{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,27]],"date-time":"2025-10-27T05:09:13Z","timestamp":1761541753895,"version":"build-2065373602"},"reference-count":24,"publisher":"Elsevier BV","issue":"5","license":[{"start":{"date-parts":[[2021,5,1]],"date-time":"2021-05-01T00:00:00Z","timestamp":1619827200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2021,5,1]],"date-time":"2021-05-01T00:00:00Z","timestamp":1619827200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2021,5,1]],"date-time":"2021-05-01T00:00:00Z","timestamp":1619827200000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-017"},{"start":{"date-parts":[[2021,5,1]],"date-time":"2021-05-01T00:00:00Z","timestamp":1619827200000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-037"},{"start":{"date-parts":[[2021,5,1]],"date-time":"2021-05-01T00:00:00Z","timestamp":1619827200000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-012"},{"start":{"date-parts":[[2021,5,1]],"date-time":"2021-05-01T00:00:00Z","timestamp":1619827200000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-029"},{"start":{"date-parts":[[2021,5,1]],"date-time":"2021-05-01T00:00:00Z","timestamp":1619827200000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-004"}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Current Problems in Pediatric and Adolescent Health Care"],"published-print":{"date-parts":[[2021,5]]},"DOI":"10.1016\/j.cppeds.2021.100995","type":"journal-article","created":{"date-parts":[[2021,5,28]],"date-time":"2021-05-28T05:12:59Z","timestamp":1622178779000},"page":"100995","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":0,"title":["Inpatient management of an acute asthma exacerbation using clinical care pathways"],"prefix":"10.1016","volume":"51","author":[{"given":"Uchenna C.","family":"Ewulonu","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Heather","family":"Dyer","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"78","reference":[{"key":"10.1016\/j.cppeds.2021.100995_bib0001","article-title":"Overview of Pediatric Emergency Department Visits, 2015: Statistical Brief #242","author":"McDermott","year":"2018","journal-title":"Healthcare Cost Utilization Project- www.hcup-us.ahrq.gov"},{"key":"10.1016\/j.cppeds.2021.100995_bib0002","unstructured":"Agency for Healthcare Research and Quality. HCUP Fast Stats. Healthcare Cost and Utilization Project (HCUP). February 2021. Available at: https:\/\/www.hcup-us.ahrq.gov\/faststats\/NationalDiagnosesServlet?year1=2017. Accessed February 22, 2021."},{"issue":"5","key":"10.1016\/j.cppeds.2021.100995_bib0003","doi-asserted-by":"crossref","first-page":"1006","DOI":"10.1542\/peds.106.5.1006","article-title":"Effectiveness of a clinical pathway for inpatient asthma management","volume":"106","author":"Johnson","year":"2000","journal-title":"Pediatrics"},{"key":"10.1016\/j.cppeds.2021.100995_bib0004","doi-asserted-by":"crossref","first-page":"165","DOI":"10.1016\/j.jpeds.2018.01.084","article-title":"Effectiveness of pediatric asthma pathways for hospitalized children: a multicenter, national analysis","volume":"197","author":"Kaiser","year":"2018","journal-title":"The Journal of Pediatrics"},{"issue":"5","key":"10.1016\/j.cppeds.2021.100995_bib0005","doi-asserted-by":"crossref","first-page":"e041","DOI":"10.1097\/pq9.0000000000000041","article-title":"Improving inpatient asthma management: the implementation and evaluation of a pediatric asthma clinical pathway","volume":"2","author":"Magruder","year":"2017","journal-title":"Pediatr Qual Saf"},{"key":"10.1016\/j.cppeds.2021.100995_bib0006","doi-asserted-by":"crossref","first-page":"624","DOI":"10.1542\/hpeds.2015-0140","article-title":"The effect of implementation of standardized, evidence-based order sets on efficiency and quality measures for pediatric respiratory illnesses in a community hospital","volume":"5","author":"Dayal","year":"2015","journal-title":"Hospital Pediatr"},{"key":"10.1016\/j.cppeds.2021.100995_bib0007","article-title":"CSW asthma pathway","author":"Atkins","year":"2018","journal-title":"Seattle Children's- Seattlechildrens.org"},{"journal-title":"Texas Children's- www.texaschildrens.org","article-title":"Asthma\/Recurrent Wheezing Clinical Guideline","year":"2017","key":"10.1016\/j.cppeds.2021.100995_bib0008"},{"key":"10.1016\/j.cppeds.2021.100995_bib0009","article-title":"Asthma Exacerbation Managment","volume":"29","author":"Federico","year":"2019","journal-title":"Children's Hospital of Colorado- www.childrenscolorado.org"},{"key":"10.1016\/j.cppeds.2021.100995_bib0010","article-title":"Asthma Emergent Care Clinical Pathway","author":"Zorc","year":"2020","journal-title":"Children's Hospital of Philadelphia- www.chop.edu"},{"key":"10.1016\/j.cppeds.2021.100995_bib0011","unstructured":"Dayton Children's Hospital. Asthma Care Protocol Patient Driven Protocol- Inpatient Specialty Pediatrics. Dayton Children's Hospital Clinical Practice Guidelines. 