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Archivos de Pediatría del Uruguay

On-line version ISSN 1688-1249


MOROSINI, Fabiana et al. Estrategia de hospitalización abreviada en el síndrome bronquial obstructivo del lactante.: Experiencia de tres años en Unidades de Terapia Inhalatoria . Arch. Pediatr. Urug. [online]. 2012, vol.83, n.2, pp.103-110. ISSN 1688-1249.

Summary  Introduction: bronchoobstructive syndrome is the main respiratory motive of consultation in children less than 2 years old in winter. Ten inhalatory therapy units are installed in Montevideo and suburban areas since 2008 in a short hospitalization regime. The clinical characteristics of the patients treated in this units and the treatment they received are described. Matherial and methods: children aged 1 to 24 months with moderate broncoobstructive syndrome, without risk factors for severe disease, were prospectively studied during the months of winter, between 2008 and 2010. They were treated following a therapeutic diagram that included 2 hours of inhalatory salbutamol and a third hour with nebulized adrenaline, depending on therapeutic response; oral prednisolone was given to children with a previous history of 2 or more bronchoobstructive episodes. Results: the mean stay in the unit was of 3 hours; median initial Tal score was 5.0 and 3.0 at the end of treatment. 819 children (38%) required 2 hours of treatment; 707 patients (32%) required 3 hours and 419 (19%) were additionally treated with corticoids. 1314 patients (62%) were discharged home directly from the inhalatory unit, and an additional 13% after a short observation period in the emergency. Eight % of the patients consulted again in the week after the initial evaluation. Patients treated for 2 hours or less were more probably discharged home (p < 0,05). Conclusions: the inhalatory units were useful for the management of bronchoobstructive syndrome, developing a standardized therapeutic diagram.


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