2014, Number 6
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Medisur 2014; 12 (6)
Acute bronchiolitis. What patients should be admitted to intensive care units?
Uriarte MAE, Pérez PE, López GY, Capote PJL, Fernández GA, Herrera L, Penichet CJR
Language: Spanish
References: 25
Page: 835-842
PDF size: 144.16 Kb.
ABSTRACT
Bronchiolitis is the most common viral infection of
the lower respiratory tract in childhood; it is
considered the most severe respiratory condition
that affects children under 2 years of age. In general,
mortality from bronchiolitis is low, but it can reach
up to 30% in patients at risk. Twenty children have
died from this condition in the pediatric hospital of
Cienfuegos in the last 30 years. Bronchiolitis-related
deaths account for approximately 4 % of all deaths
from 2010 to date. This fact has led to the
implementation of administrative measures to
reduce deaths from this cause, which have not
solved the problem. The aim of this paper is to
present a set of criteria for admission of bronchiolitis
patients to intensive care units in order to be
considered by the administrators of the institution.
These criteria based on the authors’ experience and
scientific evidence reflected in the literature focus
on preventing overcrowding of this service with
patients not showing elements of serious condition,
and on the contrary, timely identifying those likely to
have an unfavourable outcome.
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