The severity of acute bronchiolitis in infants was associated with quality of life nine months later.

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The severity of acute bronchiolitis in infants was associated with quality of life nine months later.

Acta Paediatr. 2016 Mar 11;

Authors: Rolfsjord LB, Skjerven HO, Carlsen KH, Mowinckel P, Bains KE, Bakkeheim E, Lødrup Carlsen KC

Abstract
AIM: Acute bronchiolitis in infancy increases the risk of later asthma and reduced health-related quality of life (QoL). We aimed to see if the severity of acute bronchiolitis in the first year of life was associated with QoL nine months later.
METHODS: The parents of 209 out of 404 of children hospitalised for acute bronchiolitis in eight paediatric departments in South-East Norway at a mean four months of age (range 0-12 months) completed the Infant Toddler Quality of Life Questionnaire sent by mail nine months after the acute illness. Disease severity was measured by length of stay and the need for supportive treatment. Interactions with gender, inclusion age, prematurity, maternal ethnicity and maternal education were examined.
RESULTS: Reduced QoL in four domains was associated with increased length of stay and need for ventilatory support. Physical abilities and general health were associated with both severity markers, whereas bodily pain and discomfort and change in health were associated with length of stay. Ventilatory support was more negatively associated with QoL than atopic eczema and also associated with reduced parental emotions and parental time.
CONCLUSION: The severity of acute bronchiolitis in infants was associated with reduced QoL nine months later. This article is protected by copyright. All rights reserved.

PMID: 26970427 [PubMed – as supplied by publisher]

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Children Hospitalized with Rhinovirus Bronchiolitis Have Asthma-Like Characteristics.

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Children Hospitalized with Rhinovirus Bronchiolitis Have Asthma-Like Characteristics.

J Pediatr. 2016 Feb 11;

Authors: Mansbach JM, Clark S, Teach SJ, Gern JE, Piedra PA, Sullivan AF, Espinola JA, Camargo CA

Abstract
Children with bronchiolitis often are considered a homogeneous group. However, in a multicenter, prospective study of 2207 young children hospitalized for bronchiolitis, we found that children with respiratory syncytial virus detected differ from those with rhinovirus detected; the latter patients resemble older children with asthma, including more frequent treatment with corticosteroids.

PMID: 26875009 [PubMed – as supplied by publisher]

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Rhinovirus-positive Bronchiolitis Increases Use of Asthma Medication in Kids … – Lung Disease News


Lung Disease News

Rhinovirus-positive Bronchiolitis Increases Use of Asthma Medication in Kids
Lung Disease News
A new study from Finland showed that children with rhinovirus-positive bronchiolitis used asthma controller medication more often than kids with respiratory syncytial virus. Understanding risk factors for asthma may aid in its prevention, or could help

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Rhinovirus-positive Bronchiolitis Increases Use of Asthma Medication in Kids, Study Shows – Lung Disease News

Rhinovirus-positive Bronchiolitis Increases Use of Asthma Medication in Kids, Study Shows
Lung Disease News
A new study from Finland showed that children with rhinovirus-positive bronchiolitis used asthma controller medication more often than kids with respiratory syncytial virus. Understanding risk factors for asthma may aid in its prevention, or could help

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Children with rhinovirus-positive bronchiolitis more likely to use long-term … – Healio

Children with rhinovirus-positive bronchiolitis more likely to use long-term
Healio
Pediatric patients with rhinovirus-positive bronchiolitis were more likely to use asthma controller medication 12 months after hospitalization compared with patients with respiratory syncytial virus, according to data from a prospective follow-up study

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Bronchiolitis in early childhood increases adult asthma risk – Bel Marra Health


Bel Marra Health

Bronchiolitis in early childhood increases adult asthma risk
Bel Marra Health
Bronchiolitis in early childhood increases adult asthma risk Bronchiolitis – inflammation of the bronchioles – in early childhood has been found to increase the risk of adult asthma. Bronchiolitis is a lung infection commonly experienced by children

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Early childhood bronchiolitis increases asthma risk in adulthood – EurekAlert (press release)

Early childhood bronchiolitis increases asthma risk in adulthood
EurekAlert (press release)
Persons who have had bronchiolitis in early childhood have an increased risk of asthma at the age of 28-31 and a weaker health-related quality of life than their peers. In lung function tests, they also demonstrate changes indicative of irreversible

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Variation in the Management of Infants Hospitalized for Bronchiolitis Persists after the 2006 American Academy of Pediatrics Bronchiolitis Guidelines.

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Variation in the Management of Infants Hospitalized for Bronchiolitis Persists after the 2006 American Academy of Pediatrics Bronchiolitis Guidelines.

J Pediatr. 2014 Jul 8;

Authors: Florin TA, Byczkowski T, Ruddy RM, Zorc JJ, Test M, Shah SS

Abstract
OBJECTIVE: To describe variation across US pediatric hospitals in the utilization of resources not recommended for routine use by the American Academy of Pediatrics guideline for infants hospitalized with bronchiolitis and to examine the association between resource utilization and disposition outcomes.
STUDY DESIGN: We conducted a cross-sectional study of infants ?12 months hospitalized for bronchiolitis from 2007-2012 at 42 hospitals contributing data to the Pediatric Health Information System. Patients with asthma were excluded. The primary outcome was hospital-level variation in utilization of 5 resources not recommended for routine use: albuterol, racemic epinephrine, corticosteroids, chest radiography, and antibiotics. We also examined the association of resource utilization with length of stay (LOS) and readmission.
RESULTS: In total, 64?994 hospitalizations were analyzed. After adjustment for patient characteristics, albuterol (median, 52.4%; range, 3.5%-81%), racemic epinephrine (20.1%; 0.6%-78.8%), and chest radiography (54.9%; 24.1%-76.7%) had the greatest variation across hospitals. Utilization of albuterol, racemic epinephrine, and antibiotics did not change significantly over time compared with small decreases in corticosteroid (3.3%) and chest radiography (8.6%) use over the study period. Utilization of each resource was significantly associated with increased LOS without concomitant decreased odds of readmission.
CONCLUSIONS: Substantial use and variation in 5 resources not recommended for routine use by the American Academy of Pediatrics bronchiolitis guideline persists with increased utilization associated with increased LOS without the benefit of decreased readmission. Future work should focus on developing processes that can be widely disseminated and easily implemented to minimize unwarranted practice variation when evidence and guidelines exist.

PMID: 25015578 [PubMed – as supplied by publisher]

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Bronchiolitis, air pollution have ‘synergistic effect’ on asthma risk – News-Medical.net

Bronchiolitis, air pollution have 'synergistic effect' on asthma risk
News-Medical.net
The children were assessed for asthma, allergies, and lung function at enrolment and follow-up, and exposure to air pollution over the previous 5 years at enrolment was estimated using a geographic information system. After accounting for factors such

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