About: Replacing nebulizers by MDI-spacers for bronchodilator and inhaled corticosteroid administration: Impact on the utilization of hospital resources

Facets (new session)
Description
Metadata
Settings
- owl:sameAs
- Inference Rule:

About: Replacing nebulizers by MDI-spacers for bronchodilator and inhaled corticosteroid administration: Impact on the utilization of hospital resources Goto Sponge NotDistinct Permalink

An Entity of Type : schema:ScholarlyArticle, within Data Space : covidontheweb.inria.fr associated with source document(s)

Attributes	Values
type	Academic Article research paper schema:ScholarlyArticle
isDefinedBy	Covid-on-the-Web dataset
title	Replacing nebulizers by MDI-spacers for bronchodilator and inhaled corticosteroid administration: Impact on the utilization of hospital resources
Creator	Al-Eid, K Alhaider, S Alshehri, H
source	Elsevier; Medline; PMC
abstract	BACKGROUND AND OBJECTIVES: Metered-dose inhalers plus spacers (MDI-spacer) are as effective as, or better than, nebulizers in aerosol delivery. The selection of aerosol delivery system for hospitalized children can have a significant impact on the utilization of healthcare resources. DESIGN AND SETTING: A quality improvement project to evaluate the impact of conversion to MDI-spacer to administer bronchodilators (BDs) and inhaled corticosteroids (ICSs) to hospitalized children on the utilization of hospital resources. The project was conducted in a tertiary pediatric ward from April to May 2013. MATERIALS AND METHODS: The project was conducted over a six-week period. In the first two weeks, data were gathered from all hospitalized children receiving BDs and/or ICSs by nebulizers. This data collection was followed by a two-week washout period during which training of healthcare providers and operational changes were implemented to enhance the conversion to MDI-spacer. In the last two weeks, data were gathered from hospitalized children after conversion to MDI-spacer. The primary outcomes included the mean time (in minutes) of medication preparation and delivery. Secondary outcomes included the following: need for respiratory therapy assistance, estimated cost of treatment sessions, and patient/caregiver satisfaction. RESULTS: Five hundred seventy-five treatment sessions were enrolled (288 on nebulizers, 287 on MDI-spacer). The nebulizer group had more male predominance and were slightly older compared to the MDI-spacer group (male: 59% vs. 53% and mean age: 52 vs. 40 months respectively). The duration of treatment preparation and delivery was significantly lower in the MDI-spacer group (2 min reduction in preparation time and 5 min reduction in delivery time; p < 0.01). Caregivers mastered MDI-spacer use after an average of two observed sessions, eliminating the need for respiratory therapy assistance during the hospital stay. Medication cost analysis showed savings in favor of MDI-spacer (cost reduction per 100 doses: 50% for albuterol, 30% for ipratropium bromide, and 87% for ICSs). The patient satisfaction survey showed “very good” to “excellent” levels in both groups. CONCLUSIONS: Conversion to MDI-spacer for BDs and ICSs administration in hospitalized children improve hospital resource utilization.
has issue date	2014-10-22(xsd:dateTime)
bibo:doi	10.1016/j.ijpam.2014.09.002
bibo:pmid	32289071
has license	no-cc
sha1sum (hex)	3101bfd9623e6639c72fe39afc806a9d4c9b4164
schema:url	https://doi.org/10.1016/j.ijpam.2014.09.002
resource representing a document's title	Replacing nebulizers by MDI-spacers for bronchodilator and inhaled corticosteroid administration: Impact on the utilization of hospital resources
has PubMed Central identifier	PMC7104032
has PubMed identifier	32289071
schema:publication	Int J Pediatr Adolesc Med
resource representing a document's body	covid:3101bfd9623e6639c72fe39afc806a9d4c9b4164#body_text
is schema:about of	named entity 'WEEK' named entity 'TWO WEEKS' named entity 'IMPACT' named entity 'SETTING' named entity 'HEALTHCARE RESOURCES' named entity 'GROUP' named entity 'HEALTHCARE PROVIDERS' named entity 'INHALED' named entity 'TRAINING' named entity 'DELIVERY' named entity 'SIGNIFICANT' named entity 'FIVE HUNDRED' named entity 'OUTCOMES' named entity 'ESTIMATED' named entity 'CHANGES' named entity 'MINUTES' named entity 'AVERAGE' named entity 'CONCLUSIONS' named entity 'ENROLLED' named entity 'GOOD' named entity 'NEBULIZER' named entity 'time' named entity 'utilization' named entity 'utilization' named entity 'system' named entity 'period' named entity 'male' named entity 'savings' named entity 'setting' named entity 'BRONCHODILATOR' covid:arg/3101bfd9623e6639c72fe39afc806a9d4c9b4164 named entity 'REPLACING' named entity 'COST ANALYSIS' named entity 'PATIENT SATISFACTION SURVEY' named entity 'SECONDARY' named entity 'LAST TWO WEEKS' named entity 'NEBULIZERS' named entity 'UTILIZATION' named entity 'IMPACT' named entity 'HOSPITAL' named entity 'INHALED CORTICOSTEROID' named entity 'PATIENT' named entity '0.01' named entity '100' named entity 'WASHOUT PERIOD' named entity 'COST' named entity 'TIME' named entity 'DELIVERY TIME' named entity 'NEED FOR' named entity 'SLIGHTLY' named entity '282' named entity 'ASSISTANCE' named entity 'HOSPITAL STAY' named entity 'BDS' named entity 'INCLUDED' named entity 'MATERIALS' named entity 'COMPARED' named entity 'MEAN' named entity 'LEVELS' named entity 'CONVERSION' named entity 'PERIOD' named entity 'SEVENTY-FIVE' named entity 'PRIMARY' named entity 'TREATMENT' named entity 'RECEIVING' named entity 'SPACER' named entity 'DOSE' named entity '50%' named entity 'ADMINISTRATION' named entity 'RESOURCES' named entity 'APRIL' named entity 'INHALERS' named entity 'IMPLEMENTED' named entity 'RESOURCE UTILIZATION' named entity 'RESOURCES' named entity 'OBJECTIVES' named entity 'DURATION OF TREATMENT' named entity 'CORTICOSTEROIDS' named entity 'ADMINISTER'

Faceted Search & Find service v1.13.91 as of Mar 24 2020

Alternative Linked Data Documents: Sponger | ODE Content Formats:

RDF

ODATA

Microdata

About

OpenLink Virtuoso version 07.20.3229 as of Jul 10 2020, on Linux (x86_64-pc-linux-gnu), Single-Server Edition (94 GB total memory)
Data on this page belongs to its respective rights holders.
Virtuoso Faceted Browser Copyright © 2009-2025 OpenLink Software