Wednesday, December 4, 2013

AAP Guidelines for Bronchiolitis: Are We Using Them? How Do We Know?

In 2006, the AAP published a set of evidence-based Clinical Practice Guidelines for diagnostic testing and treatment of bronchiolitis (doi: 10.1542/peds.2006-2223). Once published, did anyone use them, and if so, can that be reflected in less diagnostic testing and certain- types of treatments?

Parikh et al. (doi: 10.1542/peds.2013-2005) decided to examine this by looking at inpatients with bronchiolitis before and after the Guidelines were published using a large administrative billing database. In a representative cohort of 41 pediatric hospitals involving more than 130,000 patients over an 8 year period, it appears the guidelines are making a difference in reducing inappropriate non-evidence-based tests and some treatments.

To find out just how utilization is reduced and in what way, take a deep breath and read this article for yourself. If you haven’t been adhering to these Guidelines, you likely will after you read this interesting study.

No comments:

Post a Comment

Thank you for joining in the conversation. Please follow our commenting guidelines, which you can find on our "About First Read" page.