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- W2914852754 abstract "Our children's hospital created a high-risk asthma protocol” (HRAP) to ensure that patients who meet criteria receive a cohesive package of evidence-based interventions. A goal of this effort was to bridge the gap from inpatient to outpatient care. The purpose of this investigation was to assess the impact of each HRAP intervention on outpatient follow-up. Records of asthma-related admissions since HRAP initiation were reviewed from 10/27/14 to 10/27/17. Enrollment criteria was defined as ≥4 acute care visits in the previous year or one PICU admission. HRAP included an inpatient asthma class, environmental phone consult, social work assessment, optional inpatient specialist consult and scheduling follow-up. Each intervention in the protocol was examined to assess its impact on the patient's likelihood to attend the follow-up. Of the 518 patients enrolled in HRAP, 414 (80%) were scheduled with follow-up; 261 (63%) attended within 90 days. Chi-square analysis of patients receiving the intervention (versus not) and impact of attending follow-up showed: inpatient asthma class (4%; P=0.61); environmental phone consult (1%; P=0.78); social work assessment (-3%; P=0.75); and optional inpatient specialist consult (-6%; P=0.16). This study could not demonstrate statistical significance for any single intervention’s impact on attending follow-up. Further investigation is required to ascertain if a combination of interventions could change overall outcomes for this high risk population. The psychosocial and socioeconomic barriers of this population may be inherent to why this “high risk” cycle is so difficult to break." @default.
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- W2914852754 date "2019-02-01" @default.
- W2914852754 modified "2023-09-27" @default.
- W2914852754 title "Does an Inpatient “High Risk Asthma Protocol“ Impact Outpatient Follow-up?" @default.
- W2914852754 doi "https://doi.org/10.1016/j.jaci.2018.12.681" @default.
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