Implementing an Oxygen Supplementation and Monitoring Protocol on Inpatient Pediatric Bronchiolitis: An Exercise in Deimplementation

Joint Authors

Sanfilippo, Dominic
LeCleir, Brian
Jurecko, Leslie
Davis, Alan T.
Andersen, Nicholas J.
Olivero, Anthony
Rajasekaran, Surender

Source

International Journal of Pediatrics

Issue

Vol. 2017, Issue 2017 (31 Dec. 2017), pp.1-7, 7 p.

Publisher

Hindawi Publishing Corporation

Publication Date

2017-10-18

Country of Publication

Egypt

No. of Pages

7

Main Subjects

Medicine

Abstract EN

Aim.

Our goal in this study is to evaluate the effectiveness of our oxygen (O2) protocol to reduce length of stay (LOS) for children hospitalized with bronchiolitis.

Methods.

In this retrospective cohort study, the outcomes of children ≤ 24 months old that were admitted with bronchiolitis and placed on the O2 protocol were compared to historical controls.

The primary outcome was hospital length of stay.

Secondary outcomes were duration of O2 supplementation, rates of pediatric intensive care unit transfer, and readmission.

Results.

Groups were not significantly different in age, gender, and rates of respiratory distress score assessment.

Significantly more severely ill patients were in the O2 protocol group.

There were no significant differences between control and O2 protocol groups with regard to mean LOS, rates of pediatric intensive care unit transfer, or seven-day readmission rates.

By multiple regression analysis, the use of the O2 protocol was associated with a nearly 20% significant decrease in the length of hospitalization (p=0.030).

Conclusion.

Use of O2 supplementation protocol increased LOS in the more ill patients with bronchiolitis but decreased overall LOS by having a profound effect on patients with mild bronchiolitis.

American Psychological Association (APA)

LeCleir, Brian& Jurecko, Leslie& Davis, Alan T.& Andersen, Nicholas J.& Sanfilippo, Dominic& Rajasekaran, Surender…[et al.]. 2017. Implementing an Oxygen Supplementation and Monitoring Protocol on Inpatient Pediatric Bronchiolitis: An Exercise in Deimplementation. International Journal of Pediatrics،Vol. 2017, no. 2017, pp.1-7.
https://search.emarefa.net/detail/BIM-1168669

Modern Language Association (MLA)

LeCleir, Brian…[et al.]. Implementing an Oxygen Supplementation and Monitoring Protocol on Inpatient Pediatric Bronchiolitis: An Exercise in Deimplementation. International Journal of Pediatrics No. 2017 (2017), pp.1-7.
https://search.emarefa.net/detail/BIM-1168669

American Medical Association (AMA)

LeCleir, Brian& Jurecko, Leslie& Davis, Alan T.& Andersen, Nicholas J.& Sanfilippo, Dominic& Rajasekaran, Surender…[et al.]. Implementing an Oxygen Supplementation and Monitoring Protocol on Inpatient Pediatric Bronchiolitis: An Exercise in Deimplementation. International Journal of Pediatrics. 2017. Vol. 2017, no. 2017, pp.1-7.
https://search.emarefa.net/detail/BIM-1168669

Data Type

Journal Articles

Language

English

Notes

Includes bibliographical references

Record ID

BIM-1168669