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 Vol. 14 No. 2, August 2005
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AAP Grand Rounds 14:20-21 (2005)
© 2005 American Academy of Pediatrics

HOSPITAL CARE

Variability in the Management of Bronchiolitis in Children’s Hospitals

Source: Christakis DA, Cowan CA, Garrison MM, et al. Variation in inpatient diagnostic testing and management of bronchiolitis. Pediatrics. 2005;115:878–884.[Abstract/Free Full Text]

The first 20% of the full text of this article appears below.

The Pediatric Heath Information System (PHIS) developed by the Child Health Corporation is a robust database with detailed and clinically relevant patient-level data culled from 36 freestanding children’s hospitals. Researchers from the University of Washington and Children’s Hospital and Regional Medical Center in Seattle utilized this database to perform a retrospective, descriptive study of the variation in the diagnostic approach, treatment, length of stay (LOS), and readmission rate for children less than 1 year of age hospitalized for bronchiolitis. Data for 17,397 patients admitted between October 2001 and September 2003 with a primary discharge diagnosis of bronchiolitis were analyzed. Diagnostic measures included chest radiograph, rapid viral testing, and various bacterial cultures. . . . [Full Text of this Article]

Brian M. Pate, MD, FAAP
Hospitalist Services, Children’s Mercy Hospital, Kansas City, MO