Descriptions and outcomes of cardiac evaluations in pediatric patients hospitalized for asthma

Parlar-Chun, Raymond; Kakarala, Kokila; Singh, Mani

doi:10.1080/02770903.2019.1642353

Cited by 4 publications

(2 citation statements)

References 15 publications

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“…23 24 25 Hendaus et al showed that approximately 85% of caregivers feel safe with continuous pulse-oximetry monitoring in infants with bronchiolitis. 26 The following were related literature on bronchiolitis that demonstrates the practice of physiologic monitoring without guidelines, that is admission, 27 28 discharge, 29 supplemental oxygen use, 30 31 32 unnecessary test, 33 and medication use. The literature is sparse on the established benefit of electrocardiographic monitoring and telemetry use.…”

Section: Discussionmentioning

confidence: 99%

Utility and Impact Analysis of Inpatient Pediatric Physiologic Monitoring

Gourishankar

Evangelista

Ellsworth

et al. 2022

J Pediatr Intensive Care

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This study aimed to study the practice and effect of monitoring hospitalized pediatric patients in terms the length of stay (LOS). We have performed a prospective, observational study of pediatric patients in the general ward from October to December 2016. We have recorded the use of cardiac monitor, pulse oximeter, or both, and as per physician order at patient admission. We have studied the proportions of monitoring in different patient groups. We have applied a linear regression model to investigate the relationship between LOS and cardiopulmonary monitoring, orders, and medical complexity. Among 399 patients, patients with cardiac and pulse oximeter monitoring with orders were 68 and 82%, respectively. The pulmonary group had more monitoring than the neurology group of patients. LOS was shorter in patients without monitoring; the median difference for the cardiac monitoring was one day (interquartile range [IQR] = 1), and the pulse oximeter was 0.5 days (IQR = 1). Cardiac monitoring order increased LOS by 22% (95% confidence interval [CI]: 0.5, 48%) and complex past medical history increased it by 25% (95% CI: 4, 51%). Our study highlights the variable practice in using monitors, emphasizing a standardized approach. The judicious use of monitoring may reduce prolonged hospitalization. Selective use of physiologic monitoring of ill-appearing or at risk of hypoxemia or cardiac dysrhythmia will reduce overuse.

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Section: Discussionmentioning

confidence: 99%

Utility and Impact Analysis of Inpatient Pediatric Physiologic Monitoring

Gourishankar

Evangelista

Ellsworth

et al. 2022

J Pediatr Intensive Care

View full text Add to dashboard Cite

show abstract

“…[24-26] Hendaus et al showed that approximately 85% of caregivers feel safe monitoring with continuous pulse oximetry in children with bronchiolitis. [27] Similar kinds of literature related to bronchiolitis demonstrate the practice of monitoring without guidelines, and differing opinion influences threshold for admission[28,29], discharge[30], supplemental oxygen use[31-33], unnecessary test[34], and medication use. No study exists on the established benefit of electrocardiographic monitoring and telemetry use.…”

Section: Discussionmentioning

confidence: 99%

Utility and impact of inpatient pediatric physiologic monitoring

Gourishankar

Evangelista²,

Ellsworth³

et al. 2020

Preprint

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Objective: To study the practice and effect of monitoring pediatric patients on the hospital length of stay (LOS). Methods: We conducted a cross-sectional observational study of pediatric patients in the general ward from October to December 2016. We recorded the use of cardiac, pulse-oximeter, or both, and physician order at the time of admission. We studied the proportions of monitoring on different patient groups. The median length of stay assessed for various modes of monitoring. We did regression analysis for the effect of cardiopulmonary monitoring, orders, and medical complexity on hospital length of stay. Results: Among 398 patients, patients with cardiac monitor and pulse oximeter with orders were 68 % and 82%, respectively. The pulmonary group of patients had more monitoring than the neurology group of patients. LOS was shorter in patients without monitors; the median difference for the cardiac monitor was 1 day, and pulse oximeter was 0.5 days. Cardiac monitor order increased LOS by 22% (95% CI, 0.5% to 48%) and complex past medical history increased it by 25% (95% CI, 4% to 51%). Conclusion: Our study highlights the variable practice in using monitors, demanding a standardized approach. The judicious use of monitoring reduces prolonged hospital stay.

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Ipratropium bromide/salbutamol/levosalbutamol/salbutamol

2020

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Descriptions and outcomes of cardiac evaluations in pediatric patients hospitalized for asthma

Cited by 4 publications

References 15 publications

Utility and Impact Analysis of Inpatient Pediatric Physiologic Monitoring

Utility and Impact Analysis of Inpatient Pediatric Physiologic Monitoring

Utility and impact of inpatient pediatric physiologic monitoring

Ipratropium bromide/salbutamol/levosalbutamol/salbutamol

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