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Titre : | Implementing a clinical practice guideline for the treatment of bronchiolitis in a high-risk hispanic pediatric population (2015) |
Auteurs : | Dora Zamora-Flores ; Nancy H Busen ; Randall Smout |
Type de document : | Article |
Dans : | Journal of Pediatric Health Care (Vol. 29, n°2, March/April 2015) |
Article en page(s) : | p. 169-180 |
Langues: | Anglais |
Descripteurs : |
HE Vinci Antibiotique ; Bronchiolite ; Durée du séjour ; Enfant (6-12 ans) ; Hospitalisation ; Médecine factuelle ; Pédiatrie ; Radiographie ; Recherche ; Recommandations ; Soins de l'enfant ; Soins infirmiers ; Soins intensifs ; Temps ; Thérapeutique |
Résumé : |
Introduction
Bronchiolitis is the leading cause of hospitalization among infants and young children. Because of its frequency, a clinical practice guideline for bronchiolitis was implemented in this population in an effort to decrease costs and the number of diagnostic evaluations performed and medications used without increasing length of stay or transfers to the pediatric intensive care unit. Methods A retrospective chart review of 322 pediatric admissions to a rural community hospital was conducted (169 before guideline implementation and 153 after guideline implementation), and data were categorically stratified into three groups for comparison purposes. Descriptive statistics were used to analyze the data, with a p value Results During the project period, patients with a mean age of 9.6 months were admitted to the hospital with bronchiolitis. Statistically significant decreases in cost per day and decreases in use of antibiotics and chest radiographs were achieved without increasing length of stay or pediatric intensive care unit transfers. Discussion This project demonstrated feasibility in implementing an evidence-based clinical practice guideline in a rural hospital to improve patient outcomes. |
Disponible en ligne : | Non |
Exemplaires (1)
Cote | Support | Localisation | Section | Disponibilité |
---|---|---|---|---|
REV | Périodique papier | Woluwe | Espace revues | Consultation sur place uniquement Exclu du prêt |