Curare la bronchiolite a casa: una Review sistematica

Bronchiolitis is the leading cause of pediatric hospitalizations Home hospitalization (HAH) provides hospital-level care at home, reducing the pressure on hospital admissions. In the study analyzed, aimed at reviewing the feasibility, acceptability and safety of HAH for bronchiolitis and assessing the cost impact on hospitals and society, 10 studies that met the inclusion criteria were analyzed. Home oxygen therapy (HOT) was used in all studies, and HOT was found to be feasible in terms of utilization (70%-82%) and successful completion. In the reviewed studies, 7 adverse events (0.6%) with no mortality were reported in 1.257 patients. On costs, the studies showed some savings, although only costs to hospitals were analyzed. In conclusion, there is evidence to support HOT as feasible, acceptable, and safe. Cost-effectiveness evidence remains limited. Further studies are needed to understand the relevant impact of HAH with regard to oxygen therapy, nasogastric feeding support, and remote infant monitoring.