2019. Accessed March 2021"},{"journal-title":"National Institutes of Health- www.nhlbi.nih.gov","article-title":"Guidelines for the Diagnosis and Management of Asthma. National Asthma Education and Prevention Program. NIH publication no. 07-4051","year":"2012","key":"10.1016\/j.cppeds.2021.100995_bib0012"},{"issue":"3","key":"10.1016\/j.cppeds.2021.100995_bib0013","doi-asserted-by":"crossref","first-page":"305","DOI":"10.1097\/MOP.0000000000000480","article-title":"Management of acute asthma exacerbations","volume":"29","author":"Stensona","year":"2017","journal-title":"Curr Opin Pediatr"},{"key":"10.1016\/j.cppeds.2021.100995_bib0014","article-title":"Holding chambers (spacers) versus nebulisers for beta-agonist treatment of acute asthma","volume":"9","author":"Cates","year":"2013","journal-title":"Cochrane Database Syst Rev"},{"key":"10.1016\/j.cppeds.2021.100995_bib0015","unstructured":"Global Initiative for Asthma. Global strategy for asthma management and prevention. Available at: https:\/\/ginasthma.org\/wp-content\/uploads\/2020\/06\/GINA-2020-report_20_06_04-1-wms.pdf. Accessed March 17, 2021."},{"issue":"11","key":"10.1016\/j.cppeds.2021.100995_bib0016","doi-asserted-by":"crossref","first-page":"549","DOI":"10.1542\/pir.2018-0282","article-title":"Asthma","volume":"40","author":"Patel","year":"2019","journal-title":"Peds Rev"},{"key":"10.1016\/j.cppeds.2021.100995_bib0017","series-title":"Comprehensive Pediatirc Hospital Medicine","article-title":"Asthma","author":"DaVeiga","year":"2017"},{"issue":"3","key":"10.1016\/j.cppeds.2021.100995_bib0018","doi-asserted-by":"crossref","first-page":"493","DOI":"10.1542\/peds.2013-2273","article-title":"Dexamethasone for acute asthma exacerbations in children: a meta-analysis","volume":"133","author":"Keeney","year":"2014","journal-title":"Pediatrics"},{"key":"10.1016\/j.cppeds.2021.100995_bib0019","doi-asserted-by":"crossref","first-page":"53","DOI":"10.1097\/PEC.0000000000001371","article-title":"Dexamethasone compared to prednisone for the treatment of children with acute asthma exacerbations","volume":"34","author":"Abaya","year":"2018","journal-title":"Pediatr Emer Care"},{"key":"10.1016\/j.cppeds.2021.100995_bib0020","doi-asserted-by":"crossref","DOI":"10.1542\/peds.2015-0461","article-title":"Increasing medication possession at discharge for patients with asthma: the meds-in-hand project","volume":"137","author":"Hatoun","year":"2016","journal-title":"Pediatrics"},{"key":"10.1016\/j.cppeds.2021.100995_bib0021","unstructured":"National Heart Lung and Blood Institute. 2020 Focused Updates to the Asthma Management Guidelines: A Report from the National Asthma Education and Prevention Program Coordination. National Heart Lung and Blood Institute- www.nhlbi.nih.gov. Available at: https:\/\/www.nhlbi.nih.gov\/health-topics\/all-publications-and-resources\/2020-focused-updates-asthma-management-guidelines. Accessed 2021."},{"key":"10.1016\/j.cppeds.2021.100995_bib0022","unstructured":"Peters-Golden M. Antileukotriene Agents in the Management of Asthma. Up To Date. April 19, 2019. Available at: https:\/\/www.uptodate.com\/contents\/antileukotriene-agents-in-the-management-of-asthma?search=montelukast%20children& source=search_result&selectedTitle=2~86&usage_type= default&display_rank=3#H1. Accessed March 30, 2021."},{"issue":"22","key":"10.1016\/j.cppeds.2021.100995_bib0023","doi-asserted-by":"crossref","first-page":"2301","DOI":"10.1001\/jama.2020.21974","article-title":"Managing Asthma in Adolescents and Adults: 2020 Asthma Guideline Update from the National Asthma Education and Prevention Program","volume":"324","author":"Cloutier","year":"2020","journal-title":"JAMA"},{"key":"10.1016\/j.cppeds.2021.100995_bib0024","doi-asserted-by":"crossref","first-page":"84","DOI":"10.1016\/j.annemergmed.2011.12.027","article-title":"Early administration of systemic corticosteroids reduces hospital admission rates for children with moderate and severe asthma exacerbation","volume":"60","author":"Bhogal","year":"2012","journal-title":"Ann Emerg Med"}],"container-title":["Current Problems in Pediatric and Adolescent Health Care"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1538544221000493?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1538544221000493?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2025,10,27]],"date-time":"2025-10-27T02:21:14Z","timestamp":1761531674000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S1538544221000493"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,5]]},"references-count":24,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2021,5]]}},"alternative-id":["S1538544221000493"],"URL":"https:\/\/doi.org\/10.1016\/j.cppeds.2021.100995","relation":{},"ISSN":["1538-5442"],"issn-type":[{"type":"print","value":"1538-5442"}],"subject":[],"published":{"date-parts":[[2021,5]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Inpatient management of an acute asthma exacerbation using clinical care pathways","name":"articletitle","label":"Article Title"},{"value":"Current Problems in Pediatric and Adolescent Health Care","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.cppeds.2021.100995","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2021 Elsevier Inc. All rights reserved.","name":"copyright","label":"Copyright"}],"article-number":"100995"}}