar;34(3):599-601. doi: 10.1016/j.ajem.2015.12.082. Epub 2015 Dec 31. Am J Emerg Med. 2016. PMID: 26818155 Free PMC article. No abstract available.
-
Quality Indicators for Pediatric Bronchiolitis and Croup Care in the Emergency Department; a Systematic Review and Meta-Analysis.Arch Acad Emerg Med. 2024 May 20;12(1):e52. doi: 10.22037/aaem.v12i1.2244. eCollection 2024. Arch Acad Emerg Med. 2024. PMID: 39290773 Free PMC article. Review.
-
Assessing physical and respiratory distress in children with bronchiolitis admitted to a community hospital emergency department: A retrospective chart review.Can J Respir Ther. 2019 Feb 15;55:16-20. doi: 10.29390/cjrt-2018-021. eCollection 2019. Can J Respir Ther. 2019. PMID: 31297441 Free PMC article.
-
Variation in the management of infants hospitalized for bronchiolitis persists after the 2006 American Academy of Pediatrics bronchiolitis guidelines.J Pediatr. 2014 Oct;165(4):786-92.e1. doi: 10.1016/j.jpeds.2014.05.057. Epub 2014 Jul 9. J Pediatr. 2014. PMID: 25015578 Free PMC article.
MeSH terms
LinkOut - more resources
Full Text Sources
