Implementation Outcomes of Clinical Practice Guideline for Management of Acute Diarrhea in Children Outcomes of CPG for Acute Diarrhea in Children
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Abstract
OBJECTIVE: To compare the length of stay and total charges for children with acute watery diarrhea admitted before and after the implementation of the 2021 clinical practice guideline for acute diarrhea in children.
METHODS: This was a descriptive study. We studied healthy children aged 1 month to 15 years with acute watery diarrhea who had been admitted for inpatient treatment at the Department of Pediatrics, Faculty of Medicine, Vajira Hospital. Independent sample t-test was used.
RESULTS: There were 51 patients in each group. Median age and IQR for the pre-implementation and post-implementation groups were 22 ± 39 and 27 ± 44 months, respectively (p = 0.403). Average length of stay in the post-implementation group was reduced by 5.9 hours with no statistical significance (63.18 hours vs 69.06 hours; p = 0.232). Average total charges after the CPG implementation were reduced significantly (7,752.31 THB vs 9,925.91 THB; p < 0.004) and average investigation costs were reduced (1,326.18 THB vs 2,397.98 THB; p < 0.001). There was no difference between the two groups in terms of post-admission complications and readmission proportion within 48 hours.
CONCLUSION: Using the 2021 clinical practice guideline for acute diarrhea was effectively helpful to reduce length of stay and total charges, with no difference in post-admission complications or readmission proportions.
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