perc

Impact of PERC



Croup (Inflammation of the Upper Airways)

  • 80,000 children are seen each year in the ED with croup.
  • PERC has shown that steroid treatment for children with croup reduces admissions, symptoms, and follow-up visits.
  • Access TREKK online evidence repository for easy to use resources on croup.
  • Key PERC publication:
    • Johnson D, et al. A cluster randomized controlled trial comparing three methods of disseminating practice guidelines for children with croup. Implementation Science 2006. Click to View Article

 

Minor Head Injuries

  • 650,000 North American children injure their head each year with most being fine, but some have life-threatening bleeds in the brain.
  • CT scans identify bleeds, but expose children to radiation and increase the risk of cancer later in life.
  • PERC developed a 'clinical decision rule' that accurately tells doctors when they need a CT scan.
  • This rule has the potential to substantially reduce the number of CT scans done without missing kids with serious bleeds.
  • Key PERC publication:
    • Osmond MH, et al. CATCH: a clinical decision rule for the use of computed tomography in children with minor head injury. CMAJ 2010. Click to View Article

 

Gastroenteritis (Stomach Flu)

  • Most common reason for kids visiting the ED, with some kids being seriously dehydrated.
  • PERC has shown that anti-vomiting medicine (ondansetron) allows children to take fluids by mouth and reduces the need for IVs by 60%.
  • Access TREKK online evidence repository for easy to use resources on gastroenteritis.
  • Key PERC publication:
    • Freedman SB, et al. Prospective assessment of practice pattern variations in the treatment of pediatric gastroenteritis. Pediatrics 2011. Click to View Article

 

Bronchiolitis (Baby Asthma)

  • Most common reason for infants to be hospitalized.
  • PERC investigators completed the largest study every including 800 children.
  • This study showed that commonly used medications (adrenaline and corticosteroids) given at the same time were more effective than given alone.
  • Access TREKK online evidence repository for easy to use resources on bronchiolitis.
  • Key PERC publication:
    • Plint AC, et al. Epinephrine and dexamethasone in children with bronchiolitis. NJEM 2009. Click to View Article

 







  Visit the link below to view synopsis


  Visit the link below to view synopsis


  Visit the link below to view synopsis



Children’s Hospital of Eastern Ontario
RI 2, Room R2109
401 Smyth Road
Ottawa,  Ontario , Canada
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