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Please use this identifier to cite or link to this item: http://hdl.handle.net/1807/25762

Title: A Population-based Study on the Association of Standardized Protocols in the Emergency Department for Childhood Asthma with Outcomes in Ontario, Canada
Authors: Li, Patricia
Advisor: Guttmann, Astrid
Department: Health Policy, Management and Evaluation
Keywords: Asthma
health services research
clinical pathways
standardized protocols
medical directives
pre-printed orders
Issue Date: 10-Jan-2011
Abstract: Objectives: To describe the use of standardized protocols (SPs) in emergency departments (EDs) across Ontario for childhood asthma and analyze the association of SPs with hospital admissions, 7-day ED re-visits, and outpatient follow-up visits. Methods: Population-based retrospective cohort study using health administrative data and survey data. EDs were categorized as having the optimal, other, or no SP for each outcome. Associations were tested with generalized estimating equations. Results: Between 2006/04/14-2009/02/28, 46,510 children with asthma were seen in 146 EDs, with 43 (29.5%) having SPs. Children treated in EDs with the optimal SP compared to no SP had no significant differences in hospital admissions (AOR 1.17; 95% CI 0.91, 1.49) or ED re-visits (AOR 1.09; 95% CI 0.85, 1.40) but were more likely to have follow-up visits (AOR 1.27; 95% CI 1.02, 1.59). Conclusions: SPs for childhood asthma are not common in Ontario EDs and had little impact on outcomes measured.
URI: http://hdl.handle.net/1807/25762
Appears in Collections:Master
The Institute of Health Policy, Management and Evaluation - Master theses

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