Clinical Edge

Summaries of Must-Read Clinical Literature, Guidelines, and FDA Actions

ICS Prescribing & Adherence in a Pediatric ED

J Asthma; ePub 2017 May 26; Adams, Abel, et al

Following transition from intense intervention to a low-intervention phase, inhaled corticosteroid (ICS) prescribing rate in a pediatric emergency department (PED) remained the goal of 75% over a 2.5-year period, a recent study found. Eligible patients included children aged 2-17 years seen in the PED for asthma between February 2014 and September 2016. The primary change when moving to low-intervention phase was stopping monthly attending feedback. The primary outcome was the proportion of patients prescribed and ICS at the time of PED discharge. Researchers found:

  • The goal rate of ICS prescribing was 75%.
  • The ICS prescribing rate was maintained at a median of 79% through the study period after transition to the low-intervention phase.
  • ICS fill rate in the first 30 days following ED visit was 89%; however, it quickly fell to <40% for months 2-6.

Citation:

Adams SN, Abel M, Fowler D, et al. Inhaled corticosteroid prescribing in a pediatric emergency department: Sustained success and prescription filling rates. [Published online ahead of print May 26, 2017]. J Asthma. doi:10.1080/02770903.2017.1323917.

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