Am J Perinatol 2019; 36(S 02): S139-S148
DOI: 10.1055/s-0039-1693265
Selected Abstracts
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Lung Ultrasound Score Is Predictive of Need for Oxygen Supplementation and Longer Lasting Hospitalization in Infants with Acute Bronchiolitis

A. Di Mauro
2   Department of Biomedical Science and Human Oncology, “Aldo Moro” Bari University, Bari, Italy
,
A. R. Cappiello
1   UOC Pediatria e Neonatologia, San Paolo Hospital, ASL Bari, Bari, Italy
,
N. Abbondanza
2   Department of Biomedical Science and Human Oncology, “Aldo Moro” Bari University, Bari, Italy
,
R. Panza
2   Department of Biomedical Science and Human Oncology, “Aldo Moro” Bari University, Bari, Italy
,
M. Quercia
2   Department of Biomedical Science and Human Oncology, “Aldo Moro” Bari University, Bari, Italy
,
N. Laforgia
2   Department of Biomedical Science and Human Oncology, “Aldo Moro” Bari University, Bari, Italy
,
F. P. Bianchi
2   Department of Biomedical Science and Human Oncology, “Aldo Moro” Bari University, Bari, Italy
,
S. Tafuri
2   Department of Biomedical Science and Human Oncology, “Aldo Moro” Bari University, Bari, Italy
,
M. Manzionna
1   UOC Pediatria e Neonatologia, San Paolo Hospital, ASL Bari, Bari, Italy
› Author Affiliations
Further Information

Publication History

Publication Date:
25 June 2019 (online)

 

Introduction: Recent data suggest that lung ultrasound might have a role in diagnosis and management of bronchiolitis in young infants. This study aims at evaluating the relationships between lung ultrasound score (1) in the first 24 hours of hospital care and the clinical progression of bronchiolitis, measured as need for supplemental oxygen, duration of oxygen therapy, and length of hospital stay.

Materials and Methods: This was a prospective observational single-center study, conducted in a tertiary pediatric unit during the 2017 to 2018 seasons of bronchiolitis epidemics. All patients consecutively admitted to our unit because of clinical signs and symptoms suggestive for acute bronchiolitis underwent a lung ultrasound evaluation within the first 24 hours of hospital admission. The lung involvement was graded based on a previously published and validated lung ultrasound score.[1] Data such as need for supplemental oxygen, duration of oxygen therapy, and duration of hospital stay were recorded during the whole hospital stay period.

Results: The study included 92 patients, with a mean age of 1.18 ± 1.01 months (range: 1.0–4.80). The mean ultrasound score in the first 24 hours of hospital care of patients who required supplemental oxygen was 4.5 ± 1.7 (range: 2.0–8.0), significantly different from the score of infants not needing oxygen (2.5 ± 1.8; range: 0.0–6.0; t = 4.9; p < 0.001). The duration of need for supplemental oxygen was not significantly associated with the ultrasound score in the first 24 hours (p < 0.05); in contrast, need for supplemental oxygen (relative risk = 1.4; 95% confidence interval [CI] = 1.2–1.7; z = 4.0; p = 0.000) and duration of hospital stay (coefficient = 0.4; 95% CI = 0.2–0.6; t = 3.7; p = 0.000) were significantly associated with the lowest scores.

Conclusion: Lung ultrasound score predicts the need for supplemental oxygen and duration of hospital stay.

Conflict of Interest: None declared.

 

  • References

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