Skip to main content
2023 AAP National Conference & Exhibition Main banner
Website Icon Legend Left Nav
Favorite Icons
This session is not in your schedule.
This session is in your schedule. Click again to remove it.
Presentation Icons
Livestream
Livestream
Multiple Session Occurrences
Multiple Session Occurrences
Special Event
Special Event
Audience Response System
Audience Response System
Ticketed Session
Ticketed Session
Presentado en Español
Presentado en Español
Closed Captioning
Closed Captioning
Scientific Program
Scientific Program
Sold Out Ticketed Session
Sold Out Ticketed Session
New & Evolving Topics
New & Evolving Topics
Traducción Español
Traducción Español
Rx (Pharmacology)
Rx (Pharmacology)
Back

Original Research

Program: Section on Critical Care

P2A292: Patient Characteristics, Resource Use, and Clinical Outcomes of Status Asthmaticus in Two Different Models of PICU Care

Saturday, October 21, 2023
11:15 AM – 12:15 PM US EDT
Location: Walter E. Washington Convention Center, Exhibit Hall A
Poster Presentation
Background: Status Asthmaticus is a major cause of illness in children and is one of the main indications of PICU admissions. Nemours Children Hospital- Delaware (NCH-DE) is a well-established teaching hospital and Nemours Children Hospital- Florida (NCH-FL) is a newly established teaching hospital. Patients admitted to NCH-FL (pre-residency) and NCH-DE were compared to demonstrate the effects of hospital teaching status and location on status asthmaticus management.

Methods: A retrospective chart was performed on status asthmaticus patients ages 2-18 who received care between 07/2017-07/2019 (NCH-FL n=90, NCH-DE n=90). Variables collected include: characteristics (age, sex, severity of illness [asthma score, PIM-2], comorbidities), resource usage (chest radiographs, blood gases, arterial catheter, central venous catheter, noninvasive and invasive ventilation), and outcomes (mortality rate, length of stay).

Results: Patients at NCH-DE had higher asthma severity on admission compared to NCH-FL (6.43 vs 4.69 [p < 0.001]). There were no other significant differences in patient characteristics or outcomes. However, differences in resource utilization were noted. Twice as many patients at NCH-DE received BIPAP and terbutaline infusions than at NCH- FL (Terbutaline: 25.6% vs. 11.1%) [p = 0.012], BIPAP 65.6% vs 34.4% [p < 0.001]). Patients at NCH-FL had significantly more magnesium and chest x-ray usage than at NCH-DE. (Magnesium: 85% vs 60% [p < 0.001], 1 chest x-ray: 60% vs 41.1% [p=0.002]). Most patients at both PICUs received continuous albuterol (NCH-FL: 88.9% vs NCH-DE 95.6%). The mortality rate at both hospitals was 0%. Mean LOS had no significant difference.

Conclusion: Despite the differences in teaching status, geographic location, asthma severity on admission, and resource utilization, characteristics and outcomes were similar in status asthmaticus patients treated in these two distinct PICUs.