Acute viral bronchiolitis: a national study in pediatric emergency departments

Archives de pédiatrie : organe officiel de la Sociéte française de pédiatrie
S PailhousJ-C Dubus

Abstract

The 2000 French guidelines for acute viral bronchiolitis management underlined clinical criteria for hospitalization. We aimed to assess the impact of these guidelines on admission rates in pediatric emergency departments. A prospective multicentric observational study was conducted over 24h in 66 pediatric emergency departments. Questions were asked about the structure, the course of care, clinical data, resource utilization, and hospitalization or discharge of every patient under 2 years of age with acute viral bronchiolitis. An open-ended question allowed clinicians to explain the reason for hospitalization. Multivariable logistic regression analyses were performed to identify independent risk factors for severe disease to assess potential clinical factors associated with hospitalization. Responses were compared using the Student t-test and the Chi(2) test. Of 338 patients enrolled, 145 (45.1%) were admitted. Clinical criteria were associated with hospitalization: clinical deterioration (OR: 3 [95% CI: 1.0-8.5], p=0.04), respiratory rate more than 60/min (OR: 3.4 [95% CI: 1.3-8.8], p=0.02), age under 6 weeks (OR: 29.8 [95% CI: 7.0-125.4], p<0.001), oxygen saturation less than 94% (OR: 15.8 [95% CI: 4.2-60.1], p<0.001), food ...Continue Reading

References

Feb 1, 1991·American Journal of Diseases of Children·K N ShawN H Sherman
Oct 4, 2006·Pediatrics·UNKNOWN American Academy of Pediatrics Subcommittee on Diagnosis and Management of Bronchiolitis
May 9, 2008·Journal of Pediatric Gastroenterology and Nutrition·Alfredo Guarino
Jun 2, 2012·Archives de pédiatrie : organe officiel de la Sociéte française de pédiatrie·D CheD Bitar

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Citations

Mar 4, 2017·Pediatric Emergency Care·Muhammad WaseemMark Leber

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