RESULTS: 703 electronic medical records of children ages 0-24 months diagnosed with bronchiolitis within the two timeframes were reviewed for eligibility. 64 patients were included in the final analysis. There was no statistical difference in the percentage of patients initiated on HFNC (13.8% vs 16.5%) and no significant demographic variation between the study groups. When compared to the pre-protocol group, the protocol group demonstrated shorter ICU LOS (28.7 hr vs 78.8 hr, respectively, p<0.001) and overall hospital LOS (74.2 hr vs 98.6 hr, p=0.009). There were also fewer patients managed in the ICU (60% vs 100%, p<0.001), with fewer patients requiring transfer to the ICU from the general pediatric wards (23.8% vs 100%, p<0.004) in the protocol group.
About the Lead Author
Dr. Danni Liang is currently a third year Pediatrics resident at St. Christopher’s Hospital for Children in Philadelphia. Originally from New Jersey, she is a graduate of Case Western Reserve University in Cleveland and received her medical degree from Stony Brook University in NY.
Her interests are in high value care, antibiotic stewardship, and medical education. After completing her residency, Dr. Liang will be moving to the west coast to pursue a Pediatric Hospital Medicine fellowship at Stanford University.