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Patterns of Medication Administration From 2001 to 2009 in the Treatment of Children With Acute Burn Injuries: A Multicenter Study.
MedLine Citation:
PMID:  21811176     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
Children with burn injuries receive a broad range of medications, from analgesics to antipsychotics, but how utilization of these drugs differs from one pediatric burn center to another is unclear. This study examined utilization patterns of six categories of medication administered acutely to burned children as a first step in creating evidence-based practice guidelines. Six medications administered to pediatric patients enrolled in a multicenter study were recorded from patient charts using a standardized chart review template. The medication categories included opiates, benzodiazepines, antidepressants, beta-blockers, two different anesthetics, and antipsychotics. Data were analyzed by χ and logistical regression analysis. Analysis of data from three sites and 470 patients revealed significant differences in prescription patterns across hospitals for all medication groups except opiates. Differences were significant for benzodiazepines and antidepressants (χ = 7.3; P < .01 for both) controlling for age, gender, race, language, burn size, and length of stay. Differences in prescribing patterns for beta-blockers and the anesthetics ketamine and propofol failed to reach statistical significance; however, the results did trend in that direction (χ = 3.8 and 3.4, respectively; P < .10 for both). The pharmacotherapeutic agents described in this study are an integral part of acute pediatric burn care, and yet there is variation in use of these medications among the centers. The differences in prescribing indicate that, for certain drugs, a range of approaches to pharmacotherapeutics is being used and suggest that evidence-based guidelines for administration of these agents need to be developed.
Authors:
Frederick J Stoddard; Gwyne W White; Lewis E Kazis; J Michael Murphy; Erica A Sorrentino; Michelle Hinson; Teresa Kim Stubbs; Grace Chan; Robert L Sheridan; Tina Palmieri; Richard Kagan; David Herndon; Ronald G Tompkins
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2011-8-1
Journal Detail:
Title:  Journal of burn care & research : official publication of the American Burn Association     Volume:  -     ISSN:  1559-0488     ISO Abbreviation:  -     Publication Date:  2011 Aug 
Date Detail:
Created Date:  2011-8-3     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101262774     Medline TA:  J Burn Care Res     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Affiliation:
From the *Shriners Hospitals for Children-Boston, Massachusetts; †Harvard Medical School at Massachusetts General Hospital, Boston; ‡Center for Assessment of Pharmaceutical Practices (CAPP), Boston University School of Public Health, Massachusetts; §Shriners Hospitals for Children-Cincinnati, Ohio; ∥Shriners Hospitals for Children-Northern California, Sacramento; and ¶Shriners Hospitals for Children-Galveston, Texas.
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