Acute bronchiolitis: Experience of home oxygen therapy in “Hospital at Home” care from 2012 to 2014 : Home oxygen therapy in “Hospital at Home” for bronchiolitis - 17/11/22

Doi : 10.1016/j.arcped.2022.08.002

I. Naiim Habib ^a, E. Gatbois ^b, J-S. Yang ^c, C. Mehler Jacob ^b, E. Gorgiel ^a, E. Gasq ^b, A. Foureau ^d, I. Melki ^a,^e, B. Koehl ^e, C. Lemaître ^a,^e, J. Sommet ^a,^e, A. Faye ^a,^e,^f, M. Lorrot ^c,^f,^g,^⁎
^a Department of Pediatrics, Hôpital Robert-Debré (AP-HP), Paris, France
^b Department of Pediatrics of Hospital at Home (AP-HP), Paris, France
^c Department of Pediatrics, Hôpital Armand Trousseau (AP-HP), Paris, France
^d Health Coordination Department, Hôpital Robert-Debré (AP-HP), Paris, France
^e Université de Paris, France
^f URMS 1123 ECEVE, 75019, Paris, France
^g Sorbonne Université, Paris, France

^⁎Corresponding author at: Service de Pédiatrie Générale, Hôpital Armand Trousseau (AP-HP), Paris, France.Service de Pédiatrie GénéraleHôpital Armand Trousseau (AP-HP)ParisFrance

Abstract

Aim

To describe the management of home oxygen therapy for infants with acute bronchiolitis through a home care network: Hospital at Home (HAH).

Methods

A retrospective observational study was carried out during two consecutive winters from 2012 to 2014.

Results

A total of 141 patients were eligible for home oxygen therapy, and 54 were discharged on home oxygen therapy through HAH. The median age of patients was 2.5 months (0.75–13 months). The average length of hospital stay before discharge was 4.9 days (1–17 days). In total, 73% of the children received oxygen at home. There was an average of five nurse visits per patient. Each child was seen by a pediatrician during the HAH care. There were no deaths or readmissions to an intensive care unit. There were two conventional readmissions for increased respiratory distress and two emergency department visits. The median length of HAH was 6 days (1–33 days).

Conclusion

Home oxygen for infants with acute bronchiolitis is a promising and safe alternative to reduce conventional hospitalizations. It is necessary to evaluate the cost of this treatment and its impact on nosocomial infections.

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Keywords : Acute bronchiolitis, Infants and young children, Home hospitalization, Oxygen

Plan

Introduction

Patients and methods

Results

Demographic and clinical characteristics of patients

Safety of care in HAH

Reasons for non-inclusion of patients with acute bronchiolitis in the HAH care circuit

Parental satisfaction at the end of HAH stay

Discussion

Conclusion

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Vol 29 - N° 8

P. 610-614 - novembre 2022 Retour au numéro

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Acute bronchiolitis: Experience of home oxygen therapy in “Hospital at Home” care from 2012 to 2014 : Home oxygen therapy in “Hospital at Home” for bronchiolitis - 17/11/22

Abstract

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Methods

Results

Conclusion

Plan

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