急性细支气管炎：2012 年至 2014 年“家庭医院”护理中家庭氧疗的经验：“家庭医院”中用于细支气管炎的家庭氧疗。

Acute bronchiolitis: Experience of home oxygen therapy in "Hospital at Home" care from 2012 to 2014: Home oxygen therapy in "Hospital at Home" for bronchiolitis.

机构信息

Department of Pediatrics, Hôpital Robert-Debré (AP-HP), Paris, France.

Department of Pediatrics of Hospital at Home (AP-HP), Paris, France.

出版信息

Arch Pediatr. 2022 Nov;29(8):610-614. doi: 10.1016/j.arcped.2022.08.002. Epub 2022 Oct 7.

DOI:10.1016/j.arcped.2022.08.002

PMID:36216704

Abstract

AIM

To describe the management of home oxygen therapy for infants with acute bronchiolitis through a home care network: Hospital at Home (HAH).

METHODS

A retrospective observational study was carried out during two consecutive winters from 2012 to 2014.

RESULTS

A total of 141 patients were eligible for home oxygen therapy, and 54 were discharged on home oxygen therapy through HAH. The median age of patients was 2.5 months (0.75-13 months). The average length of hospital stay before discharge was 4.9 days (1-17 days). In total, 73% of the children received oxygen at home. There was an average of five nurse visits per patient. Each child was seen by a pediatrician during the HAH care. There were no deaths or readmissions to an intensive care unit. There were two conventional readmissions for increased respiratory distress and two emergency department visits. The median length of HAH was 6 days (1-33 days).

CONCLUSION

Home oxygen for infants with acute bronchiolitis is a promising and safe alternative to reduce conventional hospitalizations. It is necessary to evaluate the cost of this treatment and its impact on nosocomial infections.

摘要

目的

通过家庭护理网络（即“医院到家”）描述对急性毛细支气管炎婴儿进行家庭氧疗的管理。

方法

本研究开展了一项回顾性观察研究，研究对象为 2012 年至 2014 年连续两个冬季的患者。

结果

共有 141 例患者符合家庭氧疗条件，其中 54 例通过“医院到家”方案出院接受家庭氧疗。患者的中位年龄为 2.5 个月（0.75-13 个月）。出院前的平均住院时间为 4.9 天（1-17 天）。共有 73%的患儿在家中接受吸氧治疗。平均每位患儿有 5 次护士家访。在“医院到家”护理期间，每位患儿均由儿科医生进行了诊治。无死亡病例，也无患儿转至重症监护病房。有 2 例患儿因呼吸窘迫加重而常规再次入院，另有 2 例因病情紧急而到急诊就诊。“医院到家”的中位时间为 6 天（1-33 天）。