AI Article Synopsis

  • - This study aimed to compare the number of pediatric admissions for acute bronchiolitis between the 2021-2022 and 2022-2023 seasons, and also to look at the recurrence of bronchiolitis in the same patients across these seasons.
  • - Conducted at a Pediatric Emergency Department in Rome, the research focused on children aged 0-2 years diagnosed with bronchiolitis, revealing notable differences in age and admission characteristics across the two seasons.
  • - Findings indicated that the median age of affected children decreased in the latest season, with an increase in severe cases and recurrence of bronchiolitis episodes, highlighting the evolving epidemiology of the condition post-COVID-19.

Article Abstract

Background: The first aim of this study was to compare Pediatric Emergency Department (PED) admissions for acute bronchiolitis during the 2022-2023 season to those of the season 2021-2022. The secondary aim was to assess the difference in the recurrence of bronchiolitis episodes in the same patient between the two seasons.

Methods: This is a retrospective, observational, cross-sectional study conducted at the PED of IRCCS A. Gemelli University Polyclinic Foundation (Rome, Italy). We included all children aged between 0 and 2 years admitted to PED with the diagnosis of bronchiolitis. We compared features of seasons 2021-2022 and 2022-2023.

Results: The median age of children enrolled during the 2022-23 season was 5 months (IQR: 2-8) compared to 7 months (IQR: 2-14) in the previous one (P=0.02). We observed in the last season a higher number of children admitted to PED with a high priority code and an increased therapeutic use of high-flow nasal cannula and inhaled adrenaline. During the 2022-23 season we found 31 (12.8%) children presenting more than one episode of bronchiolitis in the same epidemic season, compared to 16 (7.6%) children in the previous season (P=0.048).

Conclusions: Our data emphasize that the epidemiological features of bronchiolitis after COVID-19 outbreak have changed and are still evolving.

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Source
http://dx.doi.org/10.23736/S2724-5276.24.07510-4DOI Listing

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