A Room Without a View: Toward the Evidence
| Autor: | Brian Alverson, Christine B. Andrews |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
medicine.medical_specialty
Operating Rooms Routine testing Psychological intervention Disease medicine.disease_cause Pediatrics 03 medical and health sciences 0302 clinical medicine 030225 pediatrics medicine Humans 030212 general & internal medicine Prospective Studies Intensive care medicine Child Racemic epinephrine Cross Infection Recall business.industry General Medicine medicine.disease Bronchiolitis Pediatrics Perinatology and Child Health Resource use business Nasal cannula Child Hospitalized medicine.drug |
| Zdroj: | Hospital pediatrics. 9(6) |
| ISSN: | 2154-1671 |
| Popis: | Bronchiolitis is 1 of the most common causes of pediatric hospitalization and accounts for >$1.7 billion in hospital charges annually.1 The history of management of bronchiolitis in infants is a study in the reduction of unnecessary resources. Early in treating this disease, routine testing and ineffective therapies were common. Many of us recall the days of ubiquitous chest radiography, complete blood cell counts, albuterol, racemic epinephrine, and steroids. Many recall average lengths of stay of 5 days rather than perhaps 2.5 now. We have not entirely gotten away from that history. Although data show a lack of efficacy of these therapies and guidelines have reduced use, overtesting and overuse of interventions remain common.2 And we continue to employ new therapies before evidence demonstrates efficacy. For example, the use of high-flow nasal cannula has not been shown to impact length of stay or any resource use other than use of high-flow nasal cannula, yet we continue to broadly adopt it in the United States without robust evidence demonstrating benefit.3,4 Although there have been considerable efforts to … |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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