title: Paediatric intensive care admissions for respiratory syncytial virus bronchiolitis in France: results of a retrospective survey and evaluation of the validity of a medical information system programme.
abstract: The purpose of this study was to describe the characteristics of patients with bronchiolitis admitted to a paediatric intensive care unit (PICU), and to evaluate a national registry of hospitalizations (Programme de Médicalisation des Systèmes d'Information; PMSI) as a potential source of epidemiological data. Of the 49 French PICUs invited to take part in a retrospective survey of children aged <2 years who were hospitalized during the 2005-2006 epidemic season, 24 agreed to participate. Overall, 467 children were enrolled: 75% were aged <2 months, 76% had positive respiratory syncytial virus (RSV) tests, 34·9% required non-invasive ventilation, 36·6% were mechanically ventilated, and six infants died. The main neonatal characteristics were: prematurity (31·9%), respiratory disease (16·5%), congenital heart disease (6·4%), receiving mechanical ventilation (11·6%), and bronchopulmonary dysplasia at day 28 (3·8%). For bronchiolitis episode, the kappa coefficient between the survey and PMSI data was good only for mechanical ventilation (0·63) and the death rate (0·86).
authors: Centre d'Epidémiologie des populations, EA 4184, Université de Bourgogne, Dijon, F-21000, France. anne-laure.soilly@wanadoo.fr
authors: A-L
authors: AL
authors: Soilly
authors: C
authors: C
authors: Ferdynus
authors: O
authors: O
authors: Desplanches
authors: M
authors: M
authors: Grimaldi
authors: J B
authors: JB
authors: Gouyon
mesh_terms: D001990:Bronchiolitis, Viral / Q000453:epidemiology* / Q000821:virology; D016208:Databases, Factual / Q000592:standards* / Q000706:statistics & numerical data; D005260:Female; D005602:France / Q000453:epidemiology; D006760:Hospitalization / Q000706:statistics & numerical data*; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D015278:Intensive Care Units, Pediatric / Q000706:statistics & numerical data*; D008297:Male; D015203:Reproducibility of Results; D012121:Respiration, Artificial / Q000706:statistics & numerical data; D018357:Respiratory Syncytial Virus Infections / Q000453:epidemiology*; D012136:Respiratory Syncytial Viruses; D012189:Retrospective Studies