Abstract
High-Flow Nasal Cannula Use and Patient-Centered Outcomes for Pediatric Bronchiolitis
Highlights
As pediatric mortality has decreased in the developed world, research focus has shifted to improving care efficiency
high-flow nasal cannula (HFNC) Use and Patient-Centered Outcomes for Pediatric Bronchiolitis breathing, offer sufficient granularity to discern whether HFNC therapy reduces discomfort in infants with bronchiolitis
It is true that the number of pediatric intensive care unit (ICU) patient beds has been increasing for some time in the United States, an expansion that has been noted to outpace the increase in the pediatric population since at least 1995 up to the time of the last study in 2016.7 What is less clear is whether this expansion of ICU beds occurred, at least in part, to accommodate children with bronchiolitis or whether, instead, children with bronchiolitis are being cared for in ICUs that expanded for other reasons
Summary
As pediatric mortality has decreased in the developed world, research focus has shifted to improving care efficiency. Using consistent methods leveraging the PHIS database, mortality associated with bronchiolitis has been observed to decrease from 14 per 10 000 admissions in 20022003 to 4 per 10 000 admissions in 2011 in the United States, suggesting improvements in care over time and providing important context for the present work.[5] Interpreted one way, the stable survival rate of 99.9% between 2010 and 2019 noted by Willer et al[3] represents a lack of significant improvement.
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