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Predictors of Admission of Patients with Bronchiolitis to the Intensive Care Unit(ICU) | ||
| Medical Journal of Babylon | ||
| Article 1, Volume 10, Issue 3, 2013, Pages 632-638 | ||
| Author | ||
| Adnan Handhil Tarish | ||
| Abstract | ||
| Background: Bronchiolitis is a lower respiratory tract infection that occurs in children younger than two years old. It is usually caused by a virus, Bronchiolitis is a common cause of illness and is the leading cause of hospitalization in infants and young children. Bronchiolitis diagnosed clinically and can be treated by adequate fluids and oxygen therapy, but it can cause serious illness in some children and need Intensive Care Units management. Objectives: To know the predictors of admission of the patient with bronchiolitis to the Intensive Care Unit. Methods: A prospective, cohort study was conducted during the period from November 2011 to March of 2012 in Babylon Gynecology and Children Teaching Hospital. All our patients(251) aged less than 2 years and were diagnosed as bronchiolitis according to the American Academy Of Pediatrics definition were enrolled in the study. Regular ward admission and ICU admission were compared. Results: Two hundred fifty one patients were studied, 215 (85.7%) were admitted in regular ward and 36 (14.3%)patients were admitted in Intensive Care Unit(ICU) .Emergency department predictors of ICU admission were age less than 3 months(mean 3.15±2.5 VS 4.8±4.5: P value 0.002), formula feeding(36% VS 13% :P value 0.005), low oxygen saturation SPO2 (83.2%±7.3 VS 92.1%±4.5 :p value 0.000), rapid respiratory rate(64.3±7 VS 55.07±8.1 breaths/min :P value 0.000), and inadequate oral intake(97% VS 59% P value 0.000). Other factors like family history of asthma, eczema, sex, breast feeding, birth weight, heart rate and chest x rays finding were not associated with ICU admission. Conclusion: Age of less than 3months,formula feeding, low oxygen saturation SPO2(83%), rapid respiratory rate, and inadequate oral intake are all predictors of ICU admission in children with bronchiolitis. | ||
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