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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
Summary
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.
- 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.
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