ADHERENCE TO EVIDENCE-BASED MEDICINE RECOMMENDATIONS IN TREATMENT OF CHILDREN HOSPITALISED WITH ACUTE BRONCHITIS- A PILOT STUDY
Journal Title: Journal of Evidence Based Medicine and Healthcare - Year 2017, Vol 4, Issue 24
Abstract
BACKGROUND Respiratory tract infections are the leading cause of hospitalisation in children and acute bronchitis is one of the most common respiratory infections in children. This study was aimed to provide a pilot tested method on how to investigate the adherence to selected evidence-based recommendations in hospitalised patients with acute bronchitis. MATERIALS AND METHODS The sample consisted of 80 patients with acute bronchitis. The type of the treatment was assessed according to the adherence to evidence-based recommendations. Settings and Design- This pilot study was performed at the Children’s Clinic of Teaching Hospital in Trnava, Slovak Republic and was focused on retrospective patients’ health outcomes research. Statistical analysis used- The type of treatment was analysed in relation to the patients’ health outcomes (length of hospitalisation) using multivariate logistic regression. RESULTS The situation in our sample was adequate as the adherence to the main recommendation (treatment by β2 sympathomimetics) was in 80% patients. Patients who had ATB administration during the hospitalisation (p <0.05) had increased chance of longer duration of hospitalisation (≥ 4 days) compared to the patients who had β2 sympathomimetics administration. Initial antibiotic (ATB) treatment was administered in 5% patients, 6% of all admitted patients had continued ATB treatment indicated by general practitioner. CONCLUSION The design of this pilot study enabled to find out the level of adherence to selected evidence-based recommendations. We recommend use of the methods verified in this study for continuous monitoring of adherence to evidence-based recommendations in health care facilities.
Authors and Affiliations
Veronika Rehorcikova, Adriana Ondrusova, Martin Rusnak, Alexandra Brazinova
Keywords
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- EP ID EP215343
- DOI 10.18410/jebmh/2017/278
- Views 78
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