• Journal of critical care · Apr 2022

    Observational Study

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

    • Rosalie S Linssen, Anne C Teirlinck, Michiel van Boven, Dominique Biarent, Luca Stona, Angela Amigoni, Rosanna I Comoretto, Stephane Leteurtre, Amélie Bruandet, Gunnar K Bentsen, Inger Marie Drage, Xin Wang, Harry Campbell, van WoenselJob B MJBMPediatric Intensive Care Unit, Emma Children's Hospital, Amsterdam University Medical Centers, location AMC, Amsterdam, the Netherlands., Louis Bont, and Reinout A Bem.
    • Pediatric Intensive Care Unit, Emma Children's Hospital, Amsterdam University Medical Centers, location AMC, Amsterdam, the Netherlands. Electronic address: r.s.linssen@amsterdamumc.nl.
    • J Crit Care. 2022 Apr 1; 68: 165-168.

    PurposeViral bronchiolitis is a major cause of pediatric intensive care unit (PICU) admission. Insight in the trends of bronchiolitis-associated PICU admissions is limited, but imperative for future PICU resource and capacity planning.Materials And MethodsWe retrospectively studied trends in PICU admissions for bronchiolitis in six European sites, including three full national registries, between 2000 and 2019 and calculated population-based estimates per 100,000 children where appropriate. Information concerning risk factors for severe disease and use of invasive mechanical ventilation was also collected when available.ResultsIn total, there were 15,606 PICU admissions for bronchiolitis. We observed an increase in the annual number, rate and estimates per 100,000 children of PICU admissions for bronchiolitis at all sites over the last two decades, while the proportion of patients at high risk for severe disease remained relatively stable.ConclusionsThe international increased burden of bronchiolitis for the PICU is concerning, and warrants further international attention and investigation.Copyright © 2021 The Authors. Published by Elsevier Inc. All rights reserved.

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