Peds bronchiolitis guideline can cut resource use, costs

December 11, 2013
Peds bronchiolitis guideline can cut resource use, costs

(HealthDay)—Implementation of a bronchiolitis guideline can reduce unnecessary resource utilization and reduce costs in a pediatric emergency department setting, according to research published online Dec. 9 in Pediatrics.

Ayobami T. Akenroye, M.B.Ch.B., M.P.H., from Boston Children's Hospital and colleagues sought to reduce unnecessary resource utilization and improve the value of care provided to infants with in a pediatric . An interrupted time series that examined emergency department visits for 2,929 patients, aged 1 to 12 months and seen between November 2007 and April 2013, was conducted. The proportions of patients having a chest radiograph (CXR), (RSV) testing, and albuterol or antibiotic administration were assessed as outcomes, as was the total cost of care.

The researchers observed no significant preexisting trends in the outcomes. Absolute reductions of 23 percent in CXR, 11 percent in RSV testing, 7 percent in albuterol use, and 41 minutes in emergency department length of stay were observed after implementation of the guidelines. Per patient, the mean cost was reduced by $197. Over the two bronchiolitis seasons after guideline implementation, the total cost savings was $196,409. No significant differences were noted in antibiotic use, admission rates, or returns resulting in readmission within 72 hours of discharge.

"To summarize, in the emergency department setting, a successfully implemented bronchiolitis guideline can help reduce costs through the reduction of unnecessary utilization of testing and treatment, without a reduction in the quality of care," the authors write.

More information: Abstract
Full Text (subscription or payment may be required)

Related Stories

Use of radiographs increasing for children with asthma

July 23, 2013

(HealthDay)—Emergency department use of radiographs is increasing for children with asthma; and there is considerable variation between hospitals in the use of diagnostic testing for children with community-acquired pneumonia ...

ACEP: Emergency care benefits with health insurance exchange

October 18, 2013

(HealthDay)—Use of a health insurance exchange (HIE) can reduce costs of care and improve quality of care in an emergency setting, according to a study presented at the annual meeting of the American College of Emergency ...

Observation units improve emergency care

December 4, 2013

(Medical Xpress)—Emory University researchers have found that the use of observation units in hospital emergency rooms could not only shorten patient stays and decrease inpatient admissions, but could save the health care ...

Recommended for you

Youth dance classes score low in physical activity

May 18, 2015

For parents who send their kids to dance classes to get some exercise, a new study from researchers at University of California, San Diego School of Medicine suggests most youth dance classes provide only limited amounts ...

Roller coaster rides trigger pediatric stroke

December 11, 2014

Riding a couple roller coasters at an amusement park appears to have triggered an unusual stroke in a 4-year-old boy, according to a report in the journal Pediatric Neurology.

0 comments

Please sign in to add a comment. Registration is free, and takes less than a minute. Read more

Click here to reset your password.
Sign in to get notified via email when new comments are made.