The Use of High-dose Corticosteroids in Seriously Ill Children with Acute Viral Bronchiolitis
Journal Title: The Journal of Pediatric Emergency and Intensive Care Medicine - Year 2020, Vol 7, Issue 2
Abstract
Introduction: The aim of the present study is to investigate whether high-dose corticosteroids cause a clinical improvement in seriously ill children with acute viral bronchiolitis. Methods: Hospital records of patients diagnosed with acute viral bronchiolitis and admitted to the pediatric intensive care unit or general pediatrics service in a tertiary care hospital were reviewed retrospectively. Patients receiving steroids were divided into two subgroups: high-dose and standard-dose corticosteroid recipients. Patients diagnosed with acute viral bronchiolitis but receiving no corticosteroid treatment constituted the control group. Results: While there was no difference between the pre- and post-drug pulse rates of all three groups, a difference was observed in both pre- and post-drug breathing rates between the high-dose steroid and control groups. However, there was no difference between the average pre- and post-drug breathing rates in the high-dose steroid, standard-dose steroid and control groups. There was no regression relationship between the treatment applied and either the pulse rate or the breathing rate in the entire study group. Conclusion: The results of our study show that even at high doses, corticosteroids provide no obvious improvement in the patient's clinical status and do not shorten the length of hospitalisation.
Authors and Affiliations
Çelebi Kocaoğlu
Keywords
Related Articles
- EP ID EP684300
- DOI 10.4274/cayd.galenos.2019.92485
- Views 215
- Downloads 1
Vertebral Artery Dissection Following Minor Trauma in a Child
Vertebral artery dissection is extremely rare among the etiologies of acute arterial ischemic stroke in childhood. Most patients diagnosed with stroke secondary to dissection have a history of head and neck trauma. Howev...
Evaluation of the Incidence and Predictor Factors for Red Blood Cell Transfusion in the Mechanically Ventilated Children
Introduction: Transfusion of blood components, including red blood cells (RBC), platelets and plasma, is the fastest way to improve the haematological state of critically ill patients and can be a lifesaving intervention...
Lesson Learned From an In Situ Tube Thoracostomy in Postoperative Congenital Diaphragmatic Hernia Repair: Even an Open Pneumothorax Can Be Catastrophic
Over the last few decades, the perioperative management of congenital diaphragmatic hernia (CDH) has improved, yet, the management is challenging. Complications are common, and pleural complications like pneumothorax and...
Four Traumatic Asphyxial Cases with an “Masque Ecchymotique” in Pediatric Emergency Department
Traumatic asphyxia is a rare and serious clinical syndrome, which is identified by subconjunctival haemorrhage, facial oedema, craniocervical cyanosis and petechiae on the upper chest and the face regions. It occurs when...
Etiology, Laboratory and Clinical Course of Elevated Transaminases in Pediatric Emergency Department
Introduction: Elevated transaminases has been frequently observed in pediatric emergency department admissions due to increasing utilization of routine laboratory packages. There are limited data about clinical features,...