Clinical profile of pediatric patients hospitalized with respiratory syncytial virus infection
| Autor: | Melvin I. Marks, Harris R. Stutman, S W Grant, W V La Via |
|---|---|
| Rok vydání: | 1993 |
| Předmět: |
Heart Defects
Congenital Male Pediatrics medicine.medical_specialty Respirovirus Infections California White People 03 medical and health sciences 0302 clinical medicine Risk Factors 030225 pediatrics Intensive care medicine Ethnicity Humans Family history Respiratory Tract Infections Cardiopulmonary disease Bronchopulmonary Dysplasia Retrospective Studies Asian business.industry Respiratory disease Infant Newborn Infant Retrospective cohort study Pneumovirus Hispanic or Latino Adrenergic beta-Agonists Length of Stay medicine.disease Hospitals Pediatric Los Angeles Respiration Artificial Respiratory Syncytial Viruses Black or African American Hospitalization Pneumonia Bronchiolitis Pediatrics Perinatology and Child Health Female business |
| Zdroj: | Clinical pediatrics. 32(8) |
| ISSN: | 0009-9228 |
| Popis: | To update the clinical profile of pediatric patients hospitalized with RSV infection, we retrospectively reviewed the records of 246 children (male:female ratio 1.44:1) admitted during one season to a tertiary-care hospital. The most common admitting diagnoses were bronchiolitis (37.4%), pneumonia (32.5%), and possible septicemia (13%). Median age was 3 months; median length of stay, three days. Twice as many minorities were admitted with RSV infection as all other admissions during the same year. Family history of asthma, while common (35%), did not affect length of stay or complications. Of the 38 (15%) patients requiring intensive care, 29 (76%) underwent ventilation. Patients with underlying cardiopulmonary disease had more complications, were more likely to require intensive care (about 50%), and had significantly longer hospital stays than others. All three patients (1.2%) who died had congenital heart disease. Common risk factors included young age, chronic cardiopulmonary disease, male sex, and possibly family history of asthma. Although the most typical clinical diagnoses remain bronchiolitis and pneumonia, a systemic illness resembling the sepsis syndrome has emerged at our institution as a significant clinical presentation. |
| Databáze: | OpenAIRE |
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