Greater understanding of the criteria used to place children on HFNC is needed to better assess its value. Cost remained greater after accounting for their increased LOS. Heated humidified high-flow nasal cannula: use and a neonatal early extubation protocol. Those treated with HFNC were less likely to be readmitted by 3 and 7 days (p<0.001), but by 14 days readmission rates were similar in the two groups.Ĭonclusions: Children with bronchiolitis treated with HFNC required more intense resource utilization (longer LOS and greater costs) compared to those not treated with HFNC. American Heart Association/American Academy of Pediatrics. Children treated with HFNC had longer LOS (44.5 vs. Results: The PHIS database codes demonstrated sensitivity of 90.4% and specificity of 99.3% to detect encounters in which HFNC use was verified by chart review. We compared costs, LOS, and readmission rates between those who received HFNC and those who did not. We assessed treatment with HFNC based on a combination of billing codes and reviewed 1,105 charts at two centers to determine the accuracy of these codes. Methods/Design: In this cross-sectional, multicenter study, we obtained clinical and resource utilization data from the Pediatric Health Information System (PHIS) database for otherwise healthy children 1 to 24 months of age admitted for bronchiolitis. The actual oxygen concentration delivered by nasal cannula is unpredictable. Objectives/Goal: We sought to compare resource utilization, including cost, length of stay (LOS), and readmission among children who were treated with HFNC versus those who were not. Nasal Cannula Oxygen can be delivered by a low-flow or high-flow system. High flow nasal cannula is a newer method of oxygen delivery pediatric hospitals have been rapidly adopting to treat respiratory insufficiency caused by viral bronchiolitis. Background: Bronchiolitis is one of the most common diseases requiring hospitalization in children 1-24 months of age, but presently treatment is primarily supportive.
0 Comments
Leave a Reply. |