{"id":2131,"date":"2021-12-20T00:00:00","date_gmt":"2021-12-20T05:00:00","guid":{"rendered":"https:\/\/icesontario.wpengine.com\/journal-articles\/rates-in-bronchiolitis-hospitalization-intensive-care-unit-use-mortality-and-costs-from-2004-to-2018\/"},"modified":"2023-06-14T20:03:53","modified_gmt":"2023-06-15T00:03:53","slug":"rates-in-bronchiolitis-hospitalization-intensive-care-unit-use-mortality-and-costs-from-2004-to-2018","status":"publish","type":"journal_article","link":"https:\/\/www.ices.on.ca\/fr\/publications\/journal-articles\/rates-in-bronchiolitis-hospitalization-intensive-care-unit-use-mortality-and-costs-from-2004-to-2018\/","title":{"rendered":"Rates in bronchiolitis hospitalization, intensive care unit use, mortality, and costs from 2004 to 2018"},"content":{"rendered":"

Importance<\/strong> — Over the last 2 decades, bronchiolitis guidelines and improvement efforts focused on supportive care and reducing unnecessary tests, treatments, and hospitalization. There have been limited population-based studies examining hospitalization outcomes over time.<\/p>\n

Objective<\/strong> — To describe rates and trends in bronchiolitis hospitalization, intensive care unit (ICU) use, mortality, and costs.<\/p>\n

Design, Setting, and Participants<\/span> — This cohort study used population-based health administrative data from April 1, 2004, to March 31, 2018, to identify bronchiolitis encounters using hospital discharge diagnosis codes in Ontario, Canada. Children younger than 2 years with and without bronchiolitis hospitalization were included. Data were analyzed from January 2020 to July 2021. <\/p>\n

Main Outcomes and Measures<\/span> — Bronchiolitis hospitalization per 1000 person-years, ICU use per 1000 hospitalizations, mortality per 100 000 person-years, and costs per 1000 person-years adjusted to 2018 Canadian dollars and reported in 2018 US dollars.<\/p>\n

Results<\/strong> — Among 2 336 446 included children, 1 199 173 (51.3%) were male. During the study period, 43 993 children (1.9%) younger than 2 years had 48 058 bronchiolitis hospitalizations at 141 hospitals. Bronchiolitis accounted for 48 058 of 360 920 all-cause hospitalizations (13.3%) and 215 654 of 2 566 348 all-cause hospital days (8.4%) in children younger than 2 years. Bronchiolitis hospitalization was stable over time, at 14.0 (95% CI, 13.6-14.4) hospitalizations per 1000 person-years in 2004-2005 and 12.7 (95% CI, 12.2-13.1) hospitalizations per 1000 person-years in 2017-2018 (annual percent change [APC], 0%; 95% CI, −1.6 to 1.6; P<\/em> = .97). ICU admission increased significantly from 38.1 (95% CI, 32.2-44.8) per 1000 hospitalizations in 2004-2005 to 87.8 (95% CI, 78.3-98.0) per 1000 hospitalizations in 2017-2018 (APC, 7.2%; 95% CI, 5.4-8.9; P<\/em> < .001). Over the study period, bronchiolitis mortality was 2.8 (95% CI, 2.3-3.4) per 100 000 person-years and remained stable (APC, 1.1%; 95% CI, −8.4 to 11.7; P<\/em> = .85). Hospitalization costs per 1000 person-years increased from $49 640 (95% CI, $49 617-$49 663) in 2004-2005 to $58 632 (95% CI, $58 608-$58 657) in 2017-2018 (APC, 3.0%; 95% CI, 1.3-4.8; P<\/em> = .002).<\/p>\n

Conclusions and Relevance<\/span> — From 2004 to 2018, bronchiolitis hospitalization and mortality rates remained stable; however, ICU use and costs increased substantially. This represents a major increase in high-intensity hospital care and costs for one of the most common and cumulatively expensive conditions in pediatric hospital care.<\/p>\n","protected":false},"excerpt":{"rendered":"

Importance — Over the last 2 decades, bronchiolitis guidelines and improvement efforts focused on supportive care and reducing unnecessary tests, treatments, and hospitalization. There have been limited population-based studies examining hospitalization outcomes over time. Objective — To describe rates and trends in bronchiolitis hospitalization, intensive care unit (ICU) use, mortality, and costs. Design, Setting, and […]<\/p>\n","protected":false},"template":"","migration-helper-automated":[],"migration-manual":[],"topic":[],"migration-helper-qa-sample-set":[],"class_list":["post-2131","journal_article","type-journal_article","status-publish","hentry"],"acf":{"citation":"Mahant S, Parkin PC, Thavam T, Imsirovic H, Tuna M, Knight B, Webster R, Schuh S, To T, Gill PJ; for the Canadian Paediatric Inpatient Research Network (PIRN). JAMA Pediatr. <\/em>2022; 176(2):e215177. Epub 2021 Dec 20.","source_url":"https:\/\/doi.org\/10.1001\/jamapediatrics.2021.5177","ices_scientist":[1111,23221,23938],"site":[6734],"research_program":[6746],"news_release":[],"journal_article":[],"atlas":[],"research_report":[],"infographic":[9358],"video":[],"downloads":null,"links":null,"sitecore_item_id":"E1EADF62-816A-4DD1-95DD-CFBF45F5C92B","sitecore_item_name":"Rates-in-bronchiolitis-hospitalization-intensive-care-unit-use-mortality-and-costs-from-2004-to-2018","sitecore_field_values":"{\n \"Title\": \"Rates in bronchiolitis hospitalization, intensive care unit use, mortality, and costs from 2004 to 2018\",\n \"Short title\": \"Rates in bronchiolitis hospitalization\",\n \"Summary\": \"The study found that From 2004 to 2018, bronchiolitis hospitalization and mortality rates remained stable; however, ICU use and costs increased substantially.\",\n \"Citation\": \"

