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KMID : 0854720110310010041
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Korean Journal of Asthma, Allergy and Clinical Immunology
2011 Volume.31 No. 1 p.41 ~ p.47
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The Effect of Clinical Pathway for Children with Asthma Exacerbation in the Emergency Department
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Lee Jin-Young
Nam Ji-Sun
Chun Yoon-Hong
Yoon Jong-Seo
Kim Hyun-Hee
Kim Jin-Tack
Lee Joon-Sung
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Abstract
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Background: The use of the clinical pathway (CP) for asthma management may ensure appropriate treatment for asthmatic patients. Objective: The objective was to evaluate the effect of the CP on the management of asthma exacerbation in the emergency department (ED) of a hospital in South, Korea.
Method: The subjects consisted of the patients being children at the ages of 3∼15 years presented with asthma exacerbation in the ED. We conducted a retrospective before-after study on the CP under the 2006 GINA guidelines. The CP was implemented in 2008 (postimplementation), whereas the strategy used in 2007 (pre-implementation) was not standardized.
Result: In 2008, 3 of the 36 patients were hospitalized (8.3%, post-implementation); in 2007, 7 of 53 patients were hospitalized (13.2%, pre-implementation) (P=0.734). According to the results of outpatient observation, continuous wheezing decreased from 12 of 21 patients (57.1%) in 2007 to 7 of 22 patients (31.8%) in 2008 (P=0.043), and the administration of relievers decreased from 9 of 21 patients (42.9%) in 2007 to 4 of 22 patients (18.2%) in 2008 (P=0.038).
Conclusion:The CP was successfully implemented in the ED of a hospital in South, Korea and reduced wheezing and the need for relievers in the outpatient clinic.
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KEYWORD
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Asthma, Clinical pathway, Emergency department, Children
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