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Related Experiment Videos

Emergency Department Allies: a Web-based multihospital pediatric asthma tracking system.

Kevin J Kelly1, Christine M Walsh-Kelly, Peter Christenson

  • 1Division of Allergy/Immunology, Department of Pediatrics, Medical College of Wisconsin, Children's Hospital of Wisconsin and Children's Research Institute, Milwaukee, Wisconsin, USA . kjkelly@cmh.edu

Pediatrics
|June 17, 2006
PubMed
Summary

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A new web-based tracking system for pediatric asthma in emergency departments (EDs) was developed. The system identified a significant burden of asthma and wheezing illnesses, highlighting intervention opportunities.

Area of Science:

  • Pediatric Emergency Medicine
  • Health Informatics
  • Asthma Surveillance

Background:

  • Asthma is a significant pediatric health concern requiring effective management strategies.
  • Emergency departments (EDs) serve as critical points for identifying and managing pediatric respiratory complaints.
  • A robust system for tracking pediatric asthma patients in the ED setting is needed.

Purpose of the Study:

  • To develop and implement a Web-based multihospital pediatric asthma tracking system.
  • To present the initial 18-month patient tracking experience and outcomes.
  • To identify intervention opportunities within a diverse pediatric wheezing population.

Main Methods:

  • A secure, password-protected data repository, "ED Allies tracking system," was developed using use-case methodology.

Related Experiment Videos

  • Seventy-seven data elements were collected per visit, including sociodemographics, medical history, quality of life, and ED management.
  • The system was implemented across 1 academic pediatric ED and 5 community EDs.
  • Main Results:

    • The system tracked 2005 subjects with physician-diagnosed asthma (2978 visits) and 1297 wheezing subjects (1628 visits) over 18 months.
    • Persistent asthma was identified in 68% of the asthma group.
    • 57% of wheezing subjects who had subsequent ED visits were diagnosed with asthma.

    Conclusions:

    • The developed tracking system effectively facilitated data collection for a diverse ED wheezing population.
    • A significant burden of pediatric asthma was identified, characterized by high rates of acute care visits and persistent disease.
    • The surveillance system provided valuable insights into healthcare needs and potential interventions for asthmatic and wheezing children.