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https://www.readbyqxmd.com/read/23481463/-management-of-acute-bronchiolitis-in-spanish-emergency-wards-variability-and-appropriateness-analysis-abreviado-project
#1
COMPARATIVE STUDY
C Ochoa Sangrador, J González de Dios
INTRODUCTION: The management of acute bronchiolitis (AB) is controversial. The aim of this multicenter nationwide study in Spain is to determine the variability in the management of AB in Primary Care centers. METHODS: A cross-sectional observational study (from October 2007 to March 2008) was conducted on all cases of AB (McConnochie criteria) seen in a sample of 60 Health Care Centers from 11 regions of Spain, who did not require hospital admission. A comparison between autonomous communities was made...
September 2013: Anales de Pediatría: Publicación Oficial de la Asociación Española de Pediatría (A.E.P.)
https://www.readbyqxmd.com/read/20457017/-consensus-conference-on-acute-bronchiolitis-v-prevention-of-acute-bronchiolitis-review-of-scientific-evidence
#2
REVIEW
J González de Dios, C Ochoa Sangrador
A review of the evidence on prevention of acute bronchiolitis is presented. Acute bronchiolitis prevention arises from three basic approaches: preventive treatment to reduce recurrent wheezing following an episode of acute bronchiolitis, preventive treatment to reduce the frequency and severity of RSV bronchiolitis in the population at risk (prematurity, bronchopulmonary dysplasia, congenital heart disease, etc.), and general preventive measures to reduce nosocomial infection with RSV. There is sufficient evidence on the lack of efficacy of inhaled corticosteroids, oral corticosteroids and montelukast...
May 2010: Anales de Pediatría: Publicación Oficial de la Asociación Española de Pediatría (A.E.P.)
https://www.readbyqxmd.com/read/20409766/-consensus-conference-on-acute-bronchiolitis-vi-prognosis-of-acute-bronchiolitis-review-of-scientific-evidence
#3
REVIEW
C Ochoa Sangrador, J González de Dios
We present a review of the evidence on prognosis of acute bronchiolitis, risk factors for severe forms, symptom or severity scores and risk of post-bronchiolitis asthma. Documented risk factors of long stay or PICU admission in hospitalized patients are: bronchopulmonary dysplasia and/or chronic lung disease, prematurity, congenital heart disease and age less than 3 months. Other less well documented risk factors are: tobacco exposure, history of neonatal mechanical ventilation, breastfeeding for less than 4 months, viral co-infection and other chronic diseases...
May 2010: Anales de Pediatría: Publicación Oficial de la Asociación Española de Pediatría (A.E.P.)
https://www.readbyqxmd.com/read/20347407/-consensus-conference-on-acute-bronchiolitis-iv-treatment-of-acute-bronchiolitis-review-of-scientific-evidence
#4
J González de Dios, C Ochoa Sangrador
A review of the evidence on treatment of acute bronchiolitis is presented. There is sufficient evidence on the lack of effectiveness of most interventions tested in bronchiolitis. Apart from oxygen therapy, fluid therapy, aspiration of secretions and ventilation support, few treatment options will be beneficial. There are doubts about the efficacy of inhaled bronchodilators (salbutamol or adrenaline), with or without hypertonic saline solution, suggesting that these options should be selectively used as therapeutic trials in moderate-severe bronchiolitis...
April 2010: Anales de Pediatría: Publicación Oficial de la Asociación Española de Pediatría (A.E.P.)
https://www.readbyqxmd.com/read/20346744/-diagnosis-in-acute-bronchiolitis-review-of-the-evidence-for-the-consensus-conference-on-acute-bronchiolitis
#5
C Ochoa Sangrador, J González de Dios
A review of the evidence on the most commonly used diagnostic procedures in acute bronchiolitis is presented. Rapid diagnostic tests for respiratory syncytial virus infection are acceptably valid. These tests show a moderate to high sensitivity and a high specificity in relation to other reference tests. The tests most commonly used, due to their low complexity and rapid performance (enzyme immunoassay, immunochromatography and optical immunoassay techniques), have lower sensitivity than immunofluorescence...
April 2010: Anales de Pediatría: Publicación Oficial de la Asociación Española de Pediatría (A.E.P.)
https://www.readbyqxmd.com/read/20153708/-consensus-conference-on-acute-bronchiolitis-i-methodology-and-recommendations
#6
J González de Dios, C Ochoa Sangrador
The recommendations of the Consensus Conference "Diagnostic and Therapeutic Management of Acute Bronchiolitis" are presented. Evidence on the frequency of bronchiolitis in the general population and risk groups, risk factors and markers of severe forms, severity scores and the clinical-etiological profile is summarized. The commonly used diagnostic tests are ineffective in the management of the disease; oxygen saturation measurement is considered necessary only in the initial assessment or to monitor changes in patients with respiratory distress...
March 2010: Anales de Pediatría: Publicación Oficial de la Asociación Española de Pediatría (A.E.P.)
https://www.readbyqxmd.com/read/20153707/-consensus-conference-on-acute-bronchiolitis-ii-epidemiology-of-acute-bronchiolitis-review-of-the-scientific-evidence
#7
C Ochoa Sangrador, J González de Dios
A review of the evidence on epidemiology, risk factors, etiology and clinical-etiological profile of acute bronchiolitis is presented. The frequency estimates are very heterogeneous; in the population under two years the frequency of admission for bronchiolitis is between 1 and 3.5%, primary care consultations between 4 and 20% and emergency visits between 1 and 2%. The frequency of admissions for respiratory infection by respiratory syncytial virus in the risk population is: in premature infants < or =32 weeks of gestation between 4...
March 2010: Anales de Pediatría: Publicación Oficial de la Asociación Española de Pediatría (A.E.P.)
https://www.readbyqxmd.com/read/20022571/-study-of-variability-in-the-management-of-acute-bronchiolitis-in-spain-in-relation-to-age-of-patients-national-multicenter-study-abreviado-project
#8
MULTICENTER STUDY
J González de Dios, C Ochoa Sangrador
INTRODUCTION: There are many studies on the controversial issues involved in the management of acute bronchiolitis (AB). The aim of this multicenter nationwide study in Spain was to find out the variability in the management of AB in various areas of clinical care (primary care, emergency and hospitalization) and to analyze the impact of patient age on diagnostic and therapeutic management. MATERIAL AND METHODS: A cross-sectional observational study (from October 2007 to March 2008) of all cases of BA (McConnochie criteria) treated in a sample of 31 hospitals and 60 health or primary care centers in 12 autonomous regions in Spain...
January 2010: Anales de Pediatría: Publicación Oficial de la Asociación Española de Pediatría (A.E.P.)
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