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Increasing burden of viral bronchiolitis in the pediatric intensive care unit; an observational study

Rosalie S Linssen1, Anne C Teirlinck2, Michiel van Boven2

  • 1Pediatric Intensive Care Unit, Emma Children's Hospital, Amsterdam University Medical Centers, location AMC, Amsterdam, the Netherlands.

Journal of Critical Care
|July 26, 2021
PubMed

Insights

Pediatric intensive care unit (PICU) admissions for viral bronchiolitis have increased significantly over the past two decades. This growing burden necessitates international attention for resource planning.

Area of Science:

  • Pediatrics
  • Infectious Diseases
  • Epidemiology

Background:

  • Viral bronchiolitis is a leading cause of pediatric intensive care unit (PICU) admissions.
  • Understanding trends in bronchiolitis-associated PICU admissions is crucial for effective healthcare resource and capacity planning.

Purpose of the Study:

  • To investigate the trends in PICU admissions for viral bronchiolitis across European sites from 2000 to 2019.
  • To analyze population-based admission rates and identify factors associated with severe disease.

Main Methods:

  • Retrospective study of 15,606 PICU admissions for bronchiolitis across six European sites.
  • Inclusion of national registries for population-based estimates.
  • Data collection on risk factors and mechanical ventilation use.

Main Results:

  • A consistent increase in the annual number and rate of PICU admissions for bronchiolitis was observed over the two-decade study period.
  • Population-based estimates per 100,000 children also showed an upward trend.
  • The proportion of high-risk patients remained stable, suggesting an overall increase in bronchiolitis cases requiring intensive care.

Conclusions:

  • The increasing international burden of bronchiolitis on PICUs is a significant concern.
  • Further international research and attention are warranted to address this growing public health issue.
  • Findings highlight the need for proactive strategies in pediatric critical care planning.
Abstract

Keywords:
BronchiolitisCritical carePediatrics

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