Implementation of an Institutional Asthma Care Guideline in Hospitalized Children: Effects on Clinical…

Cohort studyJournal of asthma and allergy· 2026

Implementation of an Institutional Asthma Care Guideline in Hospitalized Children: Effects on Clinical Outcomes and Healthcare Resource Utilization.

Supawadee Intusup, Kanokpan Ruangnapa, Wanaporn Anuntaseree … Kantisa Sirianansopa

Pediatric Hospital MedicineCohort studyClinical practiceQ1IF 3.3

Guideline implementation cut time to first bronchodilator in hospitalized asthma children

Implementation of an Institutional Asthma Care Guideline in Hospitalized Children: Effects on Clinical Outcomes and Healthcare Resource Utilization.

Supawadee Intusup … Kantisa Sirianansopa

Journal of asthma and allergy · 2026

Background

Acute asthma exacerbations are a major cause of pediatric hospitalization and healthcare utilization.

Purpose

To evaluate the impact of an institutional inpatient asthma care guideline on treatment processes, clinical outcomes, and hospitalization costs in children.

Methods

Were categorized into three phases: pre-implementation, post-implementation, and post-revision.

n = 220 children

117

Results

117

vs 104 vs 70 minutes

time to first bronchodilator fell sharply after guideline rollout, faster treatment

n = 220 children

More results

Differences in 24-hour clinical respiratory score reduction were observed across study phases, with adjusted analyses demonstrating greater improvement following guideline implementation.

More results

However, resource utilization increased after implementation, with longer hospital length of stay (47.5 vs 58.6 vs 67.3 h, P = 0.004) and higher hospitalization costs (249.7 vs 460.6 vs 447.0 USD, P < 0.001).

“

Conclusion

Implementation of an institutional asthma care guideline was associated with improved treatment timeliness and early clinical improvement but was also associated with increased length of stay and hospitalization costs, suggesting a trade-off between clinical management and resource utilization.

Implementation of an Institutional Asthma Care Guideline in Hospitalized Children: Effects on Clinical Outcomes and Healthcare Resource Utilization.

Implementation of an Institutional Asthma Care Guideline in Hospitalized Children: Effects on Clinical Outcomes and Healthcare Resource Utilization.

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