ArticleActa paediatrica (Oslo, Norway : 1992)2017
Marked variability observed in inpatient management of bronchiolitis in three Finnish hospitals.
Article in Acta paediatrica (Oslo, Norway : 1992), 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.
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Who cites it
7 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Bronchiolitis: evidence-based management in high-risk infants in the intensive care setting.Pediatric research · 2024Pooled it
- βNature communications · 2025Article
- Bronchiolitis: A Real-Life Report of Increasing Compliance to Treatment Guidelines.Children (Basel, Switzerland) · 2025Article
- Practice in bronchiolitis management in Polish hospitals-a multicenter retrospective cohort study.European journal of pediatrics · 2024Article
- For which infants with viral bronchiolitis could it be deemed appropriate to use albuterol, at least on a therapeutic trial basis?Allergologia et immunopathologia · 2021Review
- The use of βERJ open research · 2020Review
- Bronchiolitis clinical practice guidelines implementation: surveillance study of hospitalized children in Jordan.Multidisciplinary respiratory medicine · 2020Article
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Authors and funding
9 authors.
Funding
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Abstract
aimInfants hospitalised for bronchiolitis undergo examinations and treatments not supported by current research evidence and we investigated practice variations with regard to Finnish children under the age of two.
methodsThis prospective, multicentre cohort study was conducted in paediatric units in three university hospitals in Finland from 2008 to 2010. Hospital medical records were reviewed to collect data on clinical course, testing and treatment. Data were analysed separately for children meeting our strict definition of bronchiolitis, aged under 12 months without a history of wheezing, and a loose definition, aged 12-23 months or with a history of wheezing.
resultsThe median age of the 408 children was 8.1 months. Clinical management varied between the three hospitals when stratified by strict and loose bronchiolitis subgroup definitions: complete blood counts ranged from 15-95% vs 16-94%, respectively, and the other measures were chest x-ray (16-91% vs 14-72%), intravenous fluids (2-47% vs 2-41%), use of nebulised epinephrine (10-84% vs 7-50%), use of salbutamol (18-21% vs 13-84%) and use of corticosteroids (6-23% vs 60-76%).
conclusionThe clinical management of bronchiolitis varied considerably with regard to the three hospitals and the two definitions of bronchiolitis. A stronger commitment to evidence-based bronchiolitis guidelines is needed in Finland.
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