Mahant S, Parkin PC, Thavam T, Imsirovic H, Tuna M, Knight B, Webster R, Schuh S, To T, Gill PJ; for the Canadian Paediatric Inpatient Research Network (PIRN). JAMA Pediatr. <\/em>2022; 176(2):e215177. Epub 2021 Dec 20. DOI: https:\/\/doi.org\/10.1001\/jamapediatrics.2021.5177<\/a><\/p>\",\n \"Abstract\": \"

Importance<\/strong> — Over the last 2 decades, bronchiolitis guidelines and improvement efforts focused on supportive care and reducing unnecessary tests, treatments, and hospitalization. There have been limited population-based studies examining hospitalization outcomes over time.<\/p>n

Objective<\/strong> — To describe rates and trends in bronchiolitis hospitalization, intensive care unit (ICU) use, mortality, and costs.<\/p>n

Design, Setting, and Participants<\/span> — This cohort study used population-based health administrative data from April 1, 2004, to March 31, 2018, to identify bronchiolitis encounters using hospital discharge diagnosis codes in Ontario, Canada. Children younger than 2 years with and without bronchiolitis hospitalization were included. Data were analyzed from January 2020 to July 2021. <\/p>n

Main Outcomes and Measures<\/span> — Bronchiolitis hospitalization per 1000 person-years, ICU use per 1000 hospitalizations, mortality per 100 000 person-years, and costs per 1000 person-years adjusted to 2018 Canadian dollars and reported in 2018 US dollars.<\/p>n

Results<\/strong> — Among 2 336 446 included children, 1 199 173 (51.3%) were male. During the study period, 43 993 children (1.9%) younger than 2 years had 48 058 bronchiolitis hospitalizations at 141 hospitals. Bronchiolitis accounted for 48 058 of 360 920 all-cause hospitalizations (13.3%) and 215 654 of 2 566 348 all-cause hospital days (8.4%) in children younger than 2 years. Bronchiolitis hospitalization was stable over time, at 14.0 (95% CI, 13.6-14.4) hospitalizations per 1000 person-years in 2004-2005 and 12.7 (95% CI, 12.2-13.1) hospitalizations per 1000 person-years in 2017-2018 (annual percent change [APC], 0%; 95% CI, −1.6 to 1.6; P<\/em> = .97). ICU admission increased significantly from 38.1 (95% CI, 32.2-44.8) per 1000 hospitalizations in 2004-2005 to 87.8 (95% CI, 78.3-98.0) per 1000 hospitalizations in 2017-2018 (APC, 7.2%; 95% CI, 5.4-8.9; P<\/em> < .001). Over the study period, bronchiolitis mortality was 2.8 (95% CI, 2.3-3.4) per 100 000 person-years and remained stable (APC, 1.1%; 95% CI, −8.4 to 11.7; P<\/em> = .85). Hospitalization costs per 1000 person-years increased from $49 640 (95% CI, $49 617-$49 663) in 2004-2005 to $58 632 (95% CI, $58 608-$58 657) in 2017-2018 (APC, 3.0%; 95% CI, 1.3-4.8; P<\/em> = .002).<\/p>n

Conclusions and Relevance<\/span> — From 2004 to 2018, bronchiolitis hospitalization and mortality rates remained stable; however, ICU use and costs increased substantially. This represents a major increase in high-intensity hospital care and costs for one of the most common and cumulatively expensive conditions in pediatric hospital care.<\/p>\",\n \"Research Programs\": \"{CFE36C89-C969-4C23-B5E4-1BA9E5BDC273}\",\n \"ICES Locations\": \"{0AD77E2C-C883-4E93-8B9A-40B82D50E3A5}\",\n \"ICES Scientists\": \"{198CB764-0CEA-499E-A508-1CAAAD283C90}\",\n \"Posted Date\": \"20211220T000000\",\n \"Show on Publications Landing Page\": \"1\"\n}","previous_url":"https:\/\/www.ices.on.ca\/Publications\/Journal-Articles\/2021\/December\/Rates-in-bronchiolitis-hospitalization-intensive-care-unit-use-mortality-and-costs-from-2004-to-2018"},"yoast_head":"\nICES | Rates in bronchiolitis hospitalization, intensive care unit use, mortality, and costs from 2004 to 2018<\/title>\n<meta name=\"description\" content=\"Importance — Over the last 2 decades, bronchiolitis guidelines and improvement efforts focused on supportive care and reducing unnecessary tests,\" \/>\n<meta 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