To estimate the proportion of children hospitalized for acute asthma exacerbation who might be cared for successfully in alternative settings such as short-stay units or in-home nursing.
Descriptive study based on analysis of hospital discharge files and on retrospective medical record review of a random sample of asthma hospitalizations.
The 2028 asthma hospitalizations between 1991 and 1995 for children (aged<19 years) dwelling in Rochester, NY, were studied.
Measures included the duration of frequent administration of nebulized medication (2 or more times in a 4-hour period), worst oxygen saturation levels, deterioration, and hospital length of stay.
Oxygen saturation values and nebulized medication frequency were determined by hospital record review on a random sample of 443 asthma episodes.
Length of stay was available for all admissions.
Worst oxygen saturation following hospital admission was 95% or greater, 90% to 94%, and less than 90% for 21.3%, 51.6%, and 27.1% of episodes, respectively.
Children received frequent nebulized medication treatments for a mean of 2.0 nursing shifts (8 hours per shift), although they remained hospitalized, on average, for 4.3 nursing shifts longer.
Deterioration to a critical level of severity was uncommon.
Among children initially admitted to the regular pediatric impatient unit, only 0.7% subsequently deteriorated to the point that they were transferred to the critical care unit. (...)
Mots-clés Pascal : Asthme, Crise, Hospitalisation, Observation, Unité, Organisation santé, Soin, Enfant, Homme, Appareil respiratoire pathologie, Bronchopneumopathie obstructive
Mots-clés Pascal anglais : Asthma, Crisis, Hospitalization, Observation, Unit, Public health organization, Care, Child, Human, Respiratory disease, Obstructive pulmonary disease
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 99-0107967
Code Inist : 002B11B. Création : 16/11/1999.