| Outpatient Management of Patients with Bronchiolitis Discharged Home on Oxygen: A Survey of General Pediatricians. | |
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MedLine Citation:
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PMID: 22157426 Owner: NLM Status: Publisher |
Abstract/OtherAbstract:
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Objective. To describe the experience of general pediatricians in weaning bronchiolitis patients, treated as outpatients, from oxygen. Methods. The authors surveyed members of the American Academy of Pediatrics' Council on Community Pediatrics regarding management of outpatient oxygen for bronchiolitis. Results. The survey had 214 (28.4%) responses from pediatricians, of whom 172 (80.3%) practiced outpatient pediatrics. Among those, 27 (15.7%) cared for bronchiolitis patients discharged on oxygen. Pediatricians managing home oxygen practiced at higher altitude (5000 vs 339 ft, P < .001). No clear weaning protocol was reported. Over half (61.5%) of the pediatricians managing home oxygen acknowledged difficulty in deciding when to stop oxygen. A median of 2 (interquartile range [IQR] = 2-2) outpatient visits and 6 (IQR = 4-7) outpatient days on home oxygen were needed prior to oxygen discontinuation. Conclusion. Pediatricians are not routinely managing home oxygen for hypoxic bronchiolitis patients. Variable weaning process, difficulties in determining oxygen stoppage, multiple follow-up visits, and prolonged home oxygen usage highlight the need to evaluate the impact of this emerging practice. |
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Authors:
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David R Sandweiss; Howard A Kadish; Kristine A Campbell |
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Publication Detail:
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Type: JOURNAL ARTICLE Date: 2011-12-8 |
Journal Detail:
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Title: Clinical pediatrics Volume: - ISSN: 1938-2707 ISO Abbreviation: - Publication Date: 2011 Dec |
Date Detail:
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Created Date: 2011-12-13 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 0372606 Medline TA: Clin Pediatr (Phila) Country: - |
Other Details:
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Languages: ENG Pagination: - Citation Subset: - |
Affiliation:
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University of Utah, Salt Lake City, UT, USA. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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