Application effectiveness of clinical pathways for pediatric asthma: A systematic review

VernacularTitle:临床路径在哮喘儿童中应用效果的Meta分新
Author: Guozhen GAO ; Litao WEN ; Miaolan GUO ; Shaoling WANG
Publication Type:Journal Article
Keywords: Asthma; Children; Clinical pathway; Meta-analysis
From: Chinese Journal of Practical Nursing 2014;30(33):46-50
CountryChina
Language:Chinese
Abstract: Objective To evaluate the effectiveness of clinical pathways for pediatric asthma.Methods The literatures on the application of clinical pathways for pediatric asthma were collected in the databases such as PubMed,Cochrane Library,Ovid,ScienceDirect,EBSCOhost,CNKI,Wanfang and CBM while a manual search was added.The search was performed from 1980 to 2014.Two reviewers independently screened references,extracted data and assessed the risk of bias.Data was pooled and analyzed by using Revman 5.2 version.Results Eleven studies involving 2 207 participants from nearly 1 048 relevant studies met the inclusion criteria.1 174 participants were in the clinical pathway group while the other 1 033 participants were in the control group.Meta-analysis result showed that patients with asthma in a clinical pathway had a shorter length of stay,less medical cost,reduced rate of emergency room visits,and improved health education.However,clinical pathway did not appear to reduce readmission.Conclusions Clinical pathway can significandy reduce the length of hospital stay,cost,rate of emergency room visits and improve health education.