CXR Pediatric Respiratory Illness

Reduction in use of CXR for children with Asthma, Bronchiolitis and Croup:

Respiratory illnesses are among the top ten diagnoses for which children visit an emergency department and asthma, bronchiolitis and croup are the most common pediatric respiratory illnesses.  Medical evidence suggests that CXRs are frequently used by emergency providers in children presenting for these conditions, yet CXRs rarely reveal information that leads to changes in management.  Several studies also reveal significant variation in CXR use in asthma, bronchiolitis and croup in both children’s hospital and general emergency departments with higher utilization rates in the latter.  Guidelines for CXR use are now available through the American Academy of Pediatrics and the medical literature for these conditions.  The MEDIC collaborative has adopted a utilization quality measure to reduce CXR use in children < 18 years with asthma, bronchiolitis, and croup.

MEDIC Respiratory Reference List 2018

Practice variation in emergency department (ED) chest x-ray for children with common respiratory illnesses: Baseline performance from the Michigan Emergency Department Improvement Collaborative (MEDIC), a clinical registry of Children's and General Hospitals

Pediatric Acute Asthma Exacerbations: Evaluation and Management From Emergency Department to Intensive Care Unit

NAEPP NHLB Asthma Expert Panel 3

Clinical Practice Guideline: The Diagnosis, Management, and Prevention of Bronchiolitis

NHS Bronchiolitis: Diagnosis and Management of Bronchiolitis in Children

Safely Doing Less and the New AAP Brochiolitis Guideline

Viral Bronchiolitis

Predictors of Airspace Disease on Chest X-Ray in Emergency Department Patients with Clinical Bronchiolitis: A Systematic Review and Meta-Analysis

Croup in Children