Short-term holding room treatment of asthmatic children

Effect of Using Pediatric Emergency Department Virtual Observation on Inpatient Admissions and Lengths of Stay

“…3 A handful of centers have reported on their positive experiences with geographically distinct pediatric OU, suggesting benefits including decreased admissions to inpatient units, [4][5][6][7][8] shorter lengths of stay (LOS), 4,7,9,10 and lower costs of care. 4,7,10,11 Although numbers of pediatric OU are not tracked, 3 a recent survey indicates that few children's hospitals have dedicated OU. 12 Pediatric EDs in institutions without OU may choose to provide observation care within the ED itself, ie, ED virtual observation, but descriptions of this model of care are lacking.…”

Hospital based alternatives to acute paediatric admission: a systematic review

“…Children discharged from the holding room were less likely to have a recurrence of asthma requiring further hospital treatment. 32 …”

A 29-Year Perspective of Status Asthmaticus in Children

“…The use of a shortterm holding room for asthmatic children in a children's hospital demonstrated that 2/3 of the patients could be discharged within 24 hours. 12 The holding costs were $526 ± $226 verses $1,439 ± $339 for the hospitalized patient (P < 0.001). Neither of these papers addressed the patient with status asthmaticus in regard to pathophysiological characteristics, yet, they demonstrate that almost any bronchodilator delivery system works in acute severe asthma.…”