Prospective Multicentre Study on the Epidemiology and Current Therapeutic Management of Severe Bronchiolitis in Spain
Joint Authors
Flores-González, Jose C.
Mayordomo-Colunga, Juan
Jordan, Iolanda
Miras-Veiga, Alicia
Montero-Valladares, Cristina
Olmedilla-Jodar, Marta
Alcaraz-Romero, Andrés J.
Eizmendi-Bereciartua, Miren
Fernández-Carrión, Francisco
Santiago-Gutierrez, Carmen
Aleo-Luján, Esther
Pérez-Quesada, Sonia
Yun-Castilla, Cristina
Martín, Carmen
Navarro-Mingorance, Álvaro
Goñi-Orayen, Concha
Source
Issue
Vol. 2017, Issue 2017 (31 Dec. 2017), pp.1-7, 7 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2017-03-22
Country of Publication
Egypt
No. of Pages
7
Main Subjects
Abstract EN
Objective.
To determine the epidemiology and therapeutic management of patients with severe acute bronchiolitis (AB) admitted to paediatric intensive care units (PICUs) in Spain.
Design.
Descriptive, prospective, multicentre study.
Setting.
Sixteen Spanish PICUs.
Patients.
Patients with severe AB who required admission to any of the participating PICUs over 1 year.
Interventions.
Both epidemiological variables and medical treatment received were recorded.
Results.
A total of 262 patients were recruited; 143 were male (54.6%), with median age of 1 month (0–23).
Median stay in the PICU was 7 days (1–46).
Sixty patients (23%) received no nebuliser treatment, while the rest received a combination of inhalation therapies.
One-quarter of patients (24.8%) received corticosteroids and 56.5% antibiotic therapy.
High-flow oxygen therapy was used in 14.3% and noninvasive ventilation (NIV) was used in 75.6%.
Endotracheal intubation was required in 24.4% of patients.
Younger age, antibiotic therapy, and invasive mechanical ventilation (IMV) were risk factors that significantly increased the stay in the PICU.
Conclusions.
Spanish PICUs continue to routinely use nebulised bronchodilator treatment and corticosteroid therapy.
Despite NIV being widely used in this condition, intubation was required in one-quarter of cases.
Younger age, antibiotic therapy, and IMV were associated with a longer stay in the PICU.
American Psychological Association (APA)
Flores-González, Jose C.& Mayordomo-Colunga, Juan& Jordan, Iolanda& Miras-Veiga, Alicia& Montero-Valladares, Cristina& Olmedilla-Jodar, Marta…[et al.]. 2017. Prospective Multicentre Study on the Epidemiology and Current Therapeutic Management of Severe Bronchiolitis in Spain. BioMed Research International،Vol. 2017, no. 2017, pp.1-7.
https://search.emarefa.net/detail/BIM-1134912
Modern Language Association (MLA)
Flores-González, Jose C.…[et al.]. Prospective Multicentre Study on the Epidemiology and Current Therapeutic Management of Severe Bronchiolitis in Spain. BioMed Research International No. 2017 (2017), pp.1-7.
https://search.emarefa.net/detail/BIM-1134912
American Medical Association (AMA)
Flores-González, Jose C.& Mayordomo-Colunga, Juan& Jordan, Iolanda& Miras-Veiga, Alicia& Montero-Valladares, Cristina& Olmedilla-Jodar, Marta…[et al.]. Prospective Multicentre Study on the Epidemiology and Current Therapeutic Management of Severe Bronchiolitis in Spain. BioMed Research International. 2017. Vol. 2017, no. 2017, pp.1-7.
https://search.emarefa.net/detail/BIM-1134912
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1134912