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Relationship between caloric intake and length of hospital stay for infants with bronchiolitis

Michael C Weisgerber1, Patricia S Lye, Melodee Nugent

  • 1Department of Pediatrics, Medical College of Wisconsin, Milwaukee, Wisconsin, USA. mweisger@mcw.edu

Hospital Pediatrics
|December 11, 2013
PubMed

Insights

Infants hospitalized with bronchiolitis often have poor oral intake. Lower early caloric intake is linked to longer hospital stays, suggesting nutrition is vital for recovery.

Area of Science:

  • Pediatrics
  • Infectious Diseases
  • Nutrition Science

Background:

  • Bronchiolitis is a common respiratory illness in infants.
  • Poor oral intake is a frequent symptom during hospitalization for bronchiolitis.
  • The impact of caloric intake on recovery and length of stay is not well-studied.

Purpose of the Study:

  • To determine daily caloric intake in infants hospitalized with bronchiolitis.
  • To evaluate the relationship between early hospital caloric intake and length of stay (LOS).

Main Methods:

  • Retrospective chart review of infants under 1 year old admitted with bronchiolitis.
  • Data collected included patient, disease, respiratory, and nutrition-specific information.
  • Study conducted during the 2004-2005 bronchiolitis season.

Main Results:

  • Median caloric intake was significantly diminished on hospital days 1 and 2.
  • A slower rate of caloric intake increase was correlated with longer LOS.
  • Caloric intake normalized slowest in infants with the longest LOS.

Conclusions:

  • Infants hospitalized with bronchiolitis experience reduced caloric intake early in their hospital course.
  • Nutrition plays a significant role in the recovery of infants with severe bronchiolitis.
  • Interventions to shorten LOS should consider nutritional support.
Abstract

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