Peds bronchiolitis guideline can cut resource use, costs

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)

add to favorites email to friend print save as pdf

Related Stories

Use of radiographs increasing for children with asthma

Jul 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 ...

Recommended for you

Helping babies survive

Nov 21, 2014

A healthy baby is born in the Haydom Lutheran Hospital in Tanzania. She is given the name Precious and her proud mother is ready to take her back to the village. Many children born in the same hospital, or ...

Unstable child care can affect children by age four

Nov 20, 2014

A new study from UNC's Frank Porter Graham Child Development Institute (FPG) reveals that disruptions in child care negatively affect children's social development as early as age 4. However, the study also ...

Parental involvement still essential in secondary school

Nov 20, 2014

Although students become more independent as they rise through grade levels and parent-teacher interactions typically lessen as students age, parental involvement in a child's education during the secondary ...

User 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.