Open AccessUse of a standardized asthma severity score to determine emergency department disposition for paediatric asthma: A cohort study
Author(s) -
Pavan Judge,
R. Tabeshi,
Ren Jie Robert Yao,
Garth Meckler,
Quynh Doan
Publication year - 2018
Publication title -
paediatrics and child health
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.55
H-Index - 43
eISSN - 1918-1485
pISSN - 1205-7088
DOI - 10.1093/pch/pxy125
Subject(s) - medicine , emergency department , asthma , cohort , bronchodilator , clinical practice , pediatrics , retrospective cohort study , clinical pathway , emergency medicine , physical therapy , nursing , psychiatry
We recently introduced a clinical practice pathway for the management of asthma that uses the Pediatric Respiratory Assessment Measure (PRAM) to guide emergency department (ED) treatment and disposition. The pathway recommends discharge for patients who achieve improvement to PRAM <4 at 1 hour after the last bronchodilator. We evaluated practice variation and patient outcomes associated with PRAM-directed disposition recommendations.
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