Comparison of US emergency department acute asthma care quality: and

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Presentation transcript:

Comparison of US emergency department acute asthma care quality: 1997-2001 and 2011-2012 Kohei Hasegawa, MD, MPH, Ashley F. Sullivan, MPH, MS, Yusuke Tsugawa, MD, MPH, Stuart J. Turner, BPharm, MPH, Susan Massaro, PharmD, MPH, Sunday Clark, ScD, Chu-Lin Tsai, MD, ScD, Carlos A. Camargo, MD, DrPH Journal of Allergy and Clinical Immunology Volume 135, Issue 1, Pages 73-80.e7 (January 2015) DOI: 10.1016/j.jaci.2014.08.028 Copyright © 2014 American Academy of Allergy, Asthma & Immunology Terms and Conditions

Fig 1 Distribution of composite guideline concordance with non–level A recommendations at the ED level according to time period. Compared with the 1997-2001 period, concordance with the non–level A recommendations was significantly lower in the 2011-2012 period (mean composite score, 67 vs 50; P < .001), with a larger variation in concordance (SD, 7 vs 16). The superimposed curves represent the normal curve based on each sample mean and SD. Journal of Allergy and Clinical Immunology 2015 135, 73-80.e7DOI: (10.1016/j.jaci.2014.08.028) Copyright © 2014 American Academy of Allergy, Asthma & Immunology Terms and Conditions

Fig 2 Distribution of composite guideline concordance with level A recommendations at the ED level according to time period. Compared with the 1997-2001 period, concordance with the level A recommendations was significantly higher in the 2011-2012 period (mean composite score, 84 vs 93; P < .001), with a smaller variation in concordance (SD, 8 vs 4). The superimposed curves represent the normal curve based on each sample mean and SD. Journal of Allergy and Clinical Immunology 2015 135, 73-80.e7DOI: (10.1016/j.jaci.2014.08.028) Copyright © 2014 American Academy of Allergy, Asthma & Immunology Terms and Conditions

Fig E1 Location of the 48 participating sites in MARC-36. Journal of Allergy and Clinical Immunology 2015 135, 73-80.e7DOI: (10.1016/j.jaci.2014.08.028) Copyright © 2014 American Academy of Allergy, Asthma & Immunology Terms and Conditions

Fig E2 Distribution of concordance with PEF assessment at the ED level according to the study period. Compared with the 1997-2001 period, concordance with PEF assessment was significantly lower in the 2011-2012 period (mean composite score, 76 vs 47; P < .001), with a larger variation in concordance (SD, 19 vs 32). Journal of Allergy and Clinical Immunology 2015 135, 73-80.e7DOI: (10.1016/j.jaci.2014.08.028) Copyright © 2014 American Academy of Allergy, Asthma & Immunology Terms and Conditions

Fig E3 Distribution of guideline concordance with 3 timeliness measures at the ED level according to the study period. Compared with the 1997-2001 period, concordance with the 3 timeliness measures (PEF measurements, inhaled β-agonists in the ED, and systemic corticosteroids in the ED) was significantly lower in the 2011-2012 period (mean composite score, 67 vs 57; P < .001), with a larger variation in concordance (SD, 9 vs 15). Journal of Allergy and Clinical Immunology 2015 135, 73-80.e7DOI: (10.1016/j.jaci.2014.08.028) Copyright © 2014 American Academy of Allergy, Asthma & Immunology Terms and Conditions