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Pediatrics Conference 2018
Journal of Pediatric Care
ISSN: 2471-805X
Page 52
March 26-27, 2018
Edinburgh, Scotland
2
nd
Edition of International Congress on
Pediatrics
I
n 2014 the American Academy of Pediatrics revised prior
2006 guidelines on bronchiolitis treatment. This study aimed
to compare outcomes in the emergency department (ED) in a
major academic medical center pediatric emergency department
after implementing new recommendations, specifically length
of emergency department stay and time to decision to admit.
Secondarily the use of treatment and diagnostics were compared
pre and post implementation of guidelines. A retrospective review
of infants under 12 months of age that presented to our pediatric
tertiary center’s academic ED from 2012-2016 bronchiolitis
seasons was performed. Winter of 2015 is when the ED and
pediatric department made a combined effort to strictly follow
the 2014 AAP guidelines. Those with a diagnosis of bronchiolitis
were included. Previous reactive airway disease and wheezing
patients were not excluded for this study. Data collected included
time of placement in a room in the ED to time of discharge or time
to pediatrics consult (for admission). Other data collected for
each patient included who received a chest x-ray (CXR), nebulizer
treatment, RSV PCR, or any form of steroid. There was no
significant difference in the ED length of stay, nor in the time-to-
decide for admission of patients after the 2014 AAP bronchiolitis
guidelines were applied. There was a significant reduction in the
overall number of treatment and diagnostic modalities used post-
implementation suggesting a potential cost-effective strategy of
care.
nick.mancuso@uky.eduBronchiolitis guideline changes and effects in a pediatric
emergency department
Nicholas Mancuso, Craig Carter, Jeffrey Bennett, Susan Robbins
and
Landon Jones
University of Kentucky, USA
J Pediatr Care, Volume 4
DOI: 10.21767/2471-805X-C1-006