SciELO - Scientific Electronic Library Online

 
vol.15 número59Cribado visual en Atención Primaria: ¿cómo se realiza?Prescripción de antitusígenos por pediatras de Atención Primaria del País Vasco índice de autoresíndice de materiabúsqueda de artículos
Home Pagelista alfabética de revistas  

Servicios Personalizados

Revista

Articulo

Indicadores

Links relacionados

  • En proceso de indezaciónCitado por Google
  • No hay articulos similaresSimilares en SciELO
  • En proceso de indezaciónSimilares en Google

Compartir


Pediatría Atención Primaria

versión impresa ISSN 1139-7632

Resumen

PEREZ CID, L. et al. Severe bronchiolitis in infants under six months is a major risk factor for recurrent wheezing. Rev Pediatr Aten Primaria [online]. 2013, vol.15, n.59, pp.229-237. ISSN 1139-7632.  https://dx.doi.org/10.4321/S1139-76322013000400005.

Background: several individual and epidemiological risk factors have been associated with recurrent wheezing after acute bronchiolitis (AB). Few research studies focus on very young infants under six months old. Objectives: to find what risk factors are associated with recurrent wheezing in young infants (<6 month-old) hospitalized with moderate to severe acute bronchiolitis (AB) at our setting. Material and methods: a prospective-retrospective, observational study was designed and carried out from January 2009 to December 2011 in a secondary care hospital. Eighty previously healthy patients aged 7-180 days, hospitalized with a first episode of acute moderate AB, were studied. Results: the mean age of infants was 69±42 (range 7-180) days. Crude analysis of relative risk (RR) for recurrent wheezing showed an increased RR in males (p=0.05, RR=1.7 CI 95%: 0.9-3.1), patients in daycare (p=0.03, RR=1.9 CI 95%: 1.1-3.3), with elder siblings (p=0.03, RR=2.2 CI 95%: 0.9-5.1), high-flow therapy (p=0.05, RR=2.1 CI 95%: 1.3-3.6), critical care (p=0.01, RR=2.5 CI 95%: 1.6-3.8), and mechanical ventilation (p=0.05, RR=2.7 CI 95%: 2.0-3.7). After multivariate analysis, daycare attention (OR: 6.06, CI 95%: 1.4-25; p=0.013) and having elder siblings (OR: 4.1, CI 95% 1.1-14.5, p=0.029) were found to be independent risk factors for recurrent wheezing. Conclusions: daycare attendance and having elder siblings were independently associated with recurrent wheezing. We suggest that severity of bronchiolitis (needing PICU, high flow therapy and mechanical ventilation) is a remarkable risk factor for recurrent wheezing one year after AB.

Palabras clave : Recurrent wheezing; Bronchiolitis; Respiratory syncitial virus; Asthma; Atopy.

        · resumen en Español     · texto en Español | Inglés     · Español ( pdf ) | Inglés ( pdf )

 

Creative Commons License Todo el contenido de esta revista, excepto dónde está identificado, está bajo una Licencia Creative Commons