The Impact of Status Asthmaticus Practice Guidelines on Patient Outcome and Physician Behavior

A Cost-Saving Algorithm for Children Hospitalized for Status Asthmaticus

“…Unlike other reports of care path efficacy or suggested guidelines, our study had the advantage of a concomitant control group and avoided bias inherent in using historical controls. [31][32][33] A recent report 33 failed to document any decrease in LOS with use of an asthma protocol. There are several reasons for the difference between studies.…”

Order Sets in Health Care: A Systematic Review of Their Effects

“…Debrix et al (9) reported a significance increase in proportions of prescriptions in compliance with guideline for patients receiving colony-stimulating factors as part of cancer treatment. Webb et al (26) also reported significantly more patients being treated with various elements of their status asthmaticus protocol.…”

“…Results of the literature search are presented in Figure 1. Eighteen studies met inclusion criteria and were included in this review (1;2;4;6–11;14;15;17–19;21;22;24;26). It should be noted that the study by Micek et al (16) was initially identified as a eligible study, however, it was found to be a pilot study of that conducted by Thiel et al (22) with the same order set.…”

“…Combining participants from control and intervention groups, the study sample sizes ranged from 52 to 34,554 (median, 244), and altogether 44,529 patients were involved. The conditions targeted by the order sets included cancer (9), diabetes (18;21), acute coronary disease (1;8;15), ischemic stroke (4), and chest pain (2), pneumonia (15;19), chronic obstructive pulmonary disease (19), asthma and status asthmaticus (7;26), sepsis (22), febrile neutropenia (19), soft tissue infection (19), urinary tract infection (19), upper gastrointestinal bleeding (19), and anemia (11). Studies also involved patients requiring withdrawal of life support (24), receiving mechanical ventilation (14), or requiring enteral or parenteral nutritional support (6;17).…”

“…Most studies did not exclude patients based on age. One study included only adult patients (i.e., >18 years) (10), and two only pediatric patients (7;26). Study settings varied from academic hospitals (6;21;22), community hospitals (19), to tertiary care centers (18;24).…”