Influence
March 5, 2024

Institutional Variability in Respiratory Support use for Pediatric Critical Asthma: A Multicenter Retrospective Study 

Regenstrief Research Scientist Colin Rogerson, M.D.

Published in the Annals of the American Thoracic Society. Here is a link to the article.  

Regenstrief Institute authors:  Colin M Rogerson, M.D., MPH 

This retrospective study of 77,115 pediatric asthma ICU admissions across 163 institutions found significant variability in respiratory support use. Higher-volume centers more frequently used non-invasive ventilation (NIV) and CPAP, while using less high flow nasal cannula (HFNC) and invasive mechanical ventilation (IMV). Over the past decade, use of HFNC, CPAP, and NIV has increased significantly, whereas IMV rates remained stable. These findings suggest evolving practices favoring non-invasive respiratory support for critically ill children with asthma.

Colin M Rogerson 1, Benjamin R White 2, Michele Smith 3, Alexander H Hogan 4, Samer Abu-Sultaneh 5, Christopher L Carroll 6, Steven L Shein 7

Affiliations

1Indiana University School of Medicine, 12250, Pediatrics, Indianapolis, Indiana, United States; crogerso@iupui.edu.

2Primary Children’s Hospital, 23188, Pediatric Critical Care, Salt Lake City, Utah, United States.

3Golisano Children’s Hospital, 24402, Pediatric Critical Care, Rochester, New York, United States.

4Connecticut Children’s Medical Center, 20425, Pediatrics, Hartford, Connecticut, United States.

5Indiana University System, 1772, Pediatric Critical Care, Indianapolis, Indiana, United States.

6Wolfson Children’s Hospital, 158616, Jacksonville, Florida, United States.

7Rainbow Babies and Children’s Hospital, Pediatric Critical Care Medicine, 44106, Ohio, United States.

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