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Comprehensive In-Patient Education Consult for Asthma Exacerbations
Joyce A Baker1, Heather M Moore2, John T Brinton3
1The Breathing Institute at Children's Hospital Colorado, Aurora, Colorado. joyce.baker@childrenscolorado.org.
Respiratory Care
|March 1, 2022
Summary
A specialized asthma education consult service for hospitalized children reduced readmissions and revisits. This intervention improved care by addressing barriers and facilitating specialist follow-up, ultimately decreasing healthcare utilization.
Area of Science:
- Pediatric Pulmonology
- Healthcare Quality Improvement
- Asthma Management
Background:
- Asthma is a leading cause of childhood hospitalizations.
- Current asthma education by bedside nurses and respiratory therapists may be limited by time and knowledge.
- Patients and families can benefit from expert asthma education and barrier assessment.
Purpose of the Study:
- To evaluate the impact of an inpatient asthma education consulting service on healthcare utilization.
- To assess the effectiveness of a quality improvement initiative in pediatric asthma care.
Main Methods:
- A team of certified asthma educators developed and implemented an inpatient asthma education consult service.
- Subjects aged 1 year and older with asthma admitted to the ICU or with adherence concerns were referred.
- The consult involved face-to-face education, barrier assessment, and post-discharge specialist appointment facilitation.
Main Results:
- 52 subjects received the asthma consult out of 126 eligible during the pilot period.
- Subjects receiving consults had higher prior healthcare utilization and existing specialist care.
- After adjustment, the asthma consult group showed significantly lower odds of readmission and revisits (aOR 0.39, P=.04).
Conclusions:
- Comprehensive, face-to-face asthma education improves patient outcomes.
- Addressing barriers to care and facilitating specialist follow-up reduces healthcare utilization.
- Inpatient asthma education consults are effective in decreasing hospital readmissions and emergency visits.
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