This Article Full Text (PDF) References Alert me when this article is cited Alert me if a correction is posted Citation Map Services Email this article to a friend Similar articles in this journal Similar articles in Web of Science Similar articles in PubMed Alert me to new issues of the journal Add to Saved Citations Download to citation manager Request Permissions Request Reprints Add to My Marked Citations Citing Articles Citing Articles via HighWire Citing Articles via Web of Science (6) Citing Articles via Google Scholar Citing Articles via Scopus Google Scholar Articles by Harrison, A. M. Articles by Kanter, R. K. Search for Related Content PubMed PubMed Citation Articles by Harrison, A. M. Articles by Kanter, R. K. Pubmed/NCBI databases Compound via MeSH Substance via MeSH Medline Plus Health Information Respiratory Syncytial Virus Infections Social Bookmarking                         What's this?

Effect of RSV Bronchiolitis Practice Guidelines on Resource Utilization

Department of Pediatric Critical Care, Division of Pediatrics, Cleveland Clinic Children's Hospital, Cleveland, OH

Nancy M. Boeing, RN, PNP

Division of Critical Care, Department of Pediatrics, Upstate Medical University, Syracuse, NY

Joseph B. Domachowske, MD

Division of Infectious Diseases, Department of Pediatrics, Upstate Medical University, Syracuse, NY

Marion R. Piedmonte, MA

Department of Biostatistics and Epidemiology, Cleveland Clinic Foundation, Cleveland, OH

Robert K. Kanter, MD, FCCM

Division of Critical Care, Department of Pediatrics, Upstate Medical University, Syracuse, NY

We sought to determine whether institution of respiratory syncytial virus (RSV) practice guidelines decreased resource utilization for a heterogeneous population of children hospitalized with RSV bronchiolitis. Patients less than 24 months old with RSV bronchiolitis at a pediatric referral center were identified by retrospective chart review for consecutive RSV seasons. Before the guidelines were instituted patients were less likely to have a documented physician's assessment of response to albuterol, were more likely to have received supplemental oxygen and cardiorespiratory monitoring, and to be discharged on an albuterol regimen. Patients received more albuterol treatments. After the guidelines were in place fewer resources were utilized in the care of patients with RSV bronchiolitis. RSV practice guidelines may simplify and streamline the care of a heterogeneous population of children with bronchiolitis.

Clinical Pediatrics, Vol. 40, No. 9, 489-495 (2001)
DOI: 10.1177/000992280104000903


CiteULike    Complore    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter    What's this?

This article has been cited by other articles:

				S. A. Lorch, A. M. Millman, X. Zhang, O. Even-Shoshan, and J. H. Silber Impact of Admission-Day Crowding on the Length of Stay of Pediatric Hospitalizations Pediatrics, April 1, 2008; 121(4): e718 - e730. [Abstract] [Full Text] [PDF]

				K Thorburn, S Harigopal, V Reddy, N Taylor, and H K F van Saene High incidence of pulmonary bacterial co-infection in children with severe respiratory syncytial virus (RSV) bronchiolitis Thorax, July 1, 2006; 61(7): 611 - 615. [Abstract] [Full Text] [PDF]

				B. M. Pate Variability in the Management of Bronchiolitis in Children's Hospitals AAP Grand Rounds, August 1, 2005; 14(2): 20 - 21. [Full Text] [PDF]

				B. M. Pate Serious Bacterial Infections in RSV Admissions to the ICU AAP Grand Rounds, February 1, 2005; 13(2): 14 - 15. [Full Text] [PDF]

				A. R. Schroeder, A. K. Marmor, R. H. Pantell, and T. B. Newman Impact of Pulse Oximetry and Oxygen Therapy on Length of Stay in Bronchiolitis Hospitalizations Arch Pediatr Adolesc Med, June 1, 2004; 158(6): 527 - 530. [Abstract] [Full Text] [PDF]

				A. R. Schroeder, A. Marmor, and T. B. Newman Pulse Oximetry in Bronchiolitis Patients Pediatrics, December 1, 2003; 112(6): 1463 - 1463. [Full Text] [PDF]