Usefulness of early lung ultrasound in acute mild–moderate acute bronchiolitis. A pilot study
| Autor: | Manoel Muñiz Fontán, Ignacio Oulego Erroz, Constanza Camila Torrez Villarroel, Cristina Aparicio, Elia Zoido Garrote, Antonio Pedro Vega García |
|---|---|
| Jazyk: | Spanish; Castilian |
| Rok vydání: | 2019 |
| Předmět: |
medicine.medical_specialty
Oxigenoterapia medicine.medical_treatment Pediatrics RJ1-570 03 medical and health sciences 0302 clinical medicine 030225 pediatrics Management of Technology and Innovation Internal medicine Oxygen therapy Severity of illness medicine Estudio piloto Prospective cohort study Lung business.industry Ultrasound Pronóstico Ecografía Bronquiolitis medicine.disease medicine.anatomical_structure Escala Bronchiolitis Acute Bronchiolitis Observational study business |
| Zdroj: | Anales de Pediatría (English Edition), Vol 90, Iss 1, Pp 10-18 (2019) |
| ISSN: | 2341-2879 |
| Popis: | Objective: To determine the correlation between the findings seen in early lung ultrasound with the clinical severity scales, and its association with the subsequent progression of the mild–moderate acute bronchiolitis (AB). Patients and methods: An observational prospective study conducted on infants with mild–moderate AB, using lung ultrasound in the first 24 h of hospital care. The lung involvement was graded (range 0–50 points) based on an ultrasound score (ScECO) and 2 routinely used clinical scales: the modified Wood Downes Ferres (WDFM), and the Hospital Sant Joan de Deu (HSJD). The relationship between the ScECO and the subsequent clinical progression (admission to the Paediatric Intensive Care Unit (PICU), days in hospital, and days of oxygen therapy) was also determined. Results: The study included a total of 59 patients, with a median age of 90 days (IQR: 30–270 days). The median ScECO score was 6 points (2–8) in the patients that did not require hospital admission, with 9 points (5–13.7) admitted to the ward, and 17 (14.5–18) in the patients who needed to be transferred from the ward to the PICU (P = .001). The ScECO had a moderate lineal association with the WDFM scale (rho = 0.504, P |
| Databáze: | OpenAIRE |
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