Practice variation in acute bronchiolitis: A pediatric emergency research networks study

Chamberlain, James; Mintegi, Santiago; Mistry, Rakesh; Nigrovic, Lise; Lyttle, Mark D.; Roland, Damien; Van De Voorde, Patrick; Schuh, Suzanne; Babl, Franz E.; Dalziel, Stuart R.; Freedman, Stephen B.; Macias, Charles G.; Lyttle, Mark; Stephens, Derek; Steele, Dale W.; Fernandes, Ricardo M.; Zemek, Roger; Plint, Amy C.; Florin, Todd A.; Johnson, David W.; Gouin, Serge; Schnadower, David; Klassen, Terry P.; Bajaj, Lalit; Benito, Javier; Kharbanda, Anupam; Kuppermann, Nathan

Abstract

© Copyright 2017 by the American Academy of Pediatrics. BACKGROUND AND OBJECTIVES: Studies characterizing hospitalizations in bronchiolitis did not identify patients receiving evidence-based supportive therapies (EBSTs). We aimed to evaluate intersite and internetwork variation in receipt of ≥1 EBSTs during the hospital management of infants diagnosed with bronchiolitis in 38 emergency departments of pediatric emergency research networks in Canada, the United States, Australia, New Zealand, the United Kingdom, Ireland, Spain, and Portugal. We hypothesized that there would be significant variation, adjusted for patient characteristics. METHODS: Retrospective cohort study of previously healthy infants aged

• Journal Article Type: Article
• Acceptance Date: Nov 28, 2017
• Publication Date: Dec 1, 2017
• Deposit Date: Jan 3, 2018
• Journal: Pediatrics
• Print ISSN: 0031-4005
• Electronic ISSN: 1098-4275
• Publisher: American Academy of Pediatrics
• Peer Reviewed: Peer Reviewed
• Volume: 140
• Issue: 6
• Pages: e20170842
• DOI: https://doi.org/10.1542/peds.2017-0842
• Keywords: practice variation, acute bronchiolitis, pediatric emergency
• Public URL: https://uwe-repository.worktribe.com/output/903245
• Publisher URL: http://dx.doi.org/10.1542/peds.2017-0842
• Contract Date: Jan 3, 2018