Targeted Education Across Clinical Settings Improves Adherence to Evidence-Based Interventions for Bronchiolitis

Matthew J. Molloy, Jaclyn Tamaroff, Lauren McDaniel, Marquita Genies

Research output: Contribution to journalArticle

Abstract

Bronchiolitis remains a leading cause of hospitalization of infants. Despite evidence-based recommendations, wide variation in practice remains. A pre-post educational intervention was implemented to improve adherence to bronchiolitis guidelines in emergency and inpatient settings. Among children meeting inclusion criteria (136 pre-intervention, 185 post-intervention), emergency department (ED) bronchodilator use decreased by 64% (P <.001). Steroid use decreased by 71% (P =.002). There was no difference in viral testing, antibiotic use, or chest radiograph acquisition. No differences were seen in the inpatient setting. There was no difference in rate of intensive care unit transfer or length of stay. Post-intervention, children were less likely to receive a bronchodilator in the ED (odds ratio [OR] = 0.15, P <.001). Children with a family history of asthma were more likely to receive a bronchodilator in the ED (OR = 4.25, P <.001). Targeted education across settings contributed to reducing bronchodilator use in the ED. Family history appeared to influence medical decision making.

Original languageEnglish (US)
JournalClinical pediatrics
DOIs
StatePublished - Jan 1 2019

Fingerprint

Bronchiolitis
Bronchodilator Agents
Hospital Emergency Service
Education
Inpatients
Odds Ratio
Intensive Care Units
Length of Stay
Hospitalization
Emergencies
Thorax
Asthma
Steroids
Guidelines
Anti-Bacterial Agents

Keywords

  • bronchiolitis
  • clinical practice guidelines

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health

Cite this

Targeted Education Across Clinical Settings Improves Adherence to Evidence-Based Interventions for Bronchiolitis. / Molloy, Matthew J.; Tamaroff, Jaclyn; McDaniel, Lauren; Genies, Marquita.

In: Clinical pediatrics, 01.01.2019.

Research output: Contribution to journalArticle

@article{d69aca665b9c45d7b39874bedc66b9d6,
title = "Targeted Education Across Clinical Settings Improves Adherence to Evidence-Based Interventions for Bronchiolitis",
abstract = "Bronchiolitis remains a leading cause of hospitalization of infants. Despite evidence-based recommendations, wide variation in practice remains. A pre-post educational intervention was implemented to improve adherence to bronchiolitis guidelines in emergency and inpatient settings. Among children meeting inclusion criteria (136 pre-intervention, 185 post-intervention), emergency department (ED) bronchodilator use decreased by 64{\%} (P <.001). Steroid use decreased by 71{\%} (P =.002). There was no difference in viral testing, antibiotic use, or chest radiograph acquisition. No differences were seen in the inpatient setting. There was no difference in rate of intensive care unit transfer or length of stay. Post-intervention, children were less likely to receive a bronchodilator in the ED (odds ratio [OR] = 0.15, P <.001). Children with a family history of asthma were more likely to receive a bronchodilator in the ED (OR = 4.25, P <.001). Targeted education across settings contributed to reducing bronchodilator use in the ED. Family history appeared to influence medical decision making.",
keywords = "bronchiolitis, clinical practice guidelines",
author = "Molloy, {Matthew J.} and Jaclyn Tamaroff and Lauren McDaniel and Marquita Genies",
year = "2019",
month = "1",
day = "1",
doi = "10.1177/0009922819852982",
language = "English (US)",
journal = "Clinical Pediatrics",
issn = "0009-9228",
publisher = "SAGE Publications Inc.",

}

TY - JOUR

T1 - Targeted Education Across Clinical Settings Improves Adherence to Evidence-Based Interventions for Bronchiolitis

AU - Molloy, Matthew J.

AU - Tamaroff, Jaclyn

AU - McDaniel, Lauren

AU - Genies, Marquita

PY - 2019/1/1

Y1 - 2019/1/1

N2 - Bronchiolitis remains a leading cause of hospitalization of infants. Despite evidence-based recommendations, wide variation in practice remains. A pre-post educational intervention was implemented to improve adherence to bronchiolitis guidelines in emergency and inpatient settings. Among children meeting inclusion criteria (136 pre-intervention, 185 post-intervention), emergency department (ED) bronchodilator use decreased by 64% (P <.001). Steroid use decreased by 71% (P =.002). There was no difference in viral testing, antibiotic use, or chest radiograph acquisition. No differences were seen in the inpatient setting. There was no difference in rate of intensive care unit transfer or length of stay. Post-intervention, children were less likely to receive a bronchodilator in the ED (odds ratio [OR] = 0.15, P <.001). Children with a family history of asthma were more likely to receive a bronchodilator in the ED (OR = 4.25, P <.001). Targeted education across settings contributed to reducing bronchodilator use in the ED. Family history appeared to influence medical decision making.

AB - Bronchiolitis remains a leading cause of hospitalization of infants. Despite evidence-based recommendations, wide variation in practice remains. A pre-post educational intervention was implemented to improve adherence to bronchiolitis guidelines in emergency and inpatient settings. Among children meeting inclusion criteria (136 pre-intervention, 185 post-intervention), emergency department (ED) bronchodilator use decreased by 64% (P <.001). Steroid use decreased by 71% (P =.002). There was no difference in viral testing, antibiotic use, or chest radiograph acquisition. No differences were seen in the inpatient setting. There was no difference in rate of intensive care unit transfer or length of stay. Post-intervention, children were less likely to receive a bronchodilator in the ED (odds ratio [OR] = 0.15, P <.001). Children with a family history of asthma were more likely to receive a bronchodilator in the ED (OR = 4.25, P <.001). Targeted education across settings contributed to reducing bronchodilator use in the ED. Family history appeared to influence medical decision making.

KW - bronchiolitis

KW - clinical practice guidelines

UR - http://www.scopus.com/inward/record.url?scp=85067795873&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85067795873&partnerID=8YFLogxK

U2 - 10.1177/0009922819852982

DO - 10.1177/0009922819852982

M3 - Article

C2 - 31165619

AN - SCOPUS:85067795873

JO - Clinical Pediatrics

JF - Clinical Pediatrics

SN - 0009-9228

ER -