CLINICAL AND EPIDEMIOLOGICAL PROFILE AND FACTORS ASSOCIATED WITH THE ADMISSION OF CHILDREN WITH BRONCHIOLITIS TO A PEDIATRIC INTENSIVE CARE UNIT IN THE HINTERLAND OF PARAÍBA
DOI:
https://doi.org/10.63330/sasciencesv6n2-303Keywords:
Acute Viral Bronchiolitis, Clinical-Epidemiological Profile, Intensive Care Unit, Pediatrics, Respiratory Syncytial VirusAbstract
Acute Viral Bronchiolitis (AVB) is a major cause of infant hospitalization and may progress to severe conditions requiring intensive care. This study aimed to analyze the clinical and epidemiological profile and factors associated with the admission of children with AVB to a Pediatric Intensive Care Unit (PICU) in the Sertão region of Paraíba, Brazil. This retrospective, observational, descriptive, and analytical study reviewed medical records of children admitted to a pediatric hospital’s PICU. Sociodemographic, clinical, and epidemiological characteristics, seasonality, and ventilatory support were assessed. Male patients (62.9%) and infants younger than six months (87.1%) predominated. At admission, 40% had SpO₂ below 90%, and tachypnea, dyspnea, and accessory muscle use were frequent. Cough occurred in 78.6% of cases, fever in 32.9%, and apnea in 4.3%. Prematurity was observed in 12.9%, while congenital heart disease was the only comorbidity (1.4%). Most patients (71.4%) came from the Sertão region, with admissions concentrated between February and July. Non-invasive ventilation was the most common respiratory support (72.9%), lasting one to four days in 75% of cases. The findings indicate a predominance of male infants younger than six months with respiratory impairment requiring ventilatory support. These results characterize admissions to the studied unit and may support care planning and healthcare service organization for children with AVB in the region.
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