Use of a standardized asthma severity score to determine emergency department disposition for paediatric asthma: A cohort study.
Pavan JudgeRaymond TabeshiRen Jie YaoGarth MecklerQuynh DoanPublished in: Paediatrics & child health (2018)
We observed significant deviation from our PRAM-directed pathway discharge criteria and that a significant proportion of observed patients experienced clinical deterioration beyond the first hour of observation. We recommend observing children with moderate asthma for 2 or 3 hours from last bronchodilator therapy if PRAM < 4 is maintained, to capture the majority (97.7% or 99.7%) of patients who require further intervention and hospitalization.
Keyphrases
- emergency department
- chronic obstructive pulmonary disease
- lung function
- end stage renal disease
- allergic rhinitis
- randomized controlled trial
- ejection fraction
- chronic kidney disease
- newly diagnosed
- intensive care unit
- young adults
- blood pressure
- prognostic factors
- peritoneal dialysis
- stem cells
- high intensity
- cystic fibrosis
- air pollution
- patient reported outcomes
- cell therapy