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Inpatient management of an acute asthma exacerbation using clinical care pathways

Uchenna C Ewulonu1, Heather Dyer2

  • 1Ann & Robert H. Lurie Children's Hospital of Chicago, Northwestern Feinberg School of Medicine, Chicago, IL, USA.

Current Problems in Pediatric and Adolescent Health Care
|May 31, 2021
PubMed

Insights

Clinical care pathways standardize pediatric asthma care for hospitalized children. This review covers updated evidence-based guidelines, including the 2020 National Asthma Education and Prevention Program Expert Panel (NAEPP) recommendations for acute asthma management.

Area of Science:

  • Pediatric Pulmonology
  • Healthcare Quality Improvement
  • Evidence-Based Medicine

Background:

  • Asthma exacerbations are a primary reason for pediatric hospitalizations.
  • Clinical care pathways (CPGs) are utilized to standardize acute asthma management.
  • Hospitalized children with status asthmaticus often receive care via CPGs.

Purpose of the Study:

  • To review the current application of CPGs in pediatric asthma care.
  • To present updated evidence-based recommendations for acute asthma management in hospitalized children.
  • To incorporate the 2020 National Asthma Education and Prevention Program Expert Panel (NAEPP) guidelines.

Main Methods:

  • Literature review of CPGs for pediatric asthma.
  • Analysis of updated evidence-based recommendations.
  • Inclusion of the 2020 NAEPP guidelines.

Main Results:

  • CPGs are essential for standardizing care in emergency and inpatient settings.
  • Updated guidelines provide evidence-based best practices for acute pediatric asthma.
  • The 2020 NAEPP recommendations offer current best practices.

Conclusions:

  • CPGs are crucial for optimizing the management of hospitalized children with asthma.
  • Adherence to updated evidence-based guidelines, including NAEPP 2020, improves pediatric asthma care.
  • Standardized pathways ensure coordinated and high-quality care for pediatric asthma patients.

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