The Science Journal of the American Association for Respiratory Care

2007 OPEN FORUM Abstracts

A TWO YEAR EXPERIANCE WITH AN PEDIATRIC INPATIENT ASTHMA PATHWAY

C. R. Dennis1, M. R. Frentzel1


Backround:Pediatric asthma continues to be one of the most frequent discharge diagnoses from Children's Hospitals. Our institution has utilized a proven inpatient asthma pathway to treat pediatric asthma.

Method:
Data has been collected on all patients discharged with a primary diagnosis of asthma for the past two years(2005-2006) This information was compared to the same information for patients that were followed on our inpatient asthma pathway. We compared the length of stay and total cost for both groups along with the use of inhaled corticosteroids, asthma education provided prior to discharge, average age, average asthma score, 30 day readmissions and written asthma care plans.

Results:
Our 2005 and 2006 results continue to show a decrease in length of stay for pathway patients as well as a increase in the number of patients admitted as observation patients. We have also noted an increase in the number of patients admitted utilizing the asthma pathway.

Conclusions:
A well designed inpatient asthma pathway can decrease the length of stay for asthma patients as well as decrease the total cost per stay.

Comparision of 2005-2006 Asthma Pathway

2005
Total patients
271
2006
Total patients
242
2005
Completed Pathway
120
2006
Completed
Pathway
125
2005
Avg. Age
4.2 yrs.
2006
Avg. Age
5.5
2005
Avg. CAS
4.0
2006
Avg. CAS
4.0
2005
L.O.S
0.91 days
2006
L.O.S
0.93 days
2005
MDI usage
83%
2006
MDI usage
76%
2005
ICS usage
86%
2006
ICS usage
80%
2005
Ed completed
49%
2006
Ed completed
55%
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