Critical Pathway for the Emergency Department Management of Acute Asthma: Effect on Resource Utilization - 09/09/11
Abstract |
Study objective: To determine the effect of a critical pathway on resource utilization in asthmatic patients. Methods: The study combined a prospective analysis of 149 patients with asthma treated by a pathway protocol with a retrospective analysis of 97 patients with asthma treated by conventional means. The setting was a community hospital. Results: Among patients treated by protocol, oxygen use declined by 19% (P=.001), handheld nebulizer treatments by 33% (P=.001), saline locks by 15% (P=.011), and intravenous steroid administration by 13% (P=.034). There was an increase in the use of metered-dose inhalers with spacer by 64% (P=.001) and oral steroids by 18% (P=.027). Conclusion: A critical pathway, based primarily on national guidelines, can be an effective means of treating asthma patients in terms of resource utilization. [Goldberg R, Chan L, Haley P, Harmata-Booth J, Bass G: Critical pathway for the emergency department management of acute asthma: Effect on resource utilization. Ann Emerg Med May 1998;31:562-567.]
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 | From the Department of Emergency Medicine, Los Angeles County– University of Southern California Medical Center, Los Angeles,* and the Department of Emergency Medicine, Saint Joseph Medical Center,‡ Burbank, CA. |
| Supported by a grant (No. 2981) from Respironics, Inc. |
 | Address for reprints: Richard Goldberg, MD, LAC/USC Medical Center, 1200 North State Street, Room GH-1011, Los Angeles, CA 90033-1084, 310-540-2939, 310-540-2939, E-mail XFKT36A@prodigy.com |
| 47/1/89248 |
Vol 31 - N° 5
P. 562-567 - mai 1998 Retour au numéro
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