Matches in SemOpenAlex for { <https://semopenalex.org/work/W4387160798> ?p ?o ?g. }
Showing items 1 to 66 of
66
with 100 items per page.
- W4387160798 abstract "Background: Asthma is a common cause of morbidity and mortality in children. Predictive models may help providers tailor asthma therapies to an individual’s exacerbation risk. The effectiveness of asthma risk scores on provider behavior and pediatric asthma outcomes remains unknown. Objective: Determine the impact of an electronic health record (EHR) vendor-released model on outcomes for children with asthma. Methods: The Epic Systems© Risk of Pediatric Asthma Exacerbation model was implemented on 2/24/2021 for volunteer pediatric allergy and pulmonology providers as a non-interruptive risk score visible in the patient schedule view. Asthma hospitalizations, ED visits, or oral steroid courses within 90 days of the index visit were compared from 2/24/2019–2/23/2022 using a difference-in-differences design with a control group of visits to providers in the same departments. Volunteer providers were interviewed to identify barriers and facilitators to model use. Results: In the intervention group, asthma hospitalizations within 90 days decreased from 1.4% (54/3842) to 0.7% (14/2165) after implementation with no significant change in the control group (0.9% (171/19865) pre-implementation to 1.0% (105/10743) post). ED visits in the intervention group decreased from 5.8% (222/3842) to 5.5% (118/2164) but increased from 5.5% (1099/19865) to 6.8% (727/10743) in the control group. The adjusted difference-in-differences estimators for hospitalization, ED visit, and oral steroid outcomes were -0.9% (95% CI: -1.6 to -0.3), –2.4% (-3.9 to -0.8), and –1.9% (-4.3 to 0.5). In qualitative analysis, providers understood the purpose of the model and felt it was useful to flag high exacerbation risk. Trust in the model was calibrated against providers’ own clinical judgement. Conclusions: This EHR vendor model implementation was associated with a significant decrease in asthma hospitalization and ED visits within 90 days of pediatric allergy and pulmonology clinic visits, but not oral steroid courses." @default.
- W4387160798 created "2023-09-30" @default.
- W4387160798 creator A5023770570 @default.
- W4387160798 creator A5068678564 @default.
- W4387160798 creator A5084735883 @default.
- W4387160798 creator A5089309302 @default.
- W4387160798 creator A5091806995 @default.
- W4387160798 date "2023-09-29" @default.
- W4387160798 modified "2023-10-14" @default.
- W4387160798 title "Effectiveness of a Vendor Predictive Model for the Risk of Pediatric Asthma Exacerbation: A Difference-in-Differences Analysis" @default.
- W4387160798 doi "https://doi.org/10.1055/a-2184-6481" @default.
- W4387160798 hasPubMedId "https://pubmed.ncbi.nlm.nih.gov/37774752" @default.
- W4387160798 hasPublicationYear "2023" @default.
- W4387160798 type Work @default.
- W4387160798 citedByCount "0" @default.
- W4387160798 crossrefType "journal-article" @default.
- W4387160798 hasAuthorship W4387160798A5023770570 @default.
- W4387160798 hasAuthorship W4387160798A5068678564 @default.
- W4387160798 hasAuthorship W4387160798A5084735883 @default.
- W4387160798 hasAuthorship W4387160798A5089309302 @default.
- W4387160798 hasAuthorship W4387160798A5091806995 @default.
- W4387160798 hasConcept C126322002 @default.
- W4387160798 hasConcept C144133560 @default.
- W4387160798 hasConcept C159110408 @default.
- W4387160798 hasConcept C162853370 @default.
- W4387160798 hasConcept C179585855 @default.
- W4387160798 hasConcept C187212893 @default.
- W4387160798 hasConcept C194828623 @default.
- W4387160798 hasConcept C2776042228 @default.
- W4387160798 hasConcept C2777014857 @default.
- W4387160798 hasConcept C2777338717 @default.
- W4387160798 hasConcept C2780665704 @default.
- W4387160798 hasConcept C2909082789 @default.
- W4387160798 hasConcept C512399662 @default.
- W4387160798 hasConcept C71924100 @default.
- W4387160798 hasConceptScore W4387160798C126322002 @default.
- W4387160798 hasConceptScore W4387160798C144133560 @default.
- W4387160798 hasConceptScore W4387160798C159110408 @default.
- W4387160798 hasConceptScore W4387160798C162853370 @default.
- W4387160798 hasConceptScore W4387160798C179585855 @default.
- W4387160798 hasConceptScore W4387160798C187212893 @default.
- W4387160798 hasConceptScore W4387160798C194828623 @default.
- W4387160798 hasConceptScore W4387160798C2776042228 @default.
- W4387160798 hasConceptScore W4387160798C2777014857 @default.
- W4387160798 hasConceptScore W4387160798C2777338717 @default.
- W4387160798 hasConceptScore W4387160798C2780665704 @default.
- W4387160798 hasConceptScore W4387160798C2909082789 @default.
- W4387160798 hasConceptScore W4387160798C512399662 @default.
- W4387160798 hasConceptScore W4387160798C71924100 @default.
- W4387160798 hasLocation W43871607981 @default.
- W4387160798 hasLocation W43871607982 @default.
- W4387160798 hasOpenAccess W4387160798 @default.
- W4387160798 hasPrimaryLocation W43871607981 @default.
- W4387160798 hasRelatedWork W1957770986 @default.
- W4387160798 hasRelatedWork W1985426726 @default.
- W4387160798 hasRelatedWork W1994339424 @default.
- W4387160798 hasRelatedWork W2098935330 @default.
- W4387160798 hasRelatedWork W2320829605 @default.
- W4387160798 hasRelatedWork W2386381627 @default.
- W4387160798 hasRelatedWork W2943761215 @default.
- W4387160798 hasRelatedWork W2962939929 @default.
- W4387160798 hasRelatedWork W4200025070 @default.
- W4387160798 hasRelatedWork W4225925351 @default.
- W4387160798 isParatext "false" @default.
- W4387160798 isRetracted "false" @default.
- W4387160798 workType "article" @default.