Jan 29, 2009

Prognostic factors for bronchiolitis complications in a pediatric intensive care unit

Anales de pediatría : publicación oficial de la Asociación Española de Pediatría (A.E.P.)
M Hernando PuenteA Sánchez Galindo

Abstract

To analyse the prognostic factors for complications in children with bronchiolitis admitted to a pediatric intensive care unit (PICU). A retrospective study was performed on children with bronchiolitis admitted into a PICU between 2000 and 2006. Univariate and multivariate analysis were performed to study the prognostic factors of complications, mechanical ventilation requirements, mortality and PICU stays of more than 15 days. A total of 110 patients were studied, of whom 72 (65.5%) had high risk factors: prematurity (39.1%), cardiac disease (38.2%) and bronchopulmonary dysplasia (16.3%). A total of 82.7% of patients had complications; 26% need invasive mechanical ventilation and the mortality was 3.6%, and 16.4% stayed in PICU for more than 15 days. Factors associated with mechanical ventilation were the clinical Wood-Downes score and heart disease. A weight less than 5 kg was associated with complications; heart disease and invasive mechanical ventilation were associated with a longer PICU stay; prematurity and mechanical ventilation were associated with mortality. Children with bronchiolitis admitted into the PICU had a high frequency of complications, often needed mechanical ventilation and had long stays in the PICU, but ...Continue Reading

  • References14
  • Citations4

References

  • References14
  • Citations4

Citations

Mentioned in this Paper

Pediatric Intensive Care Unit
Bronchiolitis
Pero
Ventilation, Function (Observable Entity)
Acute Respiratory Insufficiency
Respiration
Bronchopulmonary Dysplasia
Heliox
Apnea
Heart Diseases

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