{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,1]],"date-time":"2025-11-01T05:39:56Z","timestamp":1761975596999,"version":"3.40.5"},"reference-count":7,"publisher":"American Academy of Pediatrics (AAP)","issue":"Supplement_2","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2006,4,1]]},"abstract":"<jats:p>OBJECTIVE. To describe the development of a Web-based multihospital pediatric asthma tracking system and present results from the initial 18-month implementation of patient tracking experience.<\/jats:p>\n               <jats:p>DESIGN. The Emergency Department (ED) Allies tracking system is a secure, password-protected data repository. Use-case methodology served as the foundation for technical development, testing, and implementation. Seventy-seven data elements addressing sociodemographics, wheezing history, quality of life, triggers, and ED managment were included for each subject visit.<\/jats:p>\n               <jats:p>SETTING. The ED Allies partners comprised 1 academic pediatric ED and 5 community EDs.<\/jats:p>\n               <jats:p>POPULATION. Subjects with a physician diagnosis of asthma who presented to the ED for acute respiratory complaints composed the asthma group; subjects lacking a physician diagnosis of asthma but presenting with wheezing composed the wheezing group.<\/jats:p>\n               <jats:p>RESULTS. The tracking-system development and implementation process included identification of data elements, system database and use case development, and delineation of screen features, system users, reporting functions, and help screens. For the asthma group, 2005 subjects with physician-diagnosed asthma were enrolled between July 15, 2002 and January 14, 2004. These subjects accounted for 2978 visits; 10.4% had \u22653 visits. Persistent asthma was noted in 68% of the subjects. During the same time period, 1297 wheezing subjects with a total of 1628 ED visits (wheezing group) were entered into the tracking system. After enrollment, 57% of the subjects with \u22651 subsequent ED visits received a physician diagnosis of asthma.<\/jats:p>\n               <jats:p>CONCLUSIONS. Our sophisticated tracking system facilitated data collection and identified key intervention opportunities for a diverse ED wheezing population. A significant asthma burden was identified with significant rates of hospitalization, acute care visits and persistent asthma in 68% of subjects. The surveillance component provided important insights into health care issues of both asthmatic subjects and wheezing subjects, many of whom subsequently were diagnosed with asthma.<\/jats:p>","DOI":"10.1542\/peds.2005-2000c","type":"journal-article","created":{"date-parts":[[2017,1,26]],"date-time":"2017-01-26T18:31:21Z","timestamp":1485455481000},"page":"S63-S70","source":"Crossref","is-referenced-by-count":4,"title":["Emergency Department Allies: A Web-Based Multihospital Pediatric Asthma Tracking System"],"prefix":"10.1542","volume":"117","author":[{"given":"Kevin J.","family":"Kelly","sequence":"first","affiliation":[{"name":"Divisions of Allergy\/Immunology and"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christine M.","family":"Walsh-Kelly","sequence":"additional","affiliation":[{"name":"Emergency Medicine, Department of Pediatrics, Medical College of Wisconsin, Children's Hospital of Wisconsin and Children's Research Institute, Milwaukee, Wisconsin"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Peter","family":"Christenson","sequence":"additional","affiliation":[{"name":"Infinity HealthCare Inc, Mequon, Wisconsin"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Steven","family":"Rogalinski","sequence":"additional","affiliation":[{"name":"Infinity HealthCare Inc, Mequon, Wisconsin"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marc H.","family":"Gorelick","sequence":"additional","affiliation":[{"name":"Emergency Medicine, Department of Pediatrics, Medical College of Wisconsin, Children's Hospital of Wisconsin and Children's Research Institute, Milwaukee, Wisconsin"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Edward N.","family":"Barthell","sequence":"additional","affiliation":[{"name":"Infinity HealthCare Inc, Mequon, Wisconsin"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Laura","family":"Grabowski","sequence":"additional","affiliation":[{"name":"Divisions of Allergy\/Immunology and"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"417","published-online":{"date-parts":[[2006,4,1]]},"reference":[{"key":"2021120822361177800_R1","unstructured":"National Center for Health Statistics. National Health Interview Survey: asthma prevalence, health care use and mortality, 2002. Available at www.cdc.gov\/nchs\/products\/pubs\/pubd\/hestats\/asthma\/asthma.htm. Accessed February 28, 2006"},{"key":"2021120822361177800_R2","unstructured":"National Center for Health Statistics. National Ambulatory Medical Care Survey, 1992\u20131995 [computer file]. Hyattsville, MD: National Center for Health Statistics; 1998"},{"key":"2021120822361177800_R3","unstructured":"US Department of Health and Human Services. Healthy People 2010. Understanding and Improving Health. 2nd ed. 2 vols. Washington, DC: Office of Disease Prevention and Health Promotion, US Department of Health and Human Services; 2000. Available at: www.healthypeople.gov. Accessed February 28, 2006"},{"key":"2021120822361177800_R4","doi-asserted-by":"crossref","unstructured":"Bukstein DA, McGrath MM, Buchner DA, Landgraf J, Goss TF. Evaluation of a short form for measuring health-related quality of life among pediatric asthma patients. J Allergy Clin Immunol.\u20082000;105:245\u2013251","DOI":"10.1016\/S0091-6749(00)90072-1"},{"key":"2021120822361177800_R5","unstructured":"American Academy of Allergy, Asthma, and Immunology Taskforce. Pediatric Asthma: Promoting Best Practice Guide for Management of Asthma in Children. Milwaukee, WI: American Academy of Allergy, Asthma and Immunology; 1999"},{"key":"2021120822361177800_R6","unstructured":"National Asthma Education and Prevention Program. Expert Panel Report 2: Guidelines for the Diagnosis and Management of Asthma. Bethesda, MD: National Heart Lung and Blood Institute; 1997. NIH Publication 97-4051"},{"key":"2021120822361177800_R7","unstructured":"Williams SG, Schmidt DK, Redd SC, Storms W; National Asthma Education and Prevention Program. Key clinical activities for quality asthma care: recommendations of the National Asthma Education and Prevention Program. MMWR Recomm Rep.\u20082003;52(RR-6):1\u20138. Available at: www.cdc.gov\/mmwr\/PDF\/RR\/RR5206.pdf. Accessed February 28, 2006"}],"container-title":["Pediatrics"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/publications.aap.org\/pediatrics\/article-pdf\/117\/Supplement_2\/S63\/1021871\/s63.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/publications.aap.org\/pediatrics\/article-pdf\/117\/Supplement_2\/S63\/1021871\/s63.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,12,9]],"date-time":"2021-12-09T02:16:04Z","timestamp":1639016164000},"score":1,"resource":{"primary":{"URL":"https:\/\/publications.aap.org\/pediatrics\/article\/117\/Supplement_2\/S63\/68900\/Emergency-Department-Allies-A-Web-Based"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2006,4,1]]},"references-count":7,"journal-issue":{"issue":"Supplement_2","published-online":{"date-parts":[[2006,4,1]]},"published-print":{"date-parts":[[2006,4,1]]}},"URL":"https:\/\/doi.org\/10.1542\/peds.2005-2000c","relation":{},"ISSN":["0031-4005","1098-4275"],"issn-type":[{"type":"print","value":"0031-4005"},{"type":"electronic","value":"1098-4275"}],"subject":[],"published":{"date-parts":[[2006,4,1]]}}}