The Journal of Pediatrics
Volume 152, Issue 3 , Pages 315-320.e2 , March 2008

Effect of an Integrated Care Pathway on Acute Asthma/Wheeze in Children Attending Hospital: Cluster Randomized Trial

  • Steve Cunningham, MD, PhD

      Affiliations

    • Department of Respiratory and Sleep Medicine, Royal Hospital for Sick Children, Edinburgh, United Kingdom
    • Corresponding Author InformationReprint requests: Dr Steve Cunningham, Consultant Respiratory Paediatrician and Part Time Senior Lecturer, Department of Respiratory and Sleep Medicine, Royal Hospital for Sick Children, Sciennes Road, Edinburgh, EH9 1LF, UK.
    • ,
  • Claire Logan, BSc

      Affiliations

    • Department of Respiratory and Sleep Medicine, Royal Hospital for Sick Children, Edinburgh, United Kingdom
    • ,
  • Linda Lockerbie

      Affiliations

    • Medical Statistics Unit, University of Edinburgh, Edinburgh, United Kingdom
    • ,
  • Mark J.G. Dunn, MD, MRCSEd

      Affiliations

    • Department of Emergency Medicine, Royal Hospital for Sick Children, Edinburgh, United Kingdom.
    • ,
  • Ann McMurray, RSCN

      Affiliations

    • Department of Respiratory and Sleep Medicine, Royal Hospital for Sick Children, Edinburgh, United Kingdom
    • ,
  • Robin J. Prescott, PhD, FRCP

      Affiliations

    • Medical Statistics Unit, University of Edinburgh, Edinburgh, United Kingdom

Received 7 April 2007 ,Revised 13 August 2007 ,Accepted 17 September 2007.

References 

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  12. Kelly CS, Andersen CL, Pestian JP, Wenger AD, Finch AB, Strope GL, et al. Improved outcomes for hospitalized asthmatic children using a clinical pathway. Ann Allergy Asthma Immunol. 2000;84:509–516
  13. Wazeka A, Valacer DJ, Cooper M, Caplan DW, DiMaio M. Impact of a pediatric asthma clinical pathway on hospital cost and length of stay. Pediatr Pulmonol. 2001;32:211–216
  14. Norton SP, Pusic MV, Taha F, Heathcote S, Carleton BC. Effect of a clinical pathway on the hospitalization rates of children with asthma: a prospective study. Arch Dis Child. 2007;92:60–66
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  16. British guideline on the management of asthma. Thorax. 2003;58(Suppl 1):i1–i94
  17. Dodds C. Assessing pharmacy interventions at Salisbury Healthcare NHS Trust. Hosp Pharmacist. 2003;19:451–456
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  23. Madge P, McColl J, Paton J. Impact of a nurse-led home management training program in children admitted to hospital with acute asthma: a randomized controlled study. Thorax. 1997;52:223–228
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 Supported by the Sick Kids Friends Foundation (Edinburgh) and Roche Award Grant.ClinicalTrials.gov ID: NCT00345267.

PII: S0022-3476(07)00893-1

doi: 10.1016/j.jpeds.2007.09.033

The Journal of Pediatrics
Volume 152, Issue 3 , Pages 315-320.e2 , March 2008

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