Evidence map›Paper›PMID 36066264›Full record

Trial reportJournal of paediatrics and child health2022

Prevalence of high flow nasal cannula therapy use for management of infants with bronchiolitis in Australia and New Zealand.

Sharon O'Brien, Libby Haskell, Rachel Schembri, Fenella J Gill, Sally Wilson, Meredith L Borland, Ed Oakley, Stuart R Dalziel, Paediatric Research in Emergency Departments International Collaborative (PREDICT) network, Australasia

Open access · hybridAbstract readRandomized Controlled TrialMulticenter Study
In one paragraph

Trial report in Journal of paediatrics and child health, 2022. 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.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
2.0field-weighted citation impact, top 13% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 1 synthesis or guideline pooled it, 13 citations in OpenAlex.

  1. Australasian Bronchiolitis Guideline: 2025 Update.Journal of paediatrics and child health · 2025
    Guideline
  2. Observational
  3. Article
  4. Article
  5. Observational
  6. Article
  7. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 5 institutions in 2 countries.

Sharon O'BrienEmergency Department, Perth Children's Hospital, Perth, Western Australia, Australia.
Libby HaskellChildren's Emergency Department, Starship Children's Hospital, Auckland, New Zealand.
Rachel SchembriClinical Epidemiology and Biostatistics, Melbourne Children's Trials Centre, Murdoch Children's Research Institute, Melbourne, Victoria, Australia.
Fenella J GillSchool of Nursing, Faculty of Health Sciences, Curtin University, Perth, Western Australia, Australia.
Sally WilsonSchool of Nursing, Faculty of Health Sciences, Curtin University, Perth, Western Australia, Australia.
Meredith L BorlandEmergency Department, Perth Children's Hospital, Perth, Western Australia, Australia.
Ed OakleyEmergency Department, Royal Children's Hospital, Parkville, Victoria, Australia.
Stuart R DalzielChildren's Emergency Department, Starship Children's Hospital, Auckland, New Zealand.
Paediatric Research in Emergency Departments International Collaborative (PREDICT) network, Australasia
Curtin University · AUUniversity of Auckland · NZMurdoch Children's Research Institute · AURoyal Children's Hospital · AUUniversity of Western Australia · AU

Funding

Cure Kids New ZealandHealth Research Council of New ZealandNational Health and Medical Research CouncilState Government of Victoria
6 · The paper itself

Abstract

aimTo determine the prevalence of high flow nasal cannula (HFNC) therapy in infants presenting to hospital in Australia and New Zealand with bronchiolitis over four bronchiolitis seasons. Secondary aims were to determine temporal trends in HFNC use, and associations between HFNC, hospital length of stay (LOS) and intensive care unit (ICU) admission.

methodsA planned sub-study of a multi-centre international cluster randomised controlled trial investigating knowledge translation strategies for a bi-national bronchiolitis guideline. Demographics, management and outcomes data were collected retrospectively for infants presenting with bronchiolitis to 26 hospitals between 1 May 2014 and 30 November 2017. Prevalence data are presented as absolute frequencies (95% confidence interval (CI)) with differences between groups for continuous and categorical variables analysed using linear and logistic regression, respectively.

results11 715 infants were included with 3392 (29.0%, 95% CI (28.1-29.8%)) receiving oxygen therapy; of whom 1817 (53.6%, 95% CI (51.9-55.3%)) received HFNC. Use of oxygen therapy did not change over the four bronchiolitis seasons (P = 0.12), while the proportion receiving HFNC increased (2014, 336/2587 (43.2%); 2017, 609/3720 (57.8%); P ≤ 0.001). Infants who received HFNC therapy were not substantially different to infants who received oxygen therapy without HFNC. HFNC use was associated with increases in both hospital LOS (P < 0.001) and ICU admissions (P < 0.001).

conclusionUse of HFNC therapy for infants with bronchiolitis increased over 4 years. Of those who received oxygen therapy, the majority received HFNC therapy without improvement in hospital LOS or ICU admissions. Strategies to guide appropriate HFNC use in infants with bronchiolitis are required.

Indexed as

BronchiolitisCannulaHumansInfantNew ZealandOxygenOxygen Inhalation TherapyPrevalenceRetrospective StudiesOxygenbronchiolitishigh flowinfantprevalence

Identifiers

PMID36066264
PMCPMC10947204
OpenAlexW4294762258

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.