Faebar [Consensus conference on acute bronchiolitis I : methodology and recommendations]. Evidence on the frequency of bronchiolitis in the general population and risk groups, risk factors and markers of severe forms, severity scores and the clinical-etiological profile is summarized. The days of hospitalization and the hours of oxygen therapy were used as the result measurement. There is sufficient evidence on the lack of effectiveness of most interventions tested in bronchiolitis. Conferencia de Consenso bromquiolitis bronquiolitis aguda IV: The Impact Factor measures the average number of citations received in a particular year by papers published in the journal during the two receding years.
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Kazrakus Reference of this article. In the studies done with ambulatory patients, the outcome measures used to assess the efficacy of the treatment consisted in evaluating the improvement of symptoms following its application, and in quantifying the reduction in hospital admissions.
Rev Posgrado de la VI. Hypertonic saline or high volume normal saline for viral bronchiolitis: Table 1 shows the general characteristics of the patients and the comparisons between the two groups according to the treatment they received, and we saw that bronqiuolitis were no significant differences between them.
Continuing navigation will be considered as acceptance of this use. We used the Mann-Whitney U test for comparing quantitative variables after finding that they did not fit a normal distribution Kolmogorov-Smirnov test. AB may be one of the most widely studied pathologies brnquiolitis children, with numerous conwenso practice guidelines and expert group recommendations addressing the condition 23yet despite all the published information there is no consensus on how to provide treatment for this group of patients.
Statistics Subscribe to our Newsletter. Subscribe to our Newsletter. Consensus conference on acute bronchiolitis VI: Considering the prevalence of AB, and its social and economic repercussions, we should emphasise the need to carry out studies on this subject in the future. The Cochrane review itself has been the subject of critical evaluation by other authorsas establishing the therapeutic function of HSS has significant clinical implications. The outcome measures selected in each case were different, and consequently the results obtained from hospitalised patients cannot be extrapolated to outpatient services and vice versa, which means that there is a setting-related bias that, of course, is also present in our study.
The authors declare that they had no conflict of interests when it came to preparing and publishing this paper.
The Spanish Association of Pediatrics has as one of its main objectives the dissemination of rigorous and updated scientific information on the different areas of pediatrics. Review of scientific evidence. The literature we reviewed included studies done with hospitalised patients and studies with patients that sought emergency room care but were not admitted to the hospital. Isr Med Assoc J. The children included in this study required oxygen therapy during their hospital stay, and the hours of therapy required were another outcome measure.
The comparison of qualitative variables was done using the chi-squared test. Si continua navegando, consideramos que acepta su uso.
As for prevention of bronchiolitis, only palivizumab slightly reduces the risk of admissions for lower respiratory infections by respiratory syncytial virus, although its high cost justifies its use only in a small group of high-risk patients. One limitation in our study was that the patients were not randomly assigned to treatment and control groups.
Nebulized hypertonic saline without adjunctive bronchodilators for children with bronchiolitis. Effect of hypertonic saline, amiloride and cough on conxenso clearance in patients with cystic fibrosis.
Arch Pediatr Adolesc Med. You can change the settings or obtain more information by clicking here. We ought to emphasise that these results cannot be extrapolated to ambulatory patients, who at that level of care do not require oxygen therapy. Effect of inhaled hypertonic saline on hospital admission rate in children with viral bronchiolitis: That is the question.
Nebulised hypertonic saline significantly decreases length of hospital stay and reduces symptoms in children with bronchiolitis.
Only in moderate-severe bronchiolitis would it be justified to test a treatment with inhaled bronchodilators salbutamol or bronquioitis with or without hypertonic saline solution. SRJ is a prestige metric based on the idea that not all citations are the same. RESULTS The total number of patients admitted with an AB diagnosis and younger than seven months during the, and seasons included in this study wasof whom SNIP measures contextual citation impact by wighting citations based on the total number of citations in a subject field.
Heliox and non-invasive ventilation techniques could be used in cases with respiratory failure, methylxanthine in patients with apnea and surfactant in bronquiolitia critically ill patients. There was no significant difference between the groups. The potential beneficial effects of hypertonic saline solution may be due to its theoretical ability to lower the viscosity and elasticity of the mucous gel: When it comes to the duration of hospital stays, the average length of hospitalisation due to AB in the literature is of 3 to 5 days, and our results conform to the literature on this point with a mean of 4.
Conferencia de Consenso sobre bronquiolitis aguda IV: We found that the need for oxygen therapy was significantly reduced in the group of children younger than 3 months who were given nebulised PSS; furthermore, the children whose nasopharyngeal aspirates tested positive for RSV and who were given nebulised PSS also required fewer hours of oxygen therapy. TOP 10 Related.
CONSENSO BRONQUIOLITIS 2010 PDF
Apart from oxygen therapy, fluid therapy, aspiration of secretions and ventilation support, few treatment options will be beneficial. Hypertonic saline nebulization for bronchiolitis. Effect of hypertonic saline, amiloride and cough on muciciliary clearance in patients with cystic fibrosis. Table 1 shows the general characteristics of the patients and the comparisons between the two groups according to the treatment they received, and we saw that there were no significant differences between them. Other tests such as chest cknsenso, rapid diagnostic tests for respiratory virus infection and screening tests for bacterial infection should be used only very selectively.
Rev Posgrado de la VI. Ochoa Sangrador a ,?? Show all Show less. Rev Pediatr Aten Primaria. We used the Mann-Whitney U test for comparing quantitative variables after finding that they did bronquiolits fit a normal distribution Kolmogorov-Smirnov test. Nebulized hypertonic saline solution for acute bronchiolitis in infants. We ought to emphasise that these results cannot be extrapolated to ambulatory patients, who at that level of care do not require oxygen therapy.