Real-life comparison of three general paediatric wards showed similar outcomes for children with bronchiolitis despite different treatment regimens.
Acta Paediatr
; 106(9): 1507-1511, 2017 Sep.
Article
in En
| MEDLINE
| ID: mdl-28510350
ABSTRACT
AIM:
This study evaluated the effectiveness of three different treatments for bronchiolitis in a tertiary paediatric facility.METHODS:
Patients with bronchiolitis who were younger than two years of age and were randomly allocated to three general wards at Schneider Children's Medical Center, Israel, after admission were included. Different treatment protocols in the wards were retrospectively compared.RESULTS:
The study comprised 286 children. The clinical and laboratory parameters on admission were similar between the wards. In Ward C where nebulised hypertonic saline was infrequently administered (6.7%), the mean number of days with oxygen saturation under 92% and the meanlength of hospital stay (1.8 and 3.8 days) were significantly lower than Ward A (2.8 and 5.3 days) and Ward B, (2.9 and 4.7 days) where nebulised hypertonic saline was given more frequently (38.7%-74.7%). Multivariate analysis indicated that low saturation on admission, leukocytosis and use of nebulised hypertonic saline or adrenalin were independent predictors of a longer period of desaturation and hospital stay.CONCLUSION:
Different treatment protocols for bronchiolitis were used in three paediatric wards in this real-life study. No treatment regimen proved superior. Inhalations of hypertonic saline or adrenaline were associated with a longer hospital stay.Key words
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Saline Solution, Hypertonic
/
Bronchiolitis
/
Epinephrine
/
Adrenergic beta-Agonists
/
Anti-Bacterial Agents
Type of study:
Guideline
/
Observational_studies
/
Prognostic_studies
/
Risk_factors_studies
Limits:
Female
/
Humans
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Infant
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Male
/
Newborn
Country/Region as subject:
Asia
Language:
En
Journal:
Acta Paediatr
Year:
2017
Document type:
Article