1. Trends in Bronchiolitis ICU Admissions and Ventilation Practices: 2010–2019
- Author
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Alicia K. Au, Jonathan H. Pelletier, Christopher M. Horvat, Robert B. Clark, and Dana Y. Fuhrman
- Subjects
Male ,medicine.medical_specialty ,Pediatric health ,medicine.medical_treatment ,MEDLINE ,Intensive Care Units, Pediatric ,law.invention ,law ,medicine ,Humans ,Child ,Retrospective Studies ,Mechanical ventilation ,Noninvasive Ventilation ,business.industry ,Environmental air flow ,Articles ,medicine.disease ,Respiration, Artificial ,Intensive care unit ,United States ,Hospitalization ,Intensive Care Units ,Cross-Sectional Studies ,Bronchiolitis ,Child, Preschool ,Pediatrics, Perinatology and Child Health ,Emergency medicine ,Ventilation (architecture) ,Female ,business - Abstract
OBJECTIVES: To determine the changes in ICU admissions, ventilatory support, length of stay, and cost for patients with bronchiolitis in the United States. METHODS: Retrospective cross-sectional study of the Pediatric Health Information Systems database. All patients age RESULTS: Of 203 859 admissions for bronchiolitis, 39 442 (19.3%) were admitted to an ICU, 6751 (3.3%) received IMV, and 9983 (4.9%) received NIV. ICU admissions for bronchiolitis doubled from 11.7% in 2010 to 24.5% in 2019 (P < .001 for trend), whereas ICU admissions for all children in Pediatric Health Information Systems CONCLUSIONS: The proportions of children with bronchiolitis admitted to an ICU and receiving NIV have substantially increased, whereas the proportion receiving IMV is unchanged over the past decade. Further study is needed to better understand the factors underlying these temporal patterns.
- Published
- 2021