Does participation in the community outreach for asthma care and healthy lifestyles (COACH) program alter subsequent use of hospital services for children discharged with asthma?

Pinto, Jamie M.; Navallo, Lauren; Petrová, Anna

doi:10.1080/02770903.2019.1672719

Cited by 5 publications

(3 citation statements)

References 28 publications

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“…Empowering and supporting families with clear advice combined with respiratory nurse telephone follow up might also result in safely decreasing salbutamol use for subsequent wheezy episodes. Our reattendance rates to the emergency department varied between 0% and 4.7% monthly and are comparable to those reported in a study of nurse-led interventions to reduce the use of hospital services after acute asthma admissions 8. We suspect that the trend towards lower short-term readmission rates did not reach statistical significance because of the relatively small numbers of children reattending for the same acute episode.…”

Section: Discussionsupporting

confidence: 74%

“…Our reattendance rates to the emergency department varied between 0% and 4.7% monthly and are comparable to those reported in a study of nurse-led interventions to reduce the use of hospital services after acute asthma admissions. 8 We suspect that the trend towards lower short-term readmission rates did not reach statistical significance because of the relatively small numbers of children reattending for the same acute episode. Those who did reattend were identified by our respiratory nurse specialists for follow-up care.…”

Section: Discussionmentioning

confidence: 96%

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Hospital discharge using salbutamol as required after acute attacks of wheeze in children: a service evaluation

Connett,

Harper,

Raut

et al. 2023

Arch Dis Child

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ObjectiveMost UK hospitals discharge children after acute wheeze with advice to give regular salbutamol using a fixed dose weaning regime. We have introduced and evaluated the safety and efficacy of changing practice to using bronchodilators only as needed after 4 hourly assessments.DesignA multidisciplinary team of healthcare professionals worked with eight families of children who had needed hospital treatment with acute wheeze to develop guidance for the use of salbutamol on an as required basis after 4 hourly assessments. Data on salbutamol used with this approach were compared with a similar period in the previous year.ResultsData from 103 families showed a 73% reduction in salbutamol on day 1, 69% on day 2 and 50% on day 3 compared with what would have been used according to previous advice. Families found the advice easy to follow. There was a trend towards lower reattendance rates within 1 week compared with those recorded in the previous year. Those who had previously attended preferred this change in practice.ConclusionsThese data suggest that with information to support the use of salbutamol on an as required basis after hospital attendance, children can be safely managed by their parents/guardians with much lower doses of salbutamol than those recommended in commonly used fixed dose weaning regimes.

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Section: Discussionsupporting

confidence: 74%

Section: Discussionmentioning

confidence: 96%

Hospital discharge using salbutamol as required after acute attacks of wheeze in children: a service evaluation

Connett,

Harper,

Raut

et al. 2023

Arch Dis Child

View full text Add to dashboard Cite

show abstract

“…Demographic information (age, sex, race/ethnicity (white, Black, Hispanic, other), insurance status (private, public, no insurance/charity care)), month of admission, history of asthma (use of controller medications, previous asthma admissions, medical and family history of atopic conditions), and clinical data (fever, chest retractions, oxygen saturation) were collected. We gathered information regarding admission to the pediatric intensive care unit (PICU) and participation in our hospital-initiated Community Outreach for Asthma Care and Healthy lifestyles (COACH) program, described in a previous report [23]. Data on diagnosis and management, including use of chest radiography and oxygen supplementation, were obtained, and length of stay (LOS) was calculated.…”

Section: Case Verification and Data Collectionmentioning

confidence: 99%

Combined Effect of Race/Ethnicity and Type of Insurance on Reuse of Urgent Hospital-Based Services in Children Discharged with Asthma

et al. 2020

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Asthma is a leading cause of health disparity in children. This study explores the joint effect of race/ethnicity and insurance type on risk for reuse of urgent services within a year of hospitalization. Data were collected from 604 children hospitalized with asthma between 2012 and 2015 and stratified with respect to combination of patients’ insurance status (public vs. private) and race/ethnicity (white vs. nonwhite). Highest rates for at least one emergency department (ED) revisit (49.5%, 95% CI 42.5, 56.5) and for average revisits (1.03, 95% CI 0.83, 1.22) were recorded in nonwhite children with public insurance. Adjusted models revealed higher chance for ED reuse in white as well as nonwhite children covered by public insurance. Hospitalization rate was not dependent on the combination of social determinants, but on the number of post-discharge ED revisits. The combined effect of race/ethnicity and health insurance are associated with post-discharge utilization of ED services, but not with hospital readmission.

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Risk Factors for Pediatric Asthma Readmissions: A Systematic Review

Hogan

Carroll

Iverson

et al. 2021

The Journal of Pediatrics

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Does participation in the community outreach for asthma care and healthy lifestyles (COACH) program alter subsequent use of hospital services for children discharged with asthma?

Cited by 5 publications

References 28 publications

Hospital discharge using salbutamol as required after acute attacks of wheeze in children: a service evaluation

Hospital discharge using salbutamol as required after acute attacks of wheeze in children: a service evaluation

Combined Effect of Race/Ethnicity and Type of Insurance on Reuse of Urgent Hospital-Based Services in Children Discharged with Asthma

Risk Factors for Pediatric Asthma Readmissions: A Systematic Review

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