Please use this identifier to cite or link to this item:
http://hdl.handle.net/2445/214080
Full metadata record
DC Field | Value | Language |
---|---|---|
dc.contributor.author | Agüera, Marta | - |
dc.contributor.author | Melé Casas, Maria | - |
dc.contributor.author | Molina, Maria Mercedes | - |
dc.contributor.author | Pons Odena, Martí | - |
dc.contributor.author | Fernández de Sevilla Estrach, Mariona | - |
dc.contributor.author | García García, Juan José | - |
dc.contributor.author | Launes Montaña, Cristian | - |
dc.contributor.author | Monfort, Laura | - |
dc.date.accessioned | 2024-07-01T17:06:00Z | - |
dc.date.available | 2024-07-01T17:06:00Z | - |
dc.date.issued | 2022-12-01 | - |
dc.identifier.issn | 0340-6199 | - |
dc.identifier.uri | http://hdl.handle.net/2445/214080 | - |
dc.description.abstract | The results of several clinical trials suggest that continuous positive airway pressure (CPAP) for acute bronchiolitis can be more efective than high-fow nasal cannula (HFNC). The use of HFNC involved a minimum reduction (5%) in admissions to the pediatric intensive care unit (PICU) in our hospital. Our main aim was to evaluate its safety and efectiveness as respiratory support for patients with bronchiolitis in a pediatric general ward. A secondary goal was to compare the admissions to PICU and the invasive mechanical ventilation (IMV) rate of patients treated with HFNC and those treated with HFNC/b-CPAP during the 2018–2019 and 2019–2020 epidemic seasons, respectively. Two prospective single-centre observational studies were performed. For the main aim, a cohort study (CS1) was carried out from 1st of November 2019 to 15th of January 2020. Inclusion criteria were children aged up to 3 months with bronchiolitis treated with b-CPAP support when HFNC failed. Epidemiological and clinical parameters were collected before and 60 min after the onset of CPAP and compared between the responder (R) and non-responders (NR) groups. NR was the group that required PICU admission. One hundred ffty-eight patients were admitted to the ward with bronchiolitis and HFNC. Fifty-seven out of one hundred ffty-eight required b-CPAP. No adverse events were observed. Thirty-two out of ffty-seven remained in the general ward (R-group), and 25/57 were admitted to PICU (NR-group). There were statistically signifcant diferences in respiratory rate (RR) and heart rate (HR) between both groups before and after the initiation of b-CPAP, but the multivariable models showed that the main diferences were observed after 60 min of therapy (lower HR, RR, BROSJOD score and FiO2 in the R-group). For the secondary aim, another cohort study (CS2) was performed comparing data from a pre-b-CPAP bronchiolitis season (1st of November 2018 to 15th January 2019) and the b-CPAP season (2019–2020). Inclusion criteria in pre-b-CPAP season were children aged up to 3 months admitted to the same general ward with moderate-severe bronchiolitis and with HFNC support. Admissions to PICU during the CPAP season were signifcantly reduced, without entailing an increase in the rate of IMV. Conclusion: The implementation of b-CPAP for patients with bronchiolitis in a pediatric ward, in whom HFNC fails, is safe and efective and results in a reduction in PICU admissions. | - |
dc.format.extent | 9 p. | - |
dc.format.mimetype | application/pdf | - |
dc.language.iso | eng | - |
dc.publisher | Springer Verlag | - |
dc.relation.isformatof | Reproducció del document publicat a: https://doi.org/10.1007/s00431-022-04616-3 | - |
dc.relation.ispartof | European Journal of Pediatrics, 2022, vol. 181, num.12, p. 4039-4047 | - |
dc.relation.uri | https://doi.org/10.1007/s00431-022-04616-3 | - |
dc.rights | cc by (c) Agüera, Marta et al., 2022 | - |
dc.rights.uri | http://creativecommons.org/licenses/by/4.0 | * |
dc.source | Articles publicats en revistes (Cirurgia i Especialitats Medicoquirúrgiques) | - |
dc.subject.classification | Urgències en pediatria | - |
dc.subject.classification | Pediatria | - |
dc.subject.classification | Infeccions respiratòries | - |
dc.subject.classification | Bronquis | - |
dc.subject.classification | Seguretat dels pacients | - |
dc.subject.other | Pediatric emergencies | - |
dc.subject.other | Pediatrics | - |
dc.subject.other | Respiratory infections | - |
dc.subject.other | Bronchi | - |
dc.subject.other | Patients safety | - |
dc.title | Safety and effectiveness of bubble continuous positive airway pressure as respiratory support for bronchiolitis in a pediatric ward | - |
dc.type | info:eu-repo/semantics/article | - |
dc.type | info:eu-repo/semantics/publishedVersion | - |
dc.identifier.idgrec | 728517 | - |
dc.date.updated | 2024-07-01T17:06:05Z | - |
dc.rights.accessRights | info:eu-repo/semantics/openAccess | - |
Appears in Collections: | Articles publicats en revistes (Cirurgia i Especialitats Medicoquirúrgiques) |
Files in This Item:
File | Description | Size | Format | |
---|---|---|---|---|
255535.pdf | 819.63 kB | Adobe PDF | View/Open |
This item is licensed under a
Creative Commons License