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Al-Shawwa B, Al-Huniti N, Weinberger M, Abu-Hasan M. Clinical and therapeutic variables influencing hospitalisation for bronchiolitis in a community-based paediatric group practice. Prim Care Resp J 2007;16(2):93-97. DOI: http://dx.doi.org/10.3132/pcrj.2007.00018
Citation details
Al-Shawwa B, Al-Huniti N, Weinberger M, Abu-Hasan M
Clinical and therapeutic variables influencing hospitalisation for bronchiolitis in a community-based paediatric group practice
(2007) Prim Care Resp J 16 (2), pp. 93-97.
DOI: http://dx.doi.org/10.3132/pcrj.2007.00018
Article web page: http://www.thepcrj.org/journ/view_article.php?article_id=455
PDF url: http://www.thepcrj.org/journ/vol16/16_2_93_97.pdf
Abstract:
AIM: To examine the effect of different clinical characteristics and different treatments on the hospitalisation of infants with bronchiolitis seen in an outpatient clinic setting. METHODS: The medical records of infants under 2 years of age who presented with a first episode of wheezing over a two-year period were reviewed retrospectively. Hospitalisation within ten days of evaluation was used as the primary outcome measure. Results: Data from 320 patients were included. 17% were hospitalised. Age was lower in the hospitalised patients (4.9 months vs. 7.1, p<0.001). Hospitalisation was higher in RSV-positive versus RSV-negative patients (38% vs. 10%, p<0.001) and was higher in those children who had been exposed to tobacco smoke versus those who hadn't (24% vs. 12%, p<0.01). Treatment with oral corticosteroids was associated with fewer hospitalisations in those patients with a family history of asthma or allergic rhinitis (9.7% vs. 24%, p=0.02) and in RSV-negative patients (2.5% vs. 16.7%, p<0.05). CONCLUSION: Early treatment of bronchiolitis with oral corticosteroid in an outpatient clinic setting was associated with lower hospitalisation rates in patients with a family history of asthma or allergic rhinitis and in RSV-negative patients.
Keywords:
Bronchiolitis;
Albuterol;
Corticosteroids,
Respiratory Syncytial
Virus;
Hospitalisation
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