NCT01070147

Brief Summary

The primary goal of this study is that the combination of a computerized asthma reminder system with implementation of an guideline will increase utilization and adherence of guideline-driven care, leading to improved patient outcomes. Hypothesis: An automatic, computerized reminder system for detecting asthma patients in the pediatric ED will increase guideline adherence compared to paper-based guideline. The specific aims of the study are: Aim 1: Develop, implement, and integrate the asthma guideline in the ED information system infrastructure. Aim 2: Evaluate the effect of the asthma detection system combined with the computerized guideline versus the asthma detection system combined with the paper-based guideline.

Trial Health

87
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
1,631

participants targeted

Target at P75+ for not_applicable asthma

Timeline
Completed

Started Oct 2010

Longer than P75 for not_applicable asthma

Geographic Reach
1 country

1 active site

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

February 10, 2010

Completed
7 days until next milestone

First Posted

Study publicly available on registry

February 17, 2010

Completed
8 months until next milestone

Study Start

First participant enrolled

October 1, 2010

Completed
5.2 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

December 7, 2015

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

December 7, 2015

Completed
Last Updated

August 17, 2018

Status Verified

August 1, 2018

Enrollment Period

5.2 years

First QC Date

February 10, 2010

Last Update Submit

August 15, 2018

Conditions

Asthma

Keywords

asthmaemergency medicinemedical informaticscomputerized reminder systems

Outcome Measures

Primary Outcomes (1)

  • length of stay

    48 hours (or patient discharged from emergency department)

Secondary Outcomes (2)

  • guideline adherence

    during ED visit (48 hours or less)

  • number of asthma scores

    during ED visit (48 hours or less)

Study Arms (1)

Control

EXPERIMENTAL

The control group will receive a paper-based printed asthma guideline.

Other: Computerized Asthma Management System

Interventions

Computerized Asthma Management SystemOTHER

The intervention group's clinicians will receive prompts via the computerized management system to prompt them for scoring, assessments, and disposition decisions.

Control

Eligibility Criteria

Age2 Years - 28 Years
Sexall
Healthy VolunteersNo
Age GroupsChild (0-17), Adult (18-64)

You may qualify if:

  • all patients aged 2-18 years
  • Emergency Severity Index 2 to 5
  • availability of completed computerized triage documentation.

You may not qualify if:

  • critically ill patients (Emergency Severity Index 1)
  • patients who leave-without-being seen
  • patients who leave against-medical-advice
  • patients whose final diagnosis was not asthma (false positive identification by the detection system) or were determined not to be eligible for the guideline.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Vanderbilt Children's Hospital

Nashville, Tennessee, 37232, United States

Location

Related Publications (5)

  • Ref: QuickStats: Percentage of Children Aged <18 years Who Have Ever Had Asthma Diagnosed, by Age Group --- United States, 2003; MMWR April 29, 2005 / 54(16);412. http://www.cdc.gov/mmwr/preview/mmwrhtml/mm5416a5.htm

    BACKGROUND

  • Allergy & Asthma Advocate. Quarterly patient newsletter of the American Academy of Allergy, Asthma and immunology. 2004.

    BACKGROUND

  • Grimshaw JM, Eccles MP, Walker AE, Thomas RE. Changing physicians' behavior: what works and thoughts on getting more things to work. J Contin Educ Health Prof. 2002 Fall;22(4):237-43. doi: 10.1002/chp.1340220408.

    PMID: 12613059BACKGROUND

  • Guidelines for the diagnosis and management of asthma. National Heart, Lung, and Blood Institute. National Asthma Education Program. Expert Panel Report. J Allergy Clin Immunol. 1991 Sep;88(3 Pt 2):425-534. No abstract available.

    PMID: 1890276BACKGROUND

  • Scribano PV, Lerer T, Kennedy D, Cloutier MM. Provider adherence to a clinical practice guideline for acute asthma in a pediatric emergency department. Acad Emerg Med. 2001 Dec;8(12):1147-52. doi: 10.1111/j.1553-2712.2001.tb01131.x.

    PMID: 11733292BACKGROUND

MeSH Terms

Conditions

Asthma

Condition Hierarchy (Ancestors)

Bronchial DiseasesRespiratory Tract DiseasesLung Diseases, ObstructiveLung DiseasesRespiratory HypersensitivityHypersensitivity, ImmediateHypersensitivityImmune System Diseases

Study Officials

  • Judith W Dexheimer, MS

    Vanderbilt University

    STUDY DIRECTOR

  • Dominik Aronsky, MD, PhD

    Vanderbilt University

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
interventional
Phase
not applicable
Allocation
NA
Masking
NONE
Purpose
SUPPORTIVE CARE
Intervention Model
SINGLE GROUP
Sponsor Type
OTHER
Responsible Party
SPONSOR

Study Record Dates

First Submitted

February 10, 2010

First Posted

February 17, 2010

Study Start

October 1, 2010

Primary Completion

December 7, 2015

Study Completion

December 7, 2015

Last Updated

August 17, 2018

Record last verified: 2018-08

Locations

US(1)