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X Demographics
Mendeley readers
Attention Score in Context
| Title |
Reducing unnecessary chest X-rays, antibiotics and bronchodilators through implementation of the NICE bronchiolitis guideline
|
|---|---|
| Published in |
European Journal of Pediatrics, October 2017
|
| DOI | 10.1007/s00431-017-3034-5 |
| Pubmed ID | |
| Authors |
Richard Breakell, Benjamin Thorndyke, Julie Clennett, Christian Harkensee |
| Abstract |
Chest X-rays (CXR), antibiotics and inhaled/nebulized therapy are overused in bronchiolitis, despite evidence-based guidelines suggesting supportive management only. This study investigates the effect of the implementation of the NICE bronchiolitis guideline in a secondary paediatric unit in England. We present a quality improvement project with a completed audit cycle (winter 2014-2015 and 2015-2016) pre- and post-implementation of the NICE bronchiolitis guideline. The educational intervention included sessions for raising awareness of appropriate and inappropriate management of bronchiolitis for both clinicians and nursing staff. As a result, the number of chest radiographs reduced fivefold (from 20 to 4% of patients, absolute reduction 16%), antibiotics reduced more than threefold (from 22 to 6% of patients, absolute reduction 16%) and inhaled/nebulised treatment up to twofold (from 30 to 16%, absolute reduction 14%). Overall NICE guideline compliance rose from 28 to 63%. Implementation of the NICE bronchiolitis guideline supported by a simple educational intervention can effectively reduce the number of inappropriate chest radiographs and antibiotic prescribing in bronchiolitis, and enhance compliance with the NICE guideline. What is Known: • Bronchiolitis management in paediatric units in the UK is variable, with poor evidence for existing guidance. Best available evidence was compiled into the NICE guideline, aiming to standardize care. • Some evidence exists for the effectiveness of quality improvement approaches to improve the management of bronchiolitis. What is New: • NICE guidance can be effectively applied to a department using simple educational tools. • Effective NICE implementation reduces the rates of unnecessary chest radiograph and antibiotic administration for patients admitted with bronchiolitis in District General Hospitals. |
X Demographics
The data shown below were collected from the profiles of 39 X users who shared this research output. Click here to find out more about how the information was compiled.
Geographical breakdown
| Country | Count | As % |
|---|---|---|
| Spain | 12 | 31% |
| Uruguay | 2 | 5% |
| United Kingdom | 2 | 5% |
| Netherlands | 2 | 5% |
| Brazil | 1 | 3% |
| Switzerland | 1 | 3% |
| Paraguay | 1 | 3% |
| Malaysia | 1 | 3% |
| Colombia | 1 | 3% |
| Other | 1 | 3% |
| Unknown | 15 | 38% |
Demographic breakdown
| Type | Count | As % |
|---|---|---|
| Members of the public | 25 | 64% |
| Practitioners (doctors, other healthcare professionals) | 9 | 23% |
| Scientists | 3 | 8% |
| Science communicators (journalists, bloggers, editors) | 2 | 5% |
Mendeley readers
The data shown below were compiled from readership statistics for 108 Mendeley readers of this research output. Click here to see the associated Mendeley record.
Geographical breakdown
| Country | Count | As % |
|---|---|---|
| Unknown | 108 | 100% |
Demographic breakdown
| Readers by professional status | Count | As % |
|---|---|---|
| Researcher | 12 | 11% |
| Student > Master | 11 | 10% |
| Student > Bachelor | 10 | 9% |
| Student > Ph. D. Student | 9 | 8% |
| Professor > Associate Professor | 8 | 7% |
| Other | 24 | 22% |
| Unknown | 34 | 31% |
| Readers by discipline | Count | As % |
|---|---|---|
| Medicine and Dentistry | 40 | 37% |
| Nursing and Health Professions | 8 | 7% |
| Pharmacology, Toxicology and Pharmaceutical Science | 5 | 5% |
| Business, Management and Accounting | 2 | 2% |
| Unspecified | 2 | 2% |
| Other | 7 | 6% |
| Unknown | 44 | 41% |
Attention Score in Context
This research output has an Altmetric Attention Score of 24. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 22 February 2020.
All research outputs
#1,490,757
of 24,174,783 outputs
Outputs from European Journal of Pediatrics
#133
of 4,045 outputs
Outputs of similar age
#31,062
of 332,594 outputs
Outputs of similar age from European Journal of Pediatrics
#4
of 49 outputs
Altmetric has tracked 24,174,783 research outputs across all sources so far. Compared to these this one has done particularly well and is in the 93rd percentile: it's in the top 10% of all research outputs ever tracked by Altmetric.
So far Altmetric has tracked 4,045 research outputs from this source. They typically receive more attention than average, with a mean Attention Score of 8.7. This one has done particularly well, scoring higher than 96% of its peers.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 332,594 tracked outputs that were published within six weeks on either side of this one in any source. This one has done particularly well, scoring higher than 90% of its contemporaries.
We're also able to compare this research output to 49 others from the same source and published within six weeks on either side of this one. This one has done particularly well, scoring higher than 93% of its contemporaries.