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首页> 外文期刊>Pediatrics: Official Publication of the American Academy of Pediatrics >Duration of illness in infants with bronchiolitis evaluated in the emergency department.
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Duration of illness in infants with bronchiolitis evaluated in the emergency department.

机译：急诊科评估了毛细支气管炎婴儿的病程。

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摘要

OBJECTIVES: To describe the duration of illness in infants with first-time bronchiolitis who present to an emergency department (ED) and assess the burden of the illness on caregivers and families. METHODS: This was a prospective cohort study of infants younger than 12 months who presented to a tertiary care children's hospital ED with a first episode of bronchiolitis. Subjects were excluded if they had a history of bronchodilator use or immunocompromise. Demographic and clinical data were collected in the ED. Outcomes data were collected by weekly telephone interviews for 4 weeks or until the subject was free of cough for 24 hours. RESULTS: Ninety-five infants were enrolled from November 2007 to March 2008. Median duration of symptoms was 15 days; 25% of the infants remained symptomatic after 21 days. Subjects with a history of eczema trended toward a longer median duration of symptoms when compared with those who did not (18 days [interquartile range (IQR): 15.5-24] and 15 days [IQR: 11-19], respectively; P = .055). Duration of symptoms did not significantly vary with regards to respiratory syncytial virus status or secondhand smoke exposure. Subjects missed a median of 2.5 days (IQR: 0.5-5.5) of day care, and caregivers missed a median of 2 days (IQR: 1-4) of work. Of these infants, 37.1% (95% confidence interval: 24.3-44.1) had a subsequent unscheduled medical visit. CONCLUSIONS: Infants seen in the ED for bronchiolitis have a prolonged disease course, with substantial burden to the family. Symptom duration may be influenced by a propensity toward atopy. Clinicians may use this information for counseling families.
机译：目的：描述出现在急诊科（ED）的初次毛细支气管炎婴儿的病程，并评估疾病对护理人员和家庭的负担。方法：这是一项前瞻性队列研究，研究对象为三级以下首次出现毛细支气管炎的三级就诊儿童医院急诊的12个月以下的婴儿。如果受试者有支气管扩张剂使用史或免疫功能低下的病史，则排除在外。人口统计和临床数据收集在急诊室。通过4周的每周电话访谈或直到受试者24小时无咳嗽为止收集结果数据。结果：从2007年11月至2008年3月，共有95例婴儿入选。中位症状持续时间为15天。 21天后，仍有25％的婴儿出现症状。与没有湿疹史的受试者相比，有湿疹史的受试者的中位症状持续时间更长（分别为18天[四分位间距（IQR）：15.5-24]和15天[IQR：11-19]; P = .055）。症状的持续时间在呼吸道合胞病毒状态或二手烟暴露方面无显着差异。受试者错过了2.5天（IQR：0.5-5.5）的日间护理工作，护理人员错过了2天（IQR：1-4）的工作中位数。在这些婴儿中，37.1％（95％置信区间：24.3-44.1）随后进行了计划外的医疗就诊。结论：在急诊室中发现的毛细支气管炎婴儿病程延长，给家庭带来巨大负担。症状持续时间可能受特应性​​倾向的影响。临床医生可以使用此信息为家庭提供咨询。

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