Effect of an Integrated Care Pathway on Asthma Care in Hospital
Cluster Randomised Controlled Trial of the Effect of the Introduction of an Acute Wheeze/Asthma Integrated Care Pathway on Patient Outcome
1 other identifier
interventional
180
1 country
1
Brief Summary
Integrated care pathways (ICP) coalesce medical and nursing work practices, unifying and directing care in line with current best practice and guidelines. We wish to examine the introduction of an ICP for children with wheeze/asthma admitted to our hospital. We will determine whether more rigid, but guided care results in faster recovery, quicker discharge with better education and fewer prescribing errors, but also determine whether staff feel alienated by the rigidity of practice, and parents perceive any benefit to the changes introduced.This will be a cluster randomised trial (random weeks) of standard or ICP care in 180 patients admitted to Sick Kids with wheeze/asthma. Parents will be asked to complete a questionnaire on admission and contacted at 10-14 days post discharge and asked to recall education provided at discharge; no other patient or parent intervention will be required.It is expected to take 40 weeks to recruit 180 patients.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for not_applicable asthma
Started Aug 2004
Shorter than P25 for not_applicable asthma
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
August 1, 2004
CompletedStudy Completion
Last participant's last visit for all outcomes
March 1, 2005
CompletedFirst Submitted
Initial submission to the registry
June 26, 2006
CompletedFirst Posted
Study publicly available on registry
June 28, 2006
CompletedJune 28, 2006
June 1, 2006
June 26, 2006
June 26, 2006
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Length of stay in hospital
Secondary Outcomes (12)
Speed of recovery of heart rate and respiratory rate
Time to require no supplemental oxygen
Time to achieve 4 hourly spacing of bronchodilator
Number and degree of prescribing errors
Provision of education to parents
- +7 more secondary outcomes
Interventions
Eligibility Criteria
You may qualify if:
- Children aged 2-16 years (inclusive) arriving at the Emergency Department with acute wheeze/asthma
You may not qualify if:
- Children requiring high dependency care
- Children with significant neurological or cardiac disease
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- University of Edinburghlead
- Roche Educational Grantcollaborator
- Edinburgh Sick Kids Friends Foundationcollaborator
Study Sites (1)
Dept of Respiratory and Sleep Medicine, Royal Hospital for Sick Children
Edinburgh, Scotland, EH9 1LF, United Kingdom
Related Publications (1)
Cunningham S, Logan C, Lockerbie L, Dunn MJ, McMurray A, Prescott RJ. Effect of an integrated care pathway on acute asthma/wheeze in children attending hospital: cluster randomized trial. J Pediatr. 2008 Mar;152(3):315-20. doi: 10.1016/j.jpeds.2007.09.033. Epub 2007 Nov 26.
PMID: 18280833DERIVED
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- STUDY DIRECTOR
Steve Cunningham, MD, PhD
University of Edinburgh
- STUDY DIRECTOR
Robin Prescott, PhD, FRCP
University of Edinburgh
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
Study Record Dates
First Submitted
June 26, 2006
First Posted
June 28, 2006
Study Start
August 1, 2004
Study Completion
March 1, 2005
Last Updated
June 28, 2006
Record last verified: 2006